1
|
Johnson KA, Hunt T, Puglisi L, Chapman B, Epa-Llop A, Elumn J, Braick P, Bhagat N, Ko E, Nguyen A, Johnson R, Graham HK, Gilbert L, El-Bassel N, Morse DS. HIV/STI/HCV Risk Clusters and Hierarchies Experienced by Women Recently Released from Incarceration. Healthcare (Basel) 2023; 11:1066. [PMID: 37107900 PMCID: PMC10137919 DOI: 10.3390/healthcare11081066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 03/13/2023] [Accepted: 03/16/2023] [Indexed: 04/29/2023] Open
Abstract
This study examines cross-sectional clusters and longitudinal predictions using an expanded SAVA syndemic conceptual framework-SAVA MH + H (substance use, intimate partner violence, mental health, and homelessness leading to HIV/STI/HCV risks)-among women recently released from incarceration (WRRI) (n = 206) participating in the WORTH Transitions (WT) intervention. WT combines two evidence-based interventions: the Women on the Road to Health HIV intervention, and Transitions Clinic. Cluster analytic and logistic regression methods were utilized. For the cluster analyses, baseline SAVA MH + H variables were categorized into presence/absence. For logistic regression, baseline SAVA MH + H variables were examined on a composite HIV/STI/HCV outcome collected at 6-month follow-up, controlling for lifetime trauma and sociodemographic characteristics. Three SAVA MH + H clusters were identified, the first of which had women with the highest overall levels of SAVA MH + H variables, 47% of whom were unhoused. Hard drug use (HDU) was the only significant predictor of HIV/STI/HCV risks in the regression analyses. HDUs had 4.32-fold higher odds of HIV/STI/HCV outcomes than non-HDUs (p = 0.002). Interventions such as WORTH Transitions must differently target identified SAVA MH + H syndemic risk clusters and HDU to prevent HIV/HCV/STI outcomes among WRRI.
Collapse
Affiliation(s)
- Karen A. Johnson
- School of Social Work, University of Alabama, Tuscaloosa, AL 35487, USA
| | - Timothy Hunt
- Social Intervention Group, School of Social Work, Columbia University, New York, NY 10027, USA
| | - Lisa Puglisi
- SEICHE Center for Health and Justice, School of Medicine, Yale University, New Haven, CT 06520, USA
| | - Ben Chapman
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY 14642, USA
| | - Amali Epa-Llop
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY 14642, USA
| | - Johanna Elumn
- SEICHE Center for Health and Justice, School of Medicine, Yale University, New Haven, CT 06520, USA
| | - Peter Braick
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY 14642, USA
| | - Navya Bhagat
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY 14642, USA
| | - Elizabeth Ko
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY 14642, USA
| | - Antoinette Nguyen
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY 14642, USA
| | - Rachel Johnson
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY 14642, USA
| | - Heather K. Graham
- Educational Studies in Psychology, University of Alabama, Tuscaloosa, AL 35487, USA
| | - Louisa Gilbert
- Social Intervention Group, School of Social Work, Columbia University, New York, NY 10027, USA
| | - Nabila El-Bassel
- Social Intervention Group, School of Social Work, Columbia University, New York, NY 10027, USA
| | - Diane S. Morse
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY 14642, USA
- Department of Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
| |
Collapse
|
2
|
Zhao Q, Kong Y, Henderson D, Parrish D. Arrest Histories and Co-Occurring Mental Health and Substance Use Disorders Among Women in the USA. Int J Ment Health Addict 2023. [DOI: 10.1007/s11469-023-01020-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
|
3
|
Predictors of Post-release Drug Use Recovery Among Previously Incarcerated Women: the Mediating Effect of Social Services. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00902-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/15/2022] Open
|
4
|
Li X, Curran MA, Butler E, Mills-Koonce WR, Cao H. Sexual Minority Stressors and Intimate Partner Violence Among Same-Sex Couples: Commitment as a Resource. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:2317-2335. [PMID: 35467173 DOI: 10.1007/s10508-021-02261-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Revised: 11/18/2021] [Accepted: 12/03/2021] [Indexed: 06/14/2023]
Abstract
Accumulating evidence has been found for the associations from sexual minority stressors to intimate partner violence (IPV) among same-sex couples. Yet key gaps still exist, including the rare utilization of couple dyadic data, the understudied moderating and mediating mechanisms, and the few studies conducted during the transitional period of same-sex marriage legalization. To address these gaps, we used cross-sectional, dyadic data collected from 144 US same-sex couples during the 2014-2015 national campaign for the legalization of same-sex marriage. Guided by the systemic transactional model (STM), we examined associations from sexual minority stressors (including both internalized homophobia and discrimination) to same-sex IPV and tested whether commitment moderated or mediated these associations. Overall, we found evidence supporting the STM: (1) High internalized homophobia and discrimination were related to high prevalence and/or frequency of IPV perpetration; (2) high commitment attenuated positive associations between high discrimination and high prevalence and/or frequency of IPV perpetration; and (3) high internalized homophobia was related to low commitment, which in turn was related to high prevalence and/or frequency of IPV perpetration. Collectively, our study identified commitment as both a moderator and mediator in associations from sexual minority stressors to same-sex IPV. Further, the roles of commitment (i.e., moderator or mediator) depend on whether the focal sexual minority stressors are distal and more intermittent (i.e., heterosexist discrimination) or proximal and more constant (i.e., internalized homophobia).
