AIDS and Behavior

, Volume 12, Issue 1, pp 51–57 | Cite as

Increased HIV Risk Associated with Criminal Justice Involvement among Men on Methadone

  • Matthew Epperson
  • Nabila El-Bassel
  • Louisa Gilbert
  • E. Roberto Orellana
  • Mingway Chang
Original Paper


This paper examines the relationship between HIV risk and criminal justice involvement among a random sample of 356 men enrolled in methadone maintenance treatment programs in New York City. Bivariate and logistic regression analyses were performed to estimate the associations between measures of criminal justice involvement and participant HIV risk, controlling for socio-demographic variables. A lifetime history of incarceration was significantly associated with being HIV positive (Adjusted OR = 5.08). Recent arrest was associated with unprotected vaginal sex and having multiple female sexual partners. Sex trading was associated with both arrest and incarceration, and the strongest association was found between selling sex and recent incarceration (Adjusted OR = 5.69). Results suggest that recent criminal justice involvement among men with substance abuse histories is associated with increased HIV risk behaviors. Findings underscore the need for targeted HIV prevention efforts for men on methadone with a recent history of arrest or incarceration.


HIV risk Men Criminal justice Substance abuse Methadone 


  1. Belenko, S., Langley, S., Crimmins, S., & Chaple, M. (2004). HIV risk behaviors, knowledge, and prevention education among offenders under community supervision: A hidden risk group. AIDS Education and Prevention, 16, 367–385.CrossRefPubMedGoogle Scholar
  2. Booth, R. E., Watters, J. K., & Chitwood, D. D. (1993). HIV risk-related sex behaviors among injection drug users, crack smokers, and injection drug users who smoke crack. American Journal of Public Health, 83(8), 1144–1148.PubMedGoogle Scholar
  3. Boutwell, A., & Rich, J. D. (2004). HIV infection behind bars. Clinical Infectious Diseases, 38, 1761–1763.CrossRefPubMedGoogle Scholar
  4. Braithwaite, R., & Stephens, T. (2005). Use of protective barriers and unprotected sex among adult male prison inmates prior to incarceration. International Journal of STD & AIDS, 16, 224–226.CrossRefGoogle Scholar
  5. Braithwaite, R. L., & Arriola, A. R. (2003). Male prisoners and HIV prevention: A call for action ignored. American Journal of Public Health, 93, 759–763.PubMedGoogle Scholar
  6. Braithwaite, R. L., Hammett, T., & Arriola, K. R. J. (2002). Introduction to the special issue: HIV/AIDS in correctional settings. AIDS Education and Prevention, 14(Suppl. B), 1–6.CrossRefGoogle Scholar
  7. Bryant, K. J. (2006). Expanding research on the role of alcohol consumption and related risks in the prevention and treatment of HIV/AIDS. Substance Use & Misuse, 41(10), 1465–1507.CrossRefGoogle Scholar
  8. Campsmith, M. L., Nakashima, A. K., & Jones, J. L. (2000). Association between crack cocaine use and high-risk sexual behaviors after HIV diagnosis. Journal of Acquired Immune Deficiency Syndromes, 25(2), 192–198.CrossRefPubMedGoogle Scholar
  9. Chesney, M. A., Barrett, D. C., & Stall, R. (1998). Histories of substance use and risk behavior: Precursors to HIV seroconversion in homosexual men. American Journal of Public Health, 88(1), 113–116.PubMedCrossRefGoogle Scholar
  10. Colfax, G., & Guzman, R. (2006). Club drugs and HIV infection: A review. HIV/AIDS, 42(10), 1463–1469.Google Scholar
  11. El-Bassel, N., Gilbert, L., Golder, S., Wu, E., Chang, M., & Fontdevila, J. (2004). Deconstructing the relationship between intimate partner violence and sexual IPV risk among drug-involved men and their female partners. AIDS and Behavior, 8(4), 429–439.CrossRefPubMedGoogle Scholar
  12. Estcourt, C. S., Marks, C., Rohrsheim, R., Johnson, A. M., Donovan, B., & Mindel, A. (2000). HIV, sexually transmitted infections, and risk behaviours in male commercial sex workers in Sydney. Sexually Transmitted Infections, 76, 294–298.CrossRefPubMedGoogle Scholar
  13. Freudenberg, N., Daniels, J., Crum, M., Peridns, T., & Richie, B. E. (2005). Coming home from jail: The social and health consequences of community reentry for women, male adolescents, and their families and communities. American Journal of Public Health, 95(10), 1725–1736.CrossRefPubMedGoogle Scholar
  14. Glaze, L. E. (2003). Probation and parole in the United States, 2001 (No. NCJ 201135). Washington, DC: Bureau of Justice Statistics.Google Scholar
  15. Hammett, T. M. (2006). HIV/AIDS and other infectious diseases among correctional inmates: Transmission, burden, and an appropriate response. American Journal of Public Health, 96, 974–978.CrossRefPubMedGoogle Scholar
  16. Hammett, T. M., Gaiter, J. L., & Crawford, C. (1998). Reaching seriously at-risk populations: Health interventions in criminal justice settings. Health Education & Behavior, 25(1), 99–120.CrossRefGoogle Scholar
