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J Urban Health. 2018 Aug;95(4):479-487. doi: 10.1007/s11524-018-0274-2.

Dissolution of Committed Partnerships during Incarceration and STI/HIV-Related Sexual Risk Behavior after Prison Release among African American Men.

Author information

1
Division of Comparative Effectiveness and Decision Science, Department of Population Health, NYU School of Medicine, New York, NY, USA. maria.khan@nyumc.org.
2
Division of Comparative Effectiveness and Decision Science, Department of Population Health, NYU School of Medicine, New York, NY, USA.
3
Division of General Internal Medicine and Epidemiology, Department of Medicine, UNC School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
4
Department of Health Behavior, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
5
National Development and Research Institutes, Inc., New York, NY, USA.
6
Division of Infectious Disease, UNC School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
7
Department of Epidemiology, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
8
Cofrin Logan Center for Addiction Research and Treatment, Department of Psychology, College of Liberal Arts & Sciences, University of Kansas, Lawrence, KS, USA.
9
Department of Epidemiology, University of Florida College of Public Health and Health Professions, Gainesville, FL, USA.

Abstract

Incarceration is strongly associated with post-release STI/HIV risk. One pathway linking incarceration and STI/HIV risk may be incarceration-related dissolution of protective network ties. Among African American men released from prison who were in committed partnerships with women at the time of incarceration (N = 207), we measured the association between committed partnership dissolution during incarceration and STI/HIV risk in the 4 weeks after release. Over one-quarter (28%) experienced incarceration-related partnership dissolution. In adjusted analyses, incarceration-related partnership dissolution was strongly associated with post-release binge drinking (adjusted odds ratio (AOR) 4.2, 95% confidence interval (CI); 1.4-15.5). Those who experienced incarceration-related partnership dissolution were much more likely to engage in multiple/concurrent partnerships or sex trade defined as buying or selling sex (64%) than those who returned to the partner (12%; AOR 20.1, 95% CI 3.4-175.6). Policies that promote maintenance of relationships during incarceration may be important for protecting health.

KEYWORDS:

African American; HIV; Incarceration; Partnerships; STI

PMID:
30073599
PMCID:
PMC6095753
[Available on 2019-08-01]
DOI:
10.1007/s11524-018-0274-2

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