TY  - JOUR
PY  - 2020//
TI  - 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
JO  - AIDS and behavior
A1  - Severe, MacRegga
A1  - Scheidell, Joy D.
A1  - Dyer, Typhanye V.
A1  - Brewer, Russell A.
A1  - Negri, Alberta
A1  - Turpin, Rodman E.
A1  - Young, Kailyn E.
A1  - Hucks-Ortiz, Christopher
A1  - Cleland, Charles M.
A1  - Mayer, Kenneth H.
A1  - Khan, Maria R.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1090-7165
UR  - http://dx.doi.org/10.1007/s10461-020-02989-w
ID  - ref1
ER  -