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Multiplex crack smoking and sexual networks: associations between network members’ incarceration and HIV risks among high-risk MSM

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Abstract

This study examined HIV risks in the multiplex crack-smoking and sexual networks of incarcerated drug-using men who have sex with men (MSM) and their associates. We estimated the associations between the network members’ incarceration, self-reported HIV infection, and trading sex for money. Our analytic sample consisted of 508 crack-smoking or sexual partnerships of 273 high-risk MSM. Network members were specified by (1) crack smoking and sexual behavior or (2) crack smoking only. Longer incarceration of the crack-smoking and sexual network members was associated with self-reported HIV infection (AOR = 1.61, p < 0.05), which extended up to one’s partners’ partners’ partners (AOR = 1.63, p < 0.05). Similar results were found for trading sex (AOR = 2.77, p < 0.05). The findings of the study call for the development of a system-level HIV intervention among former incarcerated MSM and their associates.

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Acknowledgments

This study used the dataset collected by social network project funded by the following National Institutes of Health grant: National Institutes of Health, R01DA015025. This study was partly supported by 1R01DA039934 and 1R01MH100021.

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Authors and Affiliations

  1. Department of Health Promotion & Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 7000 Fannin Street, UCT 2514, Houston, TX, 77030, USA

    Kayo Fujimoto

  2. Department of Biostatistics, School of Public Health, The University of Texas Health Science Center at Houston, 1200 Pressler Street, Houston, TX, 77030, USA

    Ju Yeong Kim

  3. Program in Human Sexuality, Department of Family Medicine and Community Health, University of Minnesota, 180 West Bank Office Building, 1300 S Second St, Minneapolis, MN, 55454, USA

    Michael W. Ross

  4. Department of Health Policy and Management in the Robert Stempel College of Public Health & Social Work, Florida International University, 11200 SW 8th Street, Miami, FL, 33199-2516, USA

    Mark L. Williams

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  1. Kayo Fujimoto
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Correspondence to Kayo Fujimoto.

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Conflict of interest

Kayo Fujimoto, Ju Yeong Kim, Michael W. Ross, and Mark L. Williams declare that they have no conflict of interest.

Human and animal rights and Informed consent

All procedures followed were in accordance with ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Fujimoto, K., Kim, J.Y., Ross, M.W. et al. Multiplex crack smoking and sexual networks: associations between network members’ incarceration and HIV risks among high-risk MSM. J Behav Med 39, 845–854 (2016). https://doi.org/10.1007/s10865-016-9754-6

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  • DOI: https://doi.org/10.1007/s10865-016-9754-6

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