Journal of Urban Health

, Volume 95, Issue 4, pp 479–487 | Cite as

Dissolution of Committed Partnerships during Incarceration and STI/HIV-Related Sexual Risk Behavior after Prison Release among African American Men

  • Maria R. KhanEmail author
  • Joy D. Scheidell
  • Carol E. Golin
  • Samuel R. Friedman
  • Adaora A. Adimora
  • Carl W. Lejuez
  • Hui Hu
  • Kelly Quinn
  • David A. Wohl


Incarceration is strongly associated with post-release STI/HIV risk. One pathway linking incarceration and STI/HIV risk may be incarceration-related dissolution of protective network ties. Among African American men released from prison who were in committed partnerships with women at the time of incarceration (N = 207), we measured the association between committed partnership dissolution during incarceration and STI/HIV risk in the 4 weeks after release. Over one-quarter (28%) experienced incarceration-related partnership dissolution. In adjusted analyses, incarceration-related partnership dissolution was strongly associated with post-release binge drinking (adjusted odds ratio (AOR) 4.2, 95% confidence interval (CI); 1.4–15.5). Those who experienced incarceration-related partnership dissolution were much more likely to engage in multiple/concurrent partnerships or sex trade defined as buying or selling sex (64%) than those who returned to the partner (12%; AOR 20.1, 95% CI 3.4–175.6). Policies that promote maintenance of relationships during incarceration may be important for protecting health.


Incarceration STI HIV African American Partnerships 



This study was supported by NIDA R01DA028766 (Principal Investigator: Khan) and the University of North Carolina Center for AIDS Research (AI050410). Dr Golin’s salary was partially supported by K24 HD06920. Laboratory testing for sexually transmitted infections was supported, in part, by Southeastern Sexually Transmitted Infections Cooperative Research Center Grant U19-AI031496 from the National Institute of Allergy and Infectious Diseases.

Supplementary material

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Copyright information

© The New York Academy of Medicine 2018

Authors and Affiliations

  • Maria R. Khan
    • 1
    Email author
  • Joy D. Scheidell
    • 1
  • Carol E. Golin
    • 2
    • 3
  • Samuel R. Friedman
    • 4
  • Adaora A. Adimora
    • 5
    • 6
  • Carl W. Lejuez
    • 7
  • Hui Hu
    • 8
  • Kelly Quinn
    • 1
  • David A. Wohl
    • 5
  1. 1.Division of Comparative Effectiveness and Decision Science, Department of Population HealthNYU School of MedicineNew YorkUSA
  2. 2.Division of General Internal Medicine and Epidemiology, Department of Medicine, UNC School of MedicineUniversity of North Carolina at Chapel HillChapel HillUSA
  3. 3.Department of Health Behavior, UNC Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  4. 4.National Development and Research Institutes, Inc.New YorkUSA
  5. 5.Division of Infectious Disease, UNC School of MedicineUniversity of North Carolina at Chapel HillChapel HillUSA
  6. 6.Department of Epidemiology, UNC Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  7. 7.Cofrin Logan Center for Addiction Research and Treatment, Department of Psychology, College of Liberal Arts & SciencesUniversity of KansasLawrenceUSA
  8. 8.Department of EpidemiologyUniversity of Florida College of Public Health and Health ProfessionsGainesvilleUSA

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