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Prevention Needs of HIV-Positive Men and Women Awaiting Release from Prison

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Abstract

Greater understanding of barriers to risk reduction among incarcerated HIV+ persons reentering the community is needed to inform culturally tailored interventions. This qualitative study elicited HIV prevention-related information, motivation and behavioral skills (IMB) needs of 30 incarcerated HIV+ men and women awaiting release from state prison. Unmet information needs included risk questions about viral loads, positive sexual partners, and transmission through casual contact. Social motivational barriers to risk reduction included partner perceptions that prison release increases sexual desirability, partners’ negative condom attitudes, and HIV disclosure-related fears of rejection. Personal motivational barriers included depression and strong desires for sex or substance use upon release. Behavioral skills needs included initiating safer behaviors with partners with whom condoms had not been used prior to incarceration, disclosing HIV status, and acquiring clean needles or condoms upon release. Stigma and privacy concerns were prominent prison context barriers to delivering HIV prevention services during incarceration.

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Acknowledgments

We thank the nursing staff of the Wisconsin Department of Corrections for their generous assistance in coordinating appointments for this study. This research was supported by a grant to Group Health Research Institute from the National Institute of Mental Health (R03-MH082630).

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Authors and Affiliations

  1. Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USA

    Sheryl L. Catz, June BlueSpruce, Christine Mahoney & Benjamin H. K. Balderson

  2. Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA

    Laura Thibodeau & James M. Sosman

  3. Department of Psychology, University of Washington, Seattle, WA, USA

    Sheryl L. Catz & Samantha S. Yard

  4. Department of Psychiatry and Behavioral Medicine, Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, WI, USA

    David W. Seal

  5. Center for Health Intervention and Prevention, University of Connecticut, Storrs, CT, USA

    K. Rivet Amico

  6. Division of General Pediatrics, Department of Medicine, Children’s Hospital Boston and Harvard Medical School, Boston, MA, USA

    Laura M. Bogart

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  1. Sheryl L. Catz
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  2. Laura Thibodeau
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  10. James M. Sosman
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Correspondence to Sheryl L. Catz.

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Catz, S.L., Thibodeau, L., BlueSpruce, J. et al. Prevention Needs of HIV-Positive Men and Women Awaiting Release from Prison. AIDS Behav 16, 108–120 (2012). https://doi.org/10.1007/s10461-011-9962-6

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  • DOI: https://doi.org/10.1007/s10461-011-9962-6

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