2015 APHA Annual Meeting & Expo

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Recorded Annual Meeting Presentations (RAMP) are now available for purchase.
Only $90 for presenters, $140 for registered attendees and $200 for non-attendees.

Online Program

322213
Incarceration and HIV among Young African American MSM: The moderating effects of education, employment, and social support


Monday, November 2, 2015 : 9:10 a.m. - 9:30 a.m.

Angelica Geter, DrPH, MPH, Department of Health Behavior, University of Kentucky College of Public Health, Lexington, KY
Richard A. Crosby, PhD, Department of Health Behavior, University of Kentucky College of Public Health, Lexington, KY
DeMarc Hickson, PhD, MPH, My Brother's Keeper, INC, Ridgeland, MS
Timothy Brown, MPH, University of Kentucky
Leandro Mena, MD, MPH, Infectious Diseases, University of Mississippi Medical Center, School of Medicine, Jackson, MS
background: The study examined the association between incarceration and sexual risk outcomes among African American men who have sex with men (MSM). Education, employment, and social support have been associated with lower sexual risk outcomes among this population. The study also examined whether education, employment, and social support moderated the effects of incarceration on sexual risk outcomes among African American MSM.

methods: Data were collected as a part of a phase III clinical trial held in a clinic diagnosing and treating sexually transmitted infections in the South.  Participants were males, aged 16-29 years, who self-identified as African American/Black and reported recent (past 90 days) anal intercourse with a male partner. Incarceration was assessed using a single measure and was tested against dichotomous measures for HIV serostatus, unprotected insertive anal sex (UIAS), unprotected receptive anal sex (URAS), and sex with a new partner (SNP). Chi-square tests and logistic regression models were used to analyze the data. The moderating effects of education, employment, and social support were also examined.

results: Of the 340 participants, 99 (29.1%) had been incarcerated at least once in their lifetime. This sample had high prevalence of HIV (22.6%), UAIS (64.4%), UARS (47.1%), and SNP (70.6%). Regression analysis indicated that incarceration was associated with HIV seropositive status and UIAS. Moderation analysis indicated that enrollment status, employment, and social support did not have an effect the association between incarceration and HIV seropositive status; enrollment in school and educational attainment had an effect on the association between incarceration and UIAS.

conclusion: The high rates of unprotected anal sex and HIV among this sample of young post-incarcerated African American MSM suggests a need for safe sex interventions tailored specifically for this population.

Learning Areas:

Implementation of health education strategies, interventions and programs
Social and behavioral sciences

Learning Objectives:
Identify an association between incarceration and HIV and sexual risk behavior among young Black men who have sex with men

Keyword(s): Criminal Justice, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a data manager and co-principal investigator of multiple NIMH funded grants on HIV prevention and sexual risk behavior. My scientific interests include the development of strategies for preventing HIV and STDs in young African American men and women.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3062.0: Male health policy