The Association between Incarceration and Transactional Sex among HIV-infected Young Men Who Have Sex with Men in the United States

dc.contributor.authorPhilbin, Morgan M.
dc.contributor.authorKinnard, Elizabeth N.
dc.contributor.authorTanner, Amanda E.
dc.contributor.authorWare, Samuella
dc.contributor.authorChambers, Brittany D.
dc.contributor.authorMa, Alice
dc.contributor.authorFortenberry, J. Dennis
dc.contributor.departmentPediatrics, School of Medicineen_US
dc.date.accessioned2019-10-04T16:22:09Z
dc.date.available2019-10-04T16:22:09Z
dc.date.issued2018-08
dc.description.abstractCriminal justice practices in the USA disproportionately affect sexual and racial/ethnic minority men, who are at higher risk of incarceration. Previous research demonstrates associations between incarceration and sexual risk behaviors for men who have sex with men (MSM). However, little of this work focuses on young MSM (YMSM), particularly HIV-infected YMSM, despite nearly one-third reporting engagement in sexual risk behaviors, such as transactional sex. We therefore explored the association between incarceration and transactional sex among HIV-infected YMSM. We recruited 97 HIV-infected YMSM across 14 clinical sites in urban centers from August 2015 to February 2016. We used multivariate logistic regression to examine the relationship between incarceration and transactional sex among YMSM. The majority was 24 years old (78%) and racial/ethnic minority (95%); over half were not in school and reported an annual income of < $12,000. In the multivariate model, having ever been incarcerated (aOR = 3.20; 95% CI 1.07–9.63) was independently associated with a history of transactional sex. Being 24 years vs. younger (aOR = 9.68; 95% CI 1.42–65.78) and having ever been homeless (aOR = 3.71, 95% CI 1.18–11.65) also remained independently associated with a history of transactional sex. This analysis fills a gap in the literature by examining the relationship between incarceration and transactional sex among HIV-infected YMSM. Facilitating youths’ engagement with social services available in their HIV clinic may serve as a key strategy in promoting health. Public health efforts need to address social-structural factors driving disproportionate rates of arrest and incarceration and related harms among this population.en_US
dc.identifier.citationPhilbin, M. M., Kinnard, E. N., Tanner, A. E., Ware, S., Chambers, B. D., Ma, A., & Fortenberry, J. D. (2018). The Association between Incarceration and Transactional Sex among HIV-infected Young Men Who Have Sex with Men in the United States. Journal of urban health : bulletin of the New York Academy of Medicine, 95(4), 576–583. doi:10.1007/s11524-018-0247-5en_US
dc.identifier.urihttps://hdl.handle.net/1805/21042
dc.language.isoen_USen_US
dc.publisherSpringer Natureen_US
dc.relation.isversionof10.1007/s11524-018-0247-5en_US
dc.relation.journalJournal of Urban Healthen_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjectIncarcerationen_US
dc.subjectTransactional sexen_US
dc.subjectYoung men who have sex with men (YMSM)en_US
dc.subjectHIVen_US
dc.subjectHealth disparitiesen_US
dc.titleThe Association between Incarceration and Transactional Sex among HIV-infected Young Men Who Have Sex with Men in the United Statesen_US
dc.typeArticleen_US
ul.alternative.fulltexthttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6095762/en_US
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