Predictors of sexual behaviour among men and women in New York City area prisons.

Predictors of sexual behaviour among men and women in New York City area prisons.
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DOI:
10.1080/13691058.2016.1188420
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发表时间:
2016-12
期刊:
Culture, health & sexuality
影响因子:
--
通讯作者:
Larson EL
Larson EL
中科院分区:
其他
文献类型:
--
作者:
Rowell-Cunsolo TL;Szeto B;Sampong SA;Larson EL

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美国目前是世界上监禁率最高的国家。感染艾滋病毒风险最大的人往往也是被监禁风险较高的人。艾滋病毒的流行是由注射吸毒和性行为造成的,对监狱性行为的估计差异很大。这项研究调查了纽约市地区1,369名被监禁男女的性行为。大约13%的样本(n=176)报告在过去6个月内被监禁期间性活跃。多元逻辑回归模型被用来研究监狱性行为的预测因素。以下变量与过去六个月内性活动的几率增加有关:(OR= 3.28; 95%CI= 1.95,5.51),黑人(OR= 2.26,95%CI= 1.47,3.46),有吸毒史(OR=1.85; 95%CI = 1.04,3.30),双性恋(OR= 3.19; 95%CI= 1.90,5.38)或同性恋身份(OR=8.50,95%CI = 3.92,18.43),参加配偶探视计划(OR=66.26,95%CI= 31.42,139.74)。需要为这一人群开展关于性传播感染的教育方案和适当的减少伤害措施。配偶探视方案的扩大也可能有助于帮助囚犯维持与其社区伴侣的关系,并减少传染病在这种环境中传播的风险。
The USA currently has the highest incarceration rate in the world. Individuals at greatest risk for HIV also tend to be among those at an elevated risk for incarceration. The HIV epidemic is driven by injection drug use and sexual behaviour, and estimates of prison-based sexual behaviour vary widely. This study examined sexual behaviour among 1,369 incarcerated men and women in the New York City area. Approximately 13 percent of the sample (n=176) reported being sexually active while incarcerated over the previous 6 months. Multiple logistic regression models were used to examine the predictors of prison sexual behaviour. The following variables were associated with increased odds of sexual activity within the previous six months: female gender (OR= 3.28; 95%CI=1.95,5.51), Black race (OR= 2.26; 95%CI=1.47,3.46), history of drug use (OR=1.85; 95% CI=1.04,3.30), bisexual (OR= 3.19; 95%CI=1.90,5.38) or homosexual identity (OR=8.50; 95% CI=3.92,18.43), and conjugal visitation programme participation (OR=66.26; 95%CI=31.42,139.74). Educational programmes regarding sexually transmitted infections and appropriate harm reduction measures are warranted for this population. The expansion of conjugal visitation programmes may also be useful in helping prisoners sustain their relationships with partners from their community and reduce the risk of infectious disease transmission in this environment.
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影响因子: 1.3
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