Gender Differences in HIV Risk Behaviors of Inmates
Gender Differences in HIV Risk Behaviors of Inmates
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DOI：
10.1089/jwh.2008.0941
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发表时间：
2009-01-01
影响因子：
3.5
通讯作者：
Sloan, Patricia E.
中科院分区：
文献类型：
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作者：
Abiona, Titilayo C.;Adefuye, Adedeji S.;Sloan, Patricia E.
背景：被监禁的男性和女性对艾滋病毒流行率和易感性以及预防艾滋病毒感染的能力的看法不同。本研究的目的是评估性别和性别差异，在艾滋病毒的危险行为的囚犯，以更好地支持考虑性别的发展，艾滋病毒预防干预措施的监禁population.Methods：1819囚犯进行了调查，采用结构式问卷。比较了526名女性和1293名男性在监禁期间自我报告的HIV危险行为。进行双变量分析，以确定人口统计学特征和艾滋病毒危险行为的性别差异。Logistic回归被用来确定与从事性交在prison.Results的因素：平均年龄为女性高于男性（p = 0.05），和> 50%的参与者是非洲裔美国人。女性比男性更多地报告他们进行性交（p < 0.001）;然而，男性更可能报告肛交（p < 0.001）。在注射吸毒方面没有性别差异。那些被认定为双性恋或女同性恋的女性，那些目前被监禁至少1年的女性，以及那些在监狱中接受纹身的女性更有可能报告性交。男性唯一的独立危险因素是目前被监禁至少7 years.Conclusions：有性别差异，在监禁期间的囚犯的艾滋病危险行为。这项研究的结果表明，囚犯在监禁期间和释放后在社区中可能受益于针对性别的艾滋病毒干预措施。
Background: Incarcerated men and women differ in their views on HIV prevalence rates and susceptibility and their ability to prevent HIV infection. The objective of this study was to assess sex and gender differences in HIV risk behaviors of inmates in order to better support the consideration of gender in the development of HIV prevention interventions for the incarcerated population.Methods: A survey of 1819 inmates was conducted using a structured questionnaire. Self-reported HIV risk behaviors of 526 women and 1293 men during incarceration were compared. Bivariate analyses were done to identify gender differences in demographic characteristics and HIV risk behaviors. Logistic regression was used to determine factors associated with engaging in sexual intercourse in prison.Results: Mean age was higher for women than men (p = 0.05), and > 50% of participants were African Americans. More women than men reported that they engaged in sexual intercourse (p < 0.001); however, men were more likely to report anal sex (p < 0.001). There were no sex differences in injection drug use. Women who identified as bisexual or lesbian, those who had been currently incarcerated for at least 1 year, and those who received tattoos in prison were more likely to report sexual intercourse. The only independent risk factor identified for men was being currently incarcerated for at least 7 years.Conclusions: There are gender differences in HIV risk behaviors of inmates during incarceration. The findings in this study suggest that inmates may benefit from gender-specific HIV interventions while incarcerated and in the community subsequent to release.