Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Criminal Legal Involvement.
Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Criminal Legal Involvement.
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性别，种族和性取向的相互作用在物质使用行为与性传播感染之间的关联中的作用在最近的刑事法律参与的国家样本中。
DOI：
10.3390/ijerph19074100
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发表时间：
2022-03-30
影响因子：
--
通讯作者：
Wang EA
中科院分区：
文献类型：
--
作者：
Harvey TD;Opara I;Wang EA
有限的研究集中在物质使用和性风险行为如何在受基于社会身份的刑事法律的制度影响的个人之间存在差异。使用全国药物使用和健康调查，我们估计报告性传播感染（STI）的交叉社会群体与刑事法律的参与使用修改泊松回归的相对风险。然后，我们利用多元逻辑回归和边际效应来衡量物质使用行为和性传播感染之间的关联，并估计这些是否在性传播感染率升高的交叉社会群体之间存在差异。与白色、异性恋男性相比，三组人群报告STI的风险升高：白色、异性恋女性（1.53，95% CI：1.05-2.20）;黑人、异性恋女性（2.03，95% CI：1.18-3.49）;以及白色、同性恋或双性恋男性（5.65，95% CI：2.61-12.20）。考虑到性别、种族和性取向的交叉点，在调整药物使用以及其他混杂因素后，白色和黑人异性恋女性的性传播感染风险升高得到缓解。只有那些被认定为白色、同性恋或双性恋以及男性的人在控制了物质使用后才会增加STI风险。针对黑人和白色异性恋妇女在监禁后的性健康的干预措施应侧重于药物使用，针对白色、同性恋或双性恋男子的干预措施应侧重于健康的性行为、艾滋病毒/性传播感染筛查和护理连续努力。
Limited research has focused on how substance use and sexual risk behaviors differ among individuals impacted by the criminal legal system based on social identities. Using the National Survey on Drug Use and Health, we estimated relative risk for reporting a sexually transmitted infection (STI) among intersectional social groups with criminal legal involvement using a modified Poisson regression. We then utilized multivariate logistic regression and marginal effects to measure associations between substance use behaviors and STIs and to estimate whether these varied among the intersectional social groups with elevated STI rates. Three groups had elevated risk of reporting an STI compared to white, heterosexual men: white, heterosexual women (1.53, 95% CI: 1.05–2.20); Black, heterosexual women (2.03, 95% CI: 1.18–3.49); and white, gay or bisexual men (5.65, 95% CI: 2.61–12.20). Considering the intersections of gender, race, and sexual orientation, elevated risks for STIs among white and Black heterosexual women were mitigated after adjusting for substance use alongside other confounders. Only those who identified as white, gay or bisexual, and male had increased STI risk after controlling for substance use. Interventions targeting Black and white heterosexual women’s sexual health following incarceration should focus on substance use and interventions targeting white, gay or bisexual men should focus on healthy sexual behaviors, HIV/STI screening, and care continuum efforts.
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影响因子：
3.9
作者：
Howell BA;Puglisi L;Clark K;Albizu-Garcia C;Ashkin E;Booth T;Brinkley-Rubinstein L;Fiellin DA;Fox AD;Maurer KF;Lin HJ;McCollister K;Murphy S;Morse DS;Shavit S;Wang K;Winkelman T;Wang EA
通讯作者：
Wang EA
影响因子：
4.2
作者：
Banta-Green CJ;Williams JR;Sears JM;Floyd AS;Tsui JI;Hoeft TJ
通讯作者：
Hoeft TJ
影响因子：
3.7
作者：
Chamberlain, Adam;Nyamu, SylviaH;Fox, Aaron D.
通讯作者：
Fox, Aaron D.
影响因子：
3.7
作者：
Calsyn, Donald A.;Baldwin, Heather;Hatch-Maillette, Mary A.
通讯作者：
Hatch-Maillette, Mary A.
DOI：
10.3390/ijerph18105170
发表时间：
2021-05-01
影响因子：
--
作者：
Boyd, Donte T.;Opara, Ijeoma;Duncan, Dustin T.
通讯作者：
Duncan, Dustin T.