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      Incarceration, Sex With an STI- or HIV-Infected Partner, and Infection With an STI or HIV in Bushwick, Brooklyn, NY: A Social Network Perspective

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          Abstract

          Objectives. We examined the link between incarceration and sexually transmitted infection (STI), including HIV, from a social network perspective.

          Methods. We used data collected during a social network study conducted in Brooklyn, NY (n = 343), to measure associations between incarceration and infection with herpes simplex virus-2, chlamydia, gonorrhea, and syphilis or HIV and sex with an infected partner, adjusting for characteristics of respondents and their sex partners.

          Results. Infection with an STI or HIV was associated with incarceration of less than 1 year (adjusted prevalence ratio [PR] = 1.33; 95% confidence interval [CI] = 1.01, 1.76) and 1 year or longer (adjusted PR = 1.37; 95% CI = 1.08, 1.74). Sex in the past 3 months with an infected partner was associated with sex in the past 3 months with 1 partner (adjusted PR = 1.42; 95% CI = 1.12, 1.79) and with 2 or more partners (adjusted PR = 1.85; 95% CI = 1.43, 2.38) who had ever been incarcerated.

          Conclusions. The results highlight the need for STI and HIV treatment and prevention for current and former prisoners and provide preliminary evidence to suggest that incarceration may influence STI and HIV, possibly because incarceration increases the risk of sex with infected partners.

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          Author and article information

          Journal
          Am J Public Health
          ajph
          American Journal of Public Health
          American Public Health Association
          0090-0036
          1541-0048
          June 2011
          : 101
          : 6
          : 1110-1117
          Affiliations
          Maria R. Khan is with the Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park. Matthew W. Epperson is with the School of Social Service Administration, University of Chicago, Chicago, IL. Pedro Mateu-Gelabert, Milagros Sandoval, and Samuel R. Friedman are with the National Development and Research Institutes, New York, NY. Melissa Bolyard is with the Emory College of Arts and Sciences, Atlanta, GA.
          Author notes
          Correspondence should be sent to Maria R. Khan, Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland at College Park, 1242 SPH Bldg, 2234M, College Park, MD 20742 (e-mail: mrkhan@ 123456umd.edu ). Reprints can be ordered at http://www.ajph.org by clicking the “Reprints/Eprints” link.

          Peer Reviewed

          Contributors

          M. R. Khan designed the study, performed the data analysis, and drafted the article. M. W. Epperson contributed to the analysis, interpretation of the data, and writing. P. Mateu-Gelabert contributed to the data collection, aided in interpretation of the data, and revised and edited the article. M. Bolyard provided data management consulting and revised the article. M. Sandoval contributed to the data collection, aided in interpretation of the data, and revised the article. S. R. Friedman oversaw the data collection, aided in interpretation of the data, and revised the article.

          Article
          PMC3093283 PMC3093283 3093283 184721
          10.2105/AJPH.2009.184721
          3093283
          21233443
          33293e37-8478-4781-8e80-4e1b47c50879
          © American Public Health Association 2011
          History
          : 28 March 2010
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