HIV, STD, and hepatitis risk behaviors of young men before and after incarceration

High rates of HIV, STD and hepatitis and associated risk behaviors have been documented among persons entering correctional facilities. However, there is a paucity of data on risk behaviors after release from custody. This study documents risk behaviors and informs intervention development targeting...

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Bibliographic Details
Published in:AIDS care 2009-02, Vol.21 (2), p.235-243
Main Authors: Morrow, K.M., The Project START Study Group1
Format: Article
Language:English
Subjects:
Adolescent
Adult
AIDS/HIV
Biological and medical sciences
Condoms
Condoms - utilization
Ex-prisoners
Health behavior
Health risk assessment
Hepatitis
Hepatitis, Viral, Human - prevention & control
Hepatitis, Viral, Human - psychology
HIV
HIV Infections - prevention & control
HIV Infections - psychology
Homosexuality, Male
Human immunodeficiency virus
Humans
Imprisonment
incarceration
Male
Medical sciences
Men
Mental health
Prevention
Prevention. Health policy. Planification
Prisoners - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk behaviour
Risk Factors
Sexual behaviour
Sexual Partners
Sexually transmitted diseases
Sexually Transmitted Diseases - prevention & control
Sexually Transmitted Diseases - psychology
Social psychiatry. Ethnopsychiatry
STD
U.S.A
United States
Unsafe Sex - psychology
Young Adult
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Summary:High rates of HIV, STD and hepatitis and associated risk behaviors have been documented among persons entering correctional facilities. However, there is a paucity of data on risk behaviors after release from custody. This study documents risk behaviors and informs intervention development targeting young men leaving incarcerated settings. We enrolled and interviewed 106 men from five prisons up to 60 days prior to their release from prison and interviewed them again four times after their release (at 1-week, 1-, 3- and 6-months). At enrollment, men were 18-29 years of age. Nearly 54% identified as African American, while 27% identified as White, 10% identified as Hispanic/Latino and 10% identified as "other". Approximately 83% had been incarcerated multiple times, 37% reported a prior STD diagnosis and their mean lifetime number of sex partners was 36 (median = 20). Many reported multiple sex partners and inconsistent condom use after release. A significant decrease in condom use during vaginal sex with primary committed female partners and in oral sex with both committed and casual female partners after release from prison were reported from 1-6 months. These young men are at sexual risk of HIV, STD and hepatitis infection after release from prison. Interventions are needed to prevent this population from acquiring and transmitting HIV, STD and hepatitis.
ISSN:0954-0121
1360-0451
DOI:10.1080/09540120802017586