Incarceration and risky sexual partnerships in a Southern US city
Incarceration and risky sexual partnerships in a Southern US city
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DOI：
10.1007/s11524-007-9237-8
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发表时间：
2008-01-01
影响因子：
6.6
通讯作者：
Miller, William C.
中科院分区：
文献类型：
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作者：
Khan, Maria R.;Wohl, David A.;Miller, William C.
监禁与艾滋病毒感染密切相关，并可能通过破坏稳定的伙伴关系和促进高风险伙伴关系而促进病毒传播。我们调查了社区样本中的监禁情况以及与性传播感染/艾滋病相关的伙伴关系，这些样本是为了进行性行为访谈而招募的，同时经常光顾北卡罗来纳州一座城市人们与性伴侣会面的场所（N = 373）。报告在过去 12 个月内被监禁的男性比最近没有被监禁的男性更有可能在过去 4 周内经历多个新的性伙伴关系（未经调整的患病率 [PR] 1.8，95% 置信区间 [CI]：1.1-3.1）和定义为以性换取金钱、商品或服务的性交易（未经调整的 PR：4.0，95% CI：2.3-7.1）。同样，曾经被监禁的女性比从未被监禁的女性更有可能经历近期的多次新伴侣关系（未经调整的 PR：3.1，95% CI：1.8-5.4）和性交易（未经调整的 PR：5.3，95% CI：2.6-10.9）。过去 12 个月内与曾经被监禁过的人的性伴侣与与没有已知监禁史的伴侣的性伴侣与最近的多次新伴侣关系（男性：未经调整的 PR 2.0，95% CI 1.4-2.9，女性：未经调整的 PR 4.8，95% CI 2.3-10.1）和交易性行为（男性：未经调整的 PR 3.3，95% CI 2.3-10.1）相关。 1.7-6.6，女性：未经调整的 PR 6.1，95% CI 2.4-15.4)。人口和社会经济变量的调整对估计的影响很小。然而，监禁、伴侣监禁和药物滥用之间的强烈重叠在多变量模型中产生了重大影响。惩教设施和基于社区的艾滋病毒预防以及药物滥用治疗应惠及当前和以前被监禁的个人及其性伴侣。
Incarceration is strongly associated with HIV infection and may contribute to viral transmission by disrupting stable partnerships and promoting high-risk partnerships. We investigated incarceration and STI/HIV-related partnerships among a community-based sample recruited for a sexual behavior interview while frequenting venues where people meet sexual partners in a North Carolina city (N = 373). Men reporting incarceration in the past 12 months were more likely than men without recent incarceration to experience multiple new sexual partnerships (unadjusted prevalence ratio [PR] 1.8, 95% confidence interval [CI]: 1.1-3.1) and transactional sex defined as trading sex for money, goods, or services (unadjusted PR: 4.0, 95% CI: 2.3-7.1) in the past 4 weeks. Likewise, women who were ever incarcerated were more likely than never-incarcerated women to experience recent multiple new partnerships (unadjusted PR: 3.1, 95% CI: 1.8-5.4) and transactional sex (unadjusted PR: 5.3, 95% CI: 2.6-10.9). Sexual partnership in the past 12 months with someone who had ever been incarcerated versus with partners with no known incarceration history was associated with recent multiple new partnerships (men: unadjusted PR 2.0, 95% CI 1.4-2.9, women: unadjusted PR 4.8, 95% CI 2.3-10.1) and transactional sex (men: unadjusted PR 3.3, 95% CI 1.7-6.6, women: unadjusted PR 6.1, 95% CI 2.4-15.4). Adjustment for demographic and socioeconomic variables had minimal effect on estimates. However, the strong overlap between incarceration, partner incarceration, and substance abuse had substantial effects in multivariable models. Correctional-facility and community-based HIV prevention, with substance abuse treatment, should reach currently and formerly incarcerated individuals and their sexual partners.