  17. Harrison, P. M., & Beck, A. J. (2003). Prisoners in 2002. Bureau of Justice Statistics: Special Report, NCJ 200248. Washington, DC: Bureau of Justice Statistics.Google Scholar
  18. Joe, G. W., & Simpson, D. D. (1995). HIV risks, gender, and cocaine use among opiate users. Drug and Alcohol Dependence, 37, 23–28.CrossRefPubMedGoogle Scholar
  19. Krebs, C. P., & Simmons, M. (2002). Intraprison HIV transmission: An assessment of whether it occurs, how it occurs, and who is at risk. AIDS Education and Prevention, 14(Suppl. B), 53–64.CrossRefPubMedGoogle Scholar
  20. Latkin, C. A. (1998). Outreach in natural settings: The use of peer leaders for HIV prevention among injecting drug users’ networks. Public Health Reports, 113(Suppl. 1), 151–159.PubMedGoogle Scholar
  21. Latkin, C. A., Hua, W., & Forman, V. L. (2003). The relationship between social network characteristics and exchanging sex for drugs or money among drug users in Baltimore, MD, USA. International Journal of STD & AIDS, 14, 770–776.CrossRefGoogle Scholar
  22. Maruschak, L. M. (2004). HIV in prisons and jails, 2002. Bureau of Justice Statistics Bulletin, NCJ 205333 (pp. 1–11). Washington, DC: US Department of Justice.Google Scholar
  23. Maruschak, L. M. (2005). HIV in Prisons, 2003. Washington, DC: U.S. Department of Justice, Office of Justice Programs.Google Scholar
  24. Metzger, D. S., & Navaline, H. (2003). HIV prevention among injection drug users: The need for integrated models. Journal of Urban Health, 80(4), iii59–iii66.PubMedGoogle Scholar
  25. Molitor, F., Truax, S. R., Ruiz, J. D., & Sun, R. K. (1998). Association of methamphetamine use during sex with risky sexual behaviors and HIV infection among non-injection drug users. Western Journal of Medicine, 168(2), 93–97.PubMedGoogle Scholar
  26. Newman, P. A., Rhodes, F., & Weiss, R. E. (2004). Correlates of sex trading among drug-using men who have sex with men. American Journal of Public Health, 94, 1998–2003.PubMedGoogle Scholar
  27. Orellana, E. R., El-Bassel, N., Gilbert, L., & Epperson, M. (2007). Sex trading and HIV risk among men in methadone maintenance treatment, in press.Google Scholar
  28. Pollack, H., Khoshnood, K., & Altice, F. (1999). Health care delivery strategies for criminal offenders. Journal of Health Care Finance, 26(1), 63–77.PubMedGoogle Scholar
  29. New York City Department of Health (1999). Report on HIV Seroprevalence in New York City in 1998. New York: New York City Department of Health.Google Scholar
  30. Rich, J. D., Dickinson, B. P., Macalino, G., Flanigan, T. P., Towe, C. W., & Spaulding, A. (1999). Prevalence and incidence of HIV among incarcerated and reincarcerated women in Rhode Island. Journal of Acquired Immune Deficiency Syndromes, 22, 161.PubMedGoogle Scholar
  31. Seal, D. W. (2005). HIV-related issues and concerns for imprisoned persons throughout the world. Current Opinion in Psychiatry, 18, 530–535.CrossRefPubMedGoogle Scholar
  32. Spaulding, A., Stephenson, B., Mecalino, G., Ruby, W., Clarke, J. G., & Flanigan, T. P. (2002). Human immunodeficiency virus in correctional facilities: A Review. HIV/AIDS, 35, 305–312.Google Scholar
  33. Springer, S. A., & Altice, F. L. (2005). Managing HIV/AIDS in correctional settings. Current HIV/AIDS Reports, 2(4), 165–170.CrossRefPubMedGoogle Scholar
  34. Stephens, T., Braithwaite, R., & Tiggs, C. (2004). Correlates of inmates’ self-reported HIV/AIDS risk behaviors, prior incarceration, and marijuana use. The American Journal of Drug and Alcohol Abuse, 30, 287–298.CrossRefPubMedGoogle Scholar
  35. Stephens, T. T., Braithwaite, R., Sprauve, N. E., & Louis, T. R. (2006). Predictors of prior incarceration and alcohol use among soon-to-be-released adult male inmates. Journal of Correctional Health Care, 12, 4–11.CrossRefGoogle Scholar
  36. Swartz, J. A., Lurigio, A. J., & Weiner, D. A. (2004). Correlates of HIV-risk behaviors among prison inmates: Implications for tailored AIDS prevention programming. The Prison Journal, 84, 486–504.CrossRefGoogle Scholar
  37. Vlahov, D., & Putnam, S. (2006). From corrections to communities as an HIV priority. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 83, 339–348.Google Scholar
  38. Wohl, A. R., Johnson, D. F., Lu, S., Jordan, W., Beall, G., & Currier, J. (2002). HIV risk behaviors among African American men in Los Angeles County who self-identify as heterosexual. Journal of Acquired Immune Deficiency Syndromes, 31, 354–360.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Matthew Epperson
    • 1
  • Nabila El-Bassel
    • 1
  • Louisa Gilbert
    • 1
  • E. Roberto Orellana
    • 1
  • Mingway Chang
    • 1
  1. 1.Social Intervention GroupColumbia University School of Social WorkNew YorkUSA

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