Recent Incarceration and Other Correlates of Psychological Distress Among African American and Latino Men Who Have Sex with Men.
Recent Incarceration and Other Correlates of Psychological Distress Among African American and Latino Men Who Have Sex with Men.
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DOI：
10.1007/s10597-021-00864-z
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发表时间：
2022-05
影响因子：
2.7
通讯作者：
Yang C
中科院分区：
文献类型：
--
作者：
White JJ;Zaller ND;Fernandez MI;Spikes P;Flores S;Latkin CA;Yang C
有一个缺乏的研究，在非洲裔美国男性之间的监禁和心理困扰的交叉点，谁与男性发生性关系（AAMSM）和拉丁裔男男性接触者（LMSM），人口承担了很大的负担艾滋病毒在美国最近的监禁是一个重要的背景下，检查心理困扰的关键影响，它对健康的结果。使用来自拉丁裔和非洲裔美国人项目（LAAMP）的基线数据，这是一项多地点随机HIV行为干预试验，本文研究了最近监禁与心理困扰之间的关联，通过Kessler心理困扰量表（K10）进行评估。在1,482名AAMSM和LMSM（AAMSM：911，LMSM：571）中，我们发现768名（52%）曾被监禁，138名（9.3%）在过去3个月内被监禁（即，最近的监禁）。在调整种族，教育，获得资源，目前的生活安排，参与者报告的艾滋病毒状况和药物使用后，最近被监禁的参与者更有可能有轻微的心理困扰，即，K10评分20-24（aRRR：1.43，95% CI：1.20，1.71）或严重心理困扰，即，K10评分>30（aRRR：1.89，95% CI：1.22，2.93）明显高于无嵌顿史者。未来的干预措施应通过向AAMSM和LMSM提供病例管理和支持服务来满足近期有监禁史的个人的需求，以便充分解决这些人群中艾滋病毒风险和精神健康障碍的汇合问题。
There is a dearth of research on the intersection of incarceration and psychological distress among African American men who have sex with men (AAMSM) and Latino MSM (LMSM), populations which bear a large burden of HIV in the U.S. Recent incarceration is an important context to examine psychological distress given the critical implications it has on health outcomes. Using baseline data from the Latino and African American Men’s Project (LAAMP), a multi-site randomized HIV behavioral intervention trial, this paper examined the association between recent incarceration and psychological distress, assessed by the Kessler Psychological Distress Scale (K10). Among 1,482 AAMSM and LMSM (AAMSM: 911, LMSM: 571), we found 768 (52%) had ever been incarcerated, 138 (9.3%) had been incarcerated in the past 3 months (i.e., recent incarceration). After adjusting for race, education, access to resources, current living arrangement, participant-reported HIV status, and substance use, participants who had been recently incarcerated were more likely to have mild psychological distress i.e., K10 score 20–24 (aRRR:1.43, 95% CI: 1.20, 1.71) or severe psychological distress, i.e., K10 score>30 (aRRR: 1.89, 95% CI: 1.22, 2.93) than those without history of incarceration. Future interventions should address the needs of individuals with a recent history incarceration by providing case management and supportive services to AAMSM and LMSM in order to adequately address the confluence of HIV risk and mental health disorders among these populations.
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