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J Racial Ethn Health Disparities. 2017 Feb;4(1):9-18. doi: 10.1007/s40615-015-0194-8. Epub 2015 Dec 23.

Incarcerated Black Women in the Southern USA: A Narrative Review of STI and HIV Risk and Implications for Future Public Health Research, Practice, and Policy.

Author information

1
Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center-New Orleans, School of Public Health, 2020 Gravier Street, 3rd Floor, New Orleans, LA, 70112, USA. npelligrino83@gmail.com.
2
Department of Government and Justice Studies, Appalachian State University, Boone, NC, USA.
3
Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center-New Orleans, School of Public Health, 2020 Gravier Street, 3rd Floor, New Orleans, LA, 70112, USA.
4
Department of Epidemiology, Louisiana State University Health Sciences Center-New Orleans, School of Public Health, New Orleans, LA, USA.

Abstract

Incarcerated black women in the southern USA are understudied despite the high prevalence of sexually transmitted infections (STI) and human immunodeficiency virus (HIV). These incarceration and health disparities are rooted in centuries of historically inequitable treatment. Amidst the current dialogue on mass incarceration in the south and its relationship to the health of the black community, individual and environmental risk factors for STI/HIV transmission are seldom paired with discussions of evidence-based solutions. A narrative review of the literature from January 1995 to May 2015 was conducted. This sample of the literature (nā€‰=ā€‰18) revealed that partner concurrency, inconsistent condom use, sex work, previous STI, and drug abuse augmented individual STI/HIV risk. Recommended interventions include those which promote healthier relationships, cultural competence, and gender specificity, as well as those that enhance prevention skills. Policy recommendations include improving cultural sensitivity, cultural competence, and cultural humility training for clinicians, as well as substantially increasing funding for prevention, treatment, and rehabilitative services. These recommendations are timely given the recent national attention to incarceration, STI, and HIV disparities, particularly in the southern USA.

KEYWORDS:

Black; Female; HIV; Incarcerated; Southern; United States

PMID:
26823063
DOI:
10.1007/s40615-015-0194-8
[Indexed for MEDLINE]

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