Dissolution of Committed Partnerships during Incarceration and STI/HIV-Related Sexual Risk Behavior after Prison Release among African American Men
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.
KeywordsIncarceration 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.
- 3.Khan MR, Berger A, Hemberg J, O'Neill A, Dyer TP, Smyrk K. Non-injection and injection drug use and STI/HIV risk in the United States: the degree to which sexual risk behaviors versus sex with an STI-infected partner account for infection transmission among drug users. AIDS Behav. 2013;17(3):1185–94.CrossRefPubMedPubMedCentralGoogle Scholar
- 5.Khan MR, Epperson MW, Mateu-Gelabert P, Bolyard M, Sandoval M, Friedman SR. Incarceration, sex with an STI- or HIV-infected partner, and infection with an STI or HIV in Bushwick, Brooklyn, NY: a social network perspective. Am J Public Health. 2011;101(6):1110–7.CrossRefPubMedPubMedCentralGoogle Scholar
- 20.Carson EA. Prisoners in 2016 US Department of Justice - Bureau of Justice Statistics. 2018. Available at:https://www.bjs.gov/content/pub/pdf/p16.pdf. Accessed 20 June 2017.
- 21.Centers for Disease Control and Prevention. HIV among Women. 2017; https://www.cdc.gov/hiv/group/gender/women/index.html. Accessed September, 2017.
- 22.Khan MR, Golin CE, Friedman SR, Scheidell JD, Adimora AA, Judon-Monk S, et al. STI/HIV sexual risk behavior and prevalent STI among incarcerated African American men in committed partnerships: the significance of poverty, mood disorders, and substance use. AIDS Behav. 2015;19(8):1478–90.CrossRefPubMedPubMedCentralGoogle Scholar
- 24.Comfort M, Reznick O, Dilworth SE, Binson D, Darbes LA, Neilands TB. Sexual HIV risk among male parolees and their female partners: the relate project. J Health Dispar Res Pract 2014;7(6):42–69.Google Scholar
- 25.National Institute on Drug Abuse. Risk Behavior Assessment. 3rd ed. Rockville: National Institute on Drug Abuse; 1993.Google Scholar
- 29.El-Bassel N, Gilbert L, Terlikbayeva A, et al. Effects of a couple-based intervention to reduce risks for HIV, HCV, and STIs among drug-involved heterosexual couples in Kazakhstan: a randomized controlled trial. J Acquir Immune Defic Syndr. 2014;67(2):196–203.CrossRefPubMedPubMedCentralGoogle Scholar