Collapse
Affiliation(s)
- Xiaomin Li
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, China
| | - Melissa A Curran
- Department of Family Studies and Human Development, University of Arizona, Tucson, AZ, USA
| | - Emily Butler
- Department of Family Studies and Human Development, University of Arizona, Tucson, AZ, USA
| | - W Roger Mills-Koonce
- Department of Human Development and Family Studies, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Hongjian Cao
- Institute of Early Childhood Education, Faculty of Education, Beijing Normal University, 512 Ying Dong Building, No. 19 Xin Jie Kou Wai Street, Hai Dian District, Beijing, 100875, China.
| |
Collapse
|
5
|
Johnson KA, Hunt T, Puglisi LB, Maeng D, Epa-Llop A, Elumn JE, Nguyen A, Leung A, Chen R, Shah Z, Wang J, Johnson R, Chapman BP, Gilbert L, El-Bassel N, Morse DS. Trauma, Mental Health Distress, and Infectious Disease Prevention Among Women Recently Released From Incarceration. Front Psychiatry 2022; 13:867445. [PMID: 35693964 PMCID: PMC9186377 DOI: 10.3389/fpsyt.2022.867445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 04/25/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND U.S. women recently released from incarceration experience significantly higher rates of trauma and exacerbation of mental health conditions, and the period following release has been identified as a window of heightened risk for mental health distress and human immunodeficiency virus (HIV), sexually transmitted infections (STI) and hepatitis C (HCV) transmissions. Despite these vulnerabilities, and an urgent need for supports, optimal engagement strategies remain unclear. WORTH Transitions is a program made up of two evidence-based interventions focused on improving the health of women returning to the community from incarceration with substance use disorders. Combining the two was designed to reduce HIV/STIs/HCV risks and increase overall health treatment engagement using a community health worker led intervention. METHODS We examined associations between trauma, mental health symptomology, and HIV/STI/HCV outcomes among women who engaged in the WORTH Transitions intervention (N = 206) Specifically, bivariate and longitudinal multivariate models were created to examine associations between trauma and mental health distress (defined as depressive and PTSD symptoms), on (1) types of engagement in HIV/STIs/HCV prevention and behavioral health services; and (2) HIV/STIs/HCV risk outcomes. The women who engaged in the intervention were 18 years and older and some were White, Black and other racial or ethnic minority. RESULTS PTSD symptomology and being a Black or indigenous woman of color was significantly (p = 0.014) associated with individual or group session engagement. Neither trauma nor PTSD symptoms were associated with higher HIV/STIs/HCV risks. Instead, relative to those who did not engage in HIV/STI/HCV risky behaviors, PTSD symptomology (p = 0.040) was associated with more than 3-fold increase in the probability of being lost to follow up (relative risk ratio = 3.722). CONCLUSION Given the impact of PTSD-related symptoms on driving both engagement in HIV/STIs/HCV prevention services and intervention attrition among women leaving incarceration, physical and behavioral health interventions must be both overtly trauma- and mental health-informed. As was the case with WORTH Transitions, physical and behavioral health services for this population must include intentional and active support of the forms of treatment participants endorse to ensure maximal engagement.
Collapse
Affiliation(s)
- Karen A Johnson
- University of Alabama School of Social Work, Tuscaloosa, AL, United States
| | - Timothy Hunt
- Social Intervention Group, Columbia University School of Social Work, New York, NY, United States
| | - Lisa B Puglisi
- SEICHE Center for Health and Justice, Yale School of Medicine, New Haven, CT, United States.,Section of General Internal Medicine, Yale School of Medicine, New Haven, CT, United States
| | - Daniel Maeng
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States
| | - Amali Epa-Llop
- Department of Medicine, University of Rochester School of Medicine, Rochester, NY, United States
| | - Johanna E Elumn
- SEICHE Center for Health and Justice, Yale School of Medicine, New Haven, CT, United States.,Section of General Internal Medicine, Yale School of Medicine, New Haven, CT, United States
| | - Antoinette Nguyen
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States
| | - Ashley Leung
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States
| | - Rachel Chen
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States
| | - Zainab Shah
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States
| | - Jiayi Wang
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States
| | - Rachel Johnson
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States
| | - Benjamin P Chapman
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States
| | - Louisa Gilbert
- Social Intervention Group, Columbia University School of Social Work, New York, NY, United States
| | - Nabila El-Bassel
- Social Intervention Group, Columbia University School of Social Work, New York, NY, United States
| | - Diane S Morse
- Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States.,Department of Medicine, University of Rochester School of Medicine, Rochester, NY, United States
| |
Collapse
|
6
|
Staton M, Dickson MF, Pike E, Surratt H, Young S. An Exploratory Examination of Social Media Use and Risky Sexual Practices: A Profile of Women in Rural Appalachia Who Use Drugs. AIDS Behav 2022; 26:2548-2558. [PMID: 35103889 PMCID: PMC8805664 DOI: 10.1007/s10461-022-03605-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2022] [Indexed: 11/21/2022]
Abstract
HIV/HCV risk behavior among women who use drugs is often exacerbated within high risk networks. The use of social media platforms such as Facebook to identify sex partners within these high-risk networks has not been examined among rural Appalachian women who use drugs. This paper provides an exploratory examination of Facebook use to identify sex partners among rural Appalachian women who use drugs, as well as associated risky sexual practices. Rural Appalachian women were randomly selected from two rural jails, consented, screened for eligibility (including drug use), and interviewed prior to jail release. Findings indicated that using Facebook to meet sex partners was associated with exchanging sex for drugs or money and having a male casual partner during the same time frame. These study findings suggest that the use of social media for high-risk sexual practices may provide a valuable platform for intervention delivery, particularly in resource-deprived areas where formal prevention and treatment services are limited.
Collapse
Affiliation(s)
- Michele Staton
- Center on Drug and Alcohol Research, University of Kentucky, Lexington, KY, USA. .,Department of Behavioral Science, University of Kentucky College of Medicine, 1100 Veterans Dr., Lexington, KY, 40536, USA.
| | - Megan F. Dickson
- grid.266539.d0000 0004 1936 8438Center on Drug and Alcohol Research, University of Kentucky, Lexington, KY USA ,grid.266539.d0000 0004 1936 8438Department of Behavioral Science, University of Kentucky College of Medicine, 1100 Veterans Dr., Lexington, KY 40536 USA
| | - Erika Pike
- grid.266539.d0000 0004 1936 8438Department of Behavioral Science, University of Kentucky College of Medicine, 1100 Veterans Dr., Lexington, KY 40536 USA
| | - Hilary Surratt
- grid.266539.d0000 0004 1936 8438Department of Behavioral Science, University of Kentucky College of Medicine, 1100 Veterans Dr., Lexington, KY 40536 USA
| | - Sean Young
- grid.266093.80000 0001 0668 7243Department of Emergency Medicine, School of Medicine, University of California, Irvine, Irvine, USA ,grid.266093.80000 0001 0668 7243Department of Informatics, School of Information and Computer Sciences, University of California, Irvine, Irvine, USA
| |
Collapse
|
7
|
Ibañez GE, Zhou Z, Algarin AB, Ayala DV, Spencer EC, Somboonwit C, Teo GM, Cook RL. Incarceration History and HIV Care Among Individuals Living with HIV in Florida, 2014-2018. AIDS Behav 2021; 25:3137-3144. [PMID: 33959828 DOI: 10.1007/s10461-021-03250-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/25/2021] [Indexed: 12/14/2022]
Abstract
The present study examines the HIV continuum of care outcomes among people living with HIV (PLWH) who have either recent (< 12-months) or distal (> 12-months) incarceration history compared to those without an incarceration history. A self-administered survey (as part of the Florida Cohort Study (n = 932)) was used to collect data on demographic information, linkage to care, retention in care, HIV medication adherence, viral suppression, and incarceration history. Those with recent incarceration history were least likely to report HIV medication adherence greater than or equal to 95% of the time (χ2 = 8.79; p = 0.0124), always take their medications as directed (χ2 = 15.29; p = 0.0005), and to have durable viral suppression (χ2 = 16.65; p = 0.0002) compared to those distally or never incarcerated. In multivariable analyses, those never and distally incarcerated had greater odds of care linkage ([vs recently incarcerated] AOR = 2.58; CI: 1.31, 5.07; p = 0.0063, AOR = 2.09; CI: 1.11, 3.95; p = 0.0228, respectively). Those never incarcerated had greater odds of taking ART as directed ([vs recently incarcerated] AOR = 2.53; CI: 1.23 - 5.19; p = 0.0116). PLWH with an incarceration history may need more on-going monitoring and follow-up HIV care than those without previous incarceration regardless of when incarceration occurred.
Collapse
Affiliation(s)
- Gladys E Ibañez
- Department of Epidemiology, Florida International University, 11200 S.W. 8th Street, AHC-5, Room 478, Miami, FL, 33199, USA.
| | - Zhi Zhou
- Department of Epidemiology, College of Public Health and Health Professions, College of Medicine, University of Florida, Gainesville, FL, USA
| | - Angel B Algarin
- Division of Infectious Diseases and Global Public Health, University of California San Diego, 9500 Gilman Drive, La Jolla, San Diego, CA, 92093-0507, USA
| | - Disler V Ayala
- Division of Infectious Diseases and Global Public Health, University of California San Diego, 9500 Gilman Drive, La Jolla, San Diego, CA, 92093-0507, USA
| | - Emma C Spencer
- Florida Department of Health, Division of Disease Control and Health Protection, Bureau of Communicable Diseases, HIV/AIDS Section, Tallahassee, FL, USA
| | - Charurut Somboonwit
- Morsani College of Medicine, Infectious Disease and International Medicine, University of South Florida, Tampa, FL, USA
| | - Greg Matthew Teo
- Morsani College of Medicine, Infectious Disease and International Medicine, University of South Florida, Tampa, FL, USA
| | - Robert L Cook
- Department of Epidemiology, College of Public Health and Health Professions, College of Medicine, University of Florida, Gainesville, FL, USA
| |
Collapse
|
8
|
Silva LD, Strobbe S, Oliveira JLD, Almeida LYD, Cardano M, Souza JD. Social support networks of users of crack cocaine and the role of a Brazilian health program for people living on the street: A qualitative study. Arch Psychiatr Nurs 2021; 35:526-533. [PMID: 34561069 DOI: 10.1016/j.apnu.2021.06.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 03/13/2021] [Accepted: 06/12/2021] [Indexed: 10/21/2022]
Abstract
This cross-sectional qualitative study analyzed characteristics of social support for users of crack cocaine and the role of "Consultório na Rua" (CR), or "Office in the Street," a Brazilian program for people living on the street. Data were collected using 1) ethnographic field observations during the delivery of services from this program, 2) in-depth interviews with 17 users of crack cocaine, and 3) a focus group with professionals from CR. To analyze data, we used content analysis and analytical categories based on Social Network Analysis (SNA) theoretical statements. Results showed that family, peers, community members, and professionals from CR were the main social support providers. Participants mentioned receiving material, informational, and emotional support from CR members. It was observed that CR had a welcoming and inclusive approach, but CR team members identified challenges related to stigma directed toward people who use substances and live on the street. CR assumed a central role in the health and social assistance of users of crack cocaine living on the street, providing an important link to healthcare and social services. However, initiatives related to motivation to receive mental health services, treatment, or social reintegration were not observed in conjunction with this program.
Collapse
Affiliation(s)
- Lucas Duarte Silva
- University of São Paulo at Ribeirão Preto College of Nursing, 3900, Bandeirantes Avenue, 14040-902 Ribeirão Preto, SP, Brazil
| | - Stephen Strobbe
- University of Michigan School of Nursing 426, North Ingalls, Ann Arbor, MI 48109-2003, United States of America
| | - Jaqueline Lemos de Oliveira
- University of São Paulo at Ribeirão Preto College of Nursing, 3900, Bandeirantes Avenue, 14040-902 Ribeirão Preto, SP, Brazil
| | - Letícia Yamawaka de Almeida
- University of São Paulo at Ribeirão Preto College of Nursing, 3900, Bandeirantes Avenue, 14040-902 Ribeirão Preto, SP, Brazil.
| | - Mario Cardano
- Università degli Studi di Torino, Dipartimento di Culture Politica e Società, Lungo Dora Siena 62, 10153 Torino, Italy
| | - Jacqueline de Souza
- University of São Paulo at Ribeirão Preto College of Nursing, 3900, Bandeirantes Avenue, 14040-902 Ribeirão Preto, SP, Brazil
| |
Collapse
|
9
|
Incarceration Trajectories and Mental Health Problems Among Mothers Imprisoned in State and Federal Correctional Facilities: A Nationwide Study. Int J Ment Health Addict 2021. [DOI: 10.1007/s11469-021-00608-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
|
10
|
Severe M, Scheidell JD, Dyer TV, Brewer RA, Negri A, Turpin RE, Young KE, Hucks-Ortiz C, Cleland CM, Mayer KH, Khan MR. Lifetime Burden of Incarceration and Violence, Internalized Homophobia, and HIV/STI Risk Among Black Men Who Have Sex with Men in the HPTN 061 Study. AIDS Behav 2021; 25:1507-1517. [PMID: 32797357 PMCID: PMC8022355 DOI: 10.1007/s10461-020-02989-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Black men who have sex with men (BMSM) have disproportionate HIV/STI acquisition risk. Incarceration may increase exposure to violence and exacerbate psychosocial vulnerabilities, including internalized homophobia, which are associated with HIV/STI acquisition risk. Using data from HIV Prevention Trials Network 061 (N = 1553), we estimated adjusted prevalence ratios (APR) and 95% confidence intervals (CIs) for associations between lifetime burden of incarceration and HIV/STI risk outcomes. We measured associations between incarceration and HIV/STI risk outcomes with hypothesized mediators of recent violence victimization and internalized homophobia. Compared to those never incarcerated, those with 3-9 or ≥ 10 incarcerations had approximately 10% higher prevalence of multiple partnerships. Incarceration burden was associated with selling sex (1-2 incarcerations: APR: 1.52, 95% CI 1.14-2.03; 3-9: APR: 1.77, 95% CI 1.35-2.33; ≥ 10: APR: 1.85, 95% CI 1.37-2.51) and buying sex (≥ 10 incarcerations APR: 1.80, 95% CI 1.18-2.75). Compared to never incarcerated, 1-2 incarcerations appeared to be associated with current chlamydia (APR: 1.47, 95% CI 0.98-2.20) and 3-9 incarcerations appeared to be associated with current syphilis (APR: 1.46, 95% CI 0.92-2.30). Incarceration was independently associated with violence, which in turn was a correlate of transactional sex. Longitudinal research is warranted to clarify the role of incarceration in violence and HIV/STI risk in this population.
Collapse
Affiliation(s)
- MacRegga Severe
- Department of Population Health, New York University Grossman School of Medicine, 227 East 30th St, #617J, New York, NY, 10016, USA
| | - Joy D Scheidell
- Department of Population Health, New York University Grossman School of Medicine, 227 East 30th St, #617J, New York, NY, 10016, USA.
| | - Typhanye V Dyer
- Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD, USA
| | | | - Alberta Negri
- Department of Population Health, New York University Grossman School of Medicine, 227 East 30th St, #617J, New York, NY, 10016, USA
| | - Rodman E Turpin
- Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD, USA
| | - Kailyn E Young
- Department of Population Health, New York University Grossman School of Medicine, 227 East 30th St, #617J, New York, NY, 10016, USA
| | | | - Charles M Cleland
- Department of Population Health, New York University Grossman School of Medicine, 227 East 30th St, #617J, New York, NY, 10016, USA
| | | | - Maria R Khan
- Department of Population Health, New York University Grossman School of Medicine, 227 East 30th St, #617J, New York, NY, 10016, USA
| |
Collapse
|
11
|
Reed MK, Roth AM, Tabb LP, Groves AK, Lankenau SE. "I probably got a minute": Perceptions of fentanyl test strip use among people who use stimulants. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2021; 92:103147. [PMID: 33583679 DOI: 10.1016/j.drugpo.2021.103147] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 12/30/2020] [Accepted: 01/28/2021] [Indexed: 10/22/2022]
Abstract
BACKGROUND Fentanyl dominates the heroin supply in many regions of the United States. One harm reduction response has been the distribution of fentanyl test strips to people who use heroin to test for the presence of fentanyl. Reports increasingly indicate that fentanyl contamination is occurring in the illicit stimulant market, but whether people who use stimulants would use fentanyl test strips is unknown. METHODS Between January 2019 and January 2020, fifteen people in Philadelphia, PA who reported stimulant use completed a semi-structured interview with questions about their perceptions of fentanyl and willingness to use fentanyl test strips. Data were coded and analyzed for thematic content using constructs from the Health Belief Model and risk environment theory. RESULTS Participants primarily reported using crack cocaine or crack cocaine/heroin, while some used methamphetamine, powder cocaine, or prescription opioids. All were aware of fentanyl and believed they were susceptible to a fentanyl overdose as stimulant users. Participants perceived benefits of using test strips but reported barriers, such as the unpredictable nature of buying or using drugs and not wanting to delay drug use to test. Structural conditions impeded participant actions to reduce overdose risk if their drugs tested positive for fentanyl. CONCLUSION Fentanyl test strips were a desired harm reduction tool by many participants who used stimulants. In addition to providing access to the strips, programs should tailor overdose prevention education to these clients by acknowledging susceptibility, amplifying benefits, and addressing drug-specific barriers to use of fentanyl test strips.
Collapse
Affiliation(s)
- Megan K Reed
- Thomas Jefferson University, Department of Emergency Medicine, 1025 Walnut Street, College Building, Philadelphia, PA 19107, United States.
| | - Alexis M Roth
- Drexel University, Dornsife School of Public Health, 3215 Market Street, Philadelphia, PA 19104, United States
| | - Loni P Tabb
- Drexel University, Dornsife School of Public Health, 3215 Market Street, Philadelphia, PA 19104, United States
| | - Ali K Groves
- Drexel University, Dornsife School of Public Health, 3215 Market Street, Philadelphia, PA 19104, United States
| | - Stephen E Lankenau
- Drexel University, Dornsife School of Public Health, 3215 Market Street, Philadelphia, PA 19104, United States
| |
Collapse
|
12
|
Yang C, Zaller N, Clyde C, Tobin K, Latkin C. Association between Recent Criminal Justice Involvement and Transactional Sex among African American Men Who Have Sex with Men in Baltimore. J Urban Health 2020; 97:635-641. [PMID: 30815776 PMCID: PMC7560689 DOI: 10.1007/s11524-019-00350-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Non-Hispanic Black/African American men who have sex with men (AAMSM) have been disproportionately affected by criminal justice (CJ) involvement and HIV. One potential pathway between CJ involvement and high HIV prevalence and incidence among AAMSM is through risky sexual behavior. The goal of this study was to explore the association between recent CJ involvement, i.e., having been arrested and/or in prison/jail in the past 6 months, and transactional sex in a sample of AAMSM in Baltimore. We analyzed the baseline data of 396 AAMSM from a pilot behavioral HIV intervention conducted in Baltimore, MD, between October 2012 and November 2015. A multivariate logistic regression model was conducted to explore the association between recent CJ involvement and transactional sex. A total of 65 (16%) participants reported recent CJ involvement, and 116 (29%) reported transactional sex in the past 90 days. After adjusting for age, education, employment, sexual identity, HIV status, and drug use, recent CJ involvement was significantly associated with transactional sex (AOR 3.31; 95% CI 1.72; 5.70). Being 24-40 years (AOR 2.73; 95% CI 1.17, 6.33) or over 40 years older (AOR 3.80; 95% CI 1.61, 8.98) vs. younger and using drugs (AOR 4.47; 95% CI 2.43, 8.23) also remained independently associated with recent transactional sex. Findings of the current study contribute to the literature on the association between recent history of CJ involvement and transactional sex among AAMSM. More evidence-based HIV prevention interventions for people involved in the CJ system who are at high risk for contracting HIV, particularly racial and sexual minorities such as AAMSM, are urgently needed.
Collapse
Affiliation(s)
- Cui Yang
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
| | - Nick Zaller
- Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Catie Clyde
- Clinical and Translational Science Center, University of California-Davis, Davis, CA, USA
| | - Karin Tobin
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Carl Latkin
- Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| |
Collapse
|
13
|
Schonbrun Y, Johnson JE, Anderson BJ, Timko C, Kurth M, Stein MD. Personal agency and alcohol abstinence self-efficacy among incarcerated women. JOURNAL OF OFFENDER REHABILITATION 2019; 58:678-695. [PMID: 36793802 PMCID: PMC9928169 DOI: 10.1080/10509674.2019.1648353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Incarcerated women with alcohol use disorders (AUDs) have unique treatment needs. Behavior change models emphasize self-efficacy in making changes to alcohol use, but have not been tested in samples of incarcerated women. Personal agency in several domains was examined as a correlate of alcohol abstinence self-efficacy in a sample of 173 incarcerated women with AUDs. Lower alcohol cravings (β = -0.19, p = .029), greater self-care (β = 0.17, p = .012), and less engagement in transactional sex (β = -0.48, p = .007) were associated with greater self-efficacy. Intrapersonal and interpersonal agency influence incarcerated women's self-efficacy.
Collapse
Affiliation(s)
- Yael Schonbrun
- Butler Hospital, Providence, Rhode Island, USA
- Warren Alpert Medical School of Brown University
| | | | | | | | - Megan Kurth
- Butler Hospital, Providence, Rhode Island, USA
| | - Michael D. Stein
- Butler Hospital, Providence, Rhode Island, USA
- Warren Alpert Medical School of Brown University
| |
Collapse
|
14
|
Staton M, Dickson M, Tillson M, Webster M, Leukefeld C. Staying Out: Reentry Protective Factors Among Rural Women Offenders. WOMEN & CRIMINAL JUSTICE 2019; 29:368-384. [PMID: 32855583 PMCID: PMC7449142 DOI: 10.1080/08974454.2019.1613284] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
The current study examines protective factors for women who transition from county jails to rural Appalachian communities, areas with limited health and behavioral health services. The study included drug-using women recruited from three jails in rural Appalachia and were followed 12-months post-release. Analyses focused on differences between women who remained in the community and those who returned to custody, as well as a multivariate model to determine protective factors for re-entry success. At the bivariate level, staying out of jail was associated with being older, having a job, not using drugs, stable housing, receiving health treatment, and having prosocial peers. In the multivariate model, the most robust predictors of staying out of jail were drug use abstinence, health care utilization, and prosocial peers. Most research on criminogenic needs associated with re-entry success have focused on men, and most focused on re-entry to urban communities where services and resources are more accessible. These findings have important implications for criminal justice systems to implement re-entry programs for women offenders during the transition to the community.
Collapse
Affiliation(s)
- Michele Staton
- University of Kentucky, College of Medicine, Department of Behavioral Science, Center on Drug & Alcohol Research, 141 Medical Behavioral Science Building, Lexington, KY 40536-0086
| | - Megan Dickson
- University of Kentucky, Center on Drug & Alcohol Research
| | - Martha Tillson
- University of Kentucky, Center on Drug & Alcohol Research
| | - Matthew Webster
- University of Kentucky, College of Medicine, Department of Behavioral Science
| | - Carl Leukefeld
- University of Kentucky, College of Medicine, Department of Behavioral Science
| |
Collapse
|
15
|
Staton M, Strickland JC, Webster JM, Leukefeld C, Oser C, Pike E. HIV Prevention in Rural Appalachian Jails: Implications for Re-entry Risk Reduction Among Women Who Use Drugs. AIDS Behav 2018; 22:4009-4018. [PMID: 29959722 PMCID: PMC6475200 DOI: 10.1007/s10461-018-2209-z] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Rural women are at risk for health consequences (such as HIV) associated with substance misuse, but targeted interventions are limited for this population. Jails provide an underutilized opportunity for outreach to high-risk women in rural Appalachian communities. Rural women were randomized to either the NIDA Standard education intervention (n = 201) or the NIDA Standard plus motivational interviewing (MI-HIV; n = 199) while in jail. Outcomes focused on HIV risk behaviors 3 months post-release from jail. Decreases in HIV risk behaviors were observed at follow-up across conditions. Although participants in the MI-HIV group showed reductions in outcomes compared to the NIDA Standard group (OR = 0.82-0.93), these estimates did not reach significance (p values > .57). HIV education interventions can be associated with risk-reduction behaviors. These findings support the need for increased access to prevention education in criminal justