@article{ref1,
title="Lifetime burden of incarceration and violence, internalized homophobia, and HIV/STI risk among black men who have sex with men in the HPTN 061 Study",
journal="AIDS and behavior",
year="2020",
author="Severe, MacRegga and Scheidell, Joy D. and Dyer, Typhanye V. and Brewer, Russell A. and Negri, Alberta and Turpin, Rodman E. and Young, Kailyn E. and Hucks-Ortiz, Christopher and Cleland, Charles M. and Mayer, Kenneth H. and Khan, Maria R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Black men who have sex with men (BMSM) have disproportionate HIV/STI acquisition risk. Incarceration may increase exposure to violence and exacerbate psychosocial vulnerabilities, including internalized homophobia, which are associated with HIV/STI acquisition risk. Using data from HIV Prevention Trials Network 061 (N = 1553), we estimated adjusted prevalence ratios (APR) and 95% confidence intervals (CIs) for associations between lifetime burden of incarceration and HIV/STI risk outcomes. We measured associations between incarceration and HIV/STI risk outcomes with hypothesized mediators of recent violence victimization and internalized homophobia. Compared to those never incarcerated, those with 3-9 or ≥ 10 incarcerations had approximately 10% higher prevalence of multiple partnerships. Incarceration burden was associated with selling sex (1-2 incarcerations: APR: 1.52, 95% CI 1.14-2.03; 3-9: APR: 1.77, 95% CI 1.35-2.33; ≥ 10: APR: 1.85, 95% CI 1.37-2.51) and buying sex (≥ 10 incarcerations APR: 1.80, 95% CI 1.18-2.75). Compared to never incarcerated, 1-2 incarcerations appeared to be associated with current chlamydia (APR: 1.47, 95% CI 0.98-2.20) and 3-9 incarcerations appeared to be associated with current syphilis (APR: 1.46, 95% CI 0.92-2.30). Incarceration was independently associated with violence, which in turn was a correlate of transactional sex. Longitudinal research is warranted to clarify the role of incarceration in violence and HIV/STI risk in this population.<p /> <p>Language: en</p>",
language="en",
issn="1090-7165",
doi="10.1007/s10461-020-02989-w",
url="http://dx.doi.org/10.1007/s10461-020-02989-w"
}