Journal of Urban Health

, Volume 86, Issue 5, pp 810–817

Risky Business: Focus-Group Analysis of Sexual Behaviors, Drug use and Victimization among Incarcerated Women in St. Louis

  • Tamara A. Millay
  • Veena A. Satyanarayana
  • Catina C. O’Leary
  • Robert Crecelius
  • Linda B. Cottler
Article

Abstract

Incarcerated women report multiple vulnerabilities and, yet, are under-represented in research. This study used focus-group methodology to explore high-risk sexual behaviors, drug use, and victimization among female offenders in St. Louis. Inmates of the St. Louis Medium Security Institution (MSI) were invited to participate in one of five focus groups between May and September 2005 in preparation for an NIH/NINR HIV-prevention intervention study among female offenders in Drug Court. The focus group sample of 30 women was 70% African-American, with a mean age of 36 years. Results indicated that oral sex was the most common sex trade activity. Consistent with the literature, condom usage was described as irregular. In terms of drug use, participants reported that crack was most commonly used, with binges often lasting for several days. Regarding victimization, women frequently reported sexual abuse in childhood, and some described abusive relationships as adults. Participants also reported being beaten and raped by customers, which led to their concealing knives in purses and razors under the tongue. Consequently, perpetrated violence, including murder, was reported as protection against further violence. These findings confirm the vulnerability of this population of women who are at high risk for HIV. Effective HIV-prevention interventions are needed to assist these incarcerated women in making lifestyle changes during incarceration and sustaining them after release.

Keywords

Sex trading Female offenders Criminal justice Violence Victimization 

References

  1. 1.
    Weinbaum CM, Sabin KM, Santibanez SS. Hepatitis B, hepatitis C, and HIV in correctional populations: a review of epidemiology and prevention. AIDS. 2005; 19(3): S41-S46.PubMedCrossRefGoogle Scholar
  2. 2.
    Hammett TM, Harmon MP, Rhodes W. The burden of infectious disease among inmates of and releasees from US correctional facilities, 1997. Am J Public Health. 2002; 92(11): 1789-1794.PubMedCrossRefGoogle Scholar
  3. 3.
    Belenko S, Langley S, Crimmins S, Chaple M. HIV risk behaviors, knowledge, and prevention education among offenders under community supervision: a hidden risk group. AIDS Educ Prev. 2004; 16(4): 367-385.PubMedCrossRefGoogle Scholar
  4. 4.
    Martin SS, O’Connell DJ, Inciardi JA, Surratt HL, Beard RA. HIV/AIDS among probationers: an assessment of risk and results from a brief intervention. J Psychoactive Drugs. 2003; 35(4): 435-443.PubMedGoogle Scholar
  5. 5.
    McClelland GM, Teplin LA, Abram KM, Jacobs N. HIV and AIDS risk behaviors among female jail detainees: implications for public health policy. Am J Public Health. 2002; 92(5): 818-825.PubMedCrossRefGoogle Scholar
  6. 6.
    Weeks MR, Grier M, Romero-Daza N, Puglisi-Vasquez MJ, Singer M. Streets, drugs, and the economy of sex in the age of AIDS. Women Health. 1998; 27(1–2): 205-229.PubMedGoogle Scholar
  7. 7.
    Parry C, Petersen P, Dewing S, et al. Rapid assessment of drug-related HIV risk among men who have sex with men in three South African cities. Drug Alcohol Depend. 2008; 95(1–2): 45-53.PubMedCrossRefGoogle Scholar
  8. 8.
    Baseman J, Ross M, Williams M. Sale of sex for drugs and drugs for sex: an economic context of sexual risk behavior for STDs. Sex Transm Dis. 1999; 26(8): 444-449.PubMedCrossRefGoogle Scholar
  9. 9.
    Shannon K, Kerr T, Allinott S, Chettiar J, Shoveller J, Tyndall MW. Social and structural violence and power relations in mitigating HIV risk of drug-using women in survival sex work. Soc Sci Med. 2008; 66(4): 911-921.PubMedCrossRefGoogle Scholar
  10. 10.
    Khan MR, Rasolofomanana JR, McClamroch KJ, et al. High-risk sexual behavior at social venues in Madagascar. Sex Transm Dis. 2008; 35(8): 738-745.PubMedCrossRefGoogle Scholar
  11. 11.
    Klein H, Chao BS. Sexual abuse during childhood and adolescence as predictors of HIV-related sexual risk during adulthood among female sexual partners of injection drug users. Violence Against Women. 1995; 1(1): 55-76.PubMedCrossRefGoogle Scholar
  12. 12.
    Pyett PM, Warr DJ. Vulnerability on the streets: female sex workers and HIV risk. AIDS Care. 1997; 9(5): 539-547.PubMedCrossRefGoogle Scholar
  13. 13.
    Senn TE, Carey MP, Vanable PA, Coury-Doniger P, Urban M. Characteristics of sexual abuse in childhood and adolescence influence sexual risk behavior in adulthood. Arch Sex Behav. 2007; 36(5): 637-645.PubMedCrossRefGoogle Scholar
  14. 14.
    Johnson SD, Cunningham-Williams RM, Cottler LB. A tripartite of HIV-risk for African American women: the intersection of drug use, violence, and depression. Drug Alcohol Depend. 2003; 70(2): 169-175.PubMedCrossRefGoogle Scholar
  15. 15.
    Vaddiparti K, Bogetto J, Callahan C, Abdallah AB, Spitznagel EL, Cottler LB. The effects of childhood trauma on sex trading in substance using women. Arch Sex Behav. 2006; 35(4): 451-459.PubMedCrossRefGoogle Scholar
  16. 16.
    Surratt HL, Inciardi JA, Kurtz SP, Kiley MC. Sex work and drug use in a subculture of violence. Crime Delinquency. 2004; 50(1): 43-59.CrossRefGoogle Scholar
  17. 17.
    Romero-Daza N, Weeks M, Singer M. “Nobody gives a damn if I live or die”: violence, drugs, and street-level prostitution in inner-city Hartford, Connecticut. Med Anthropol. 2003; 22(3): 233-259.PubMedCrossRefGoogle Scholar
  18. 18.
    Adimora AA, Schoenbach VJ. Social context, sexual networks, and racial disparities in rates of sexually transmitted infections. J Infect Dis. 2005; 191: S115-S122.PubMedCrossRefGoogle Scholar
  19. 19.
    Adimora AA, Schoenbach VJ, Martinson F, Donaldson KH, Stancil TR, Fullilove RE. Concurrent sexual partnerships among African Americans in the rural south. Ann Epidemiol. 2004; 14(3): 155-160.PubMedCrossRefGoogle Scholar
  20. 20.
    Adimora AA, Schoenbach VJ, Martinson FE, Donaldson KH, Stancil TR, Fullilove RE. Concurrent partnerships among rural African Americans with recently reported heterosexually transmitted HIV infection. J Acquir Immune Defic Syndr. 2003; 34(4): 423-429.PubMedCrossRefGoogle Scholar
  21. 21.
    Manhart LE, Aral SO, Holmes KK, Foxman B. Sex partner concurrency: measurement, prevalence, and correlates among urban 18–39-year-olds. Sex Transm Dis. 2002; 29(3): 133-143.PubMedCrossRefGoogle Scholar
  22. 22.
    Sherman SG, German D, Cheng Y, Marks M, Bailey-Kloche M. The evaluation of the JEWEL project: an innovative economic enhancement and HIV prevention intervention study targeting drug using women involved in prostitution. AIDS Care. 2006; 18(1): 1-11.PubMedCrossRefGoogle Scholar

Copyright information

© The New York Academy of Medicine 2009

Authors and Affiliations

  • Tamara A. Millay
    • 1
  • Veena A. Satyanarayana
    • 1
  • Catina C. O’Leary
    • 1
  • Robert Crecelius
    • 1
    • 2
  • Linda B. Cottler
    • 1
  1. 1.Department of PsychiatryWashington University School of MedicineSt. LouisUSA
  2. 2.Division of CorrectionsSt. LouisUSA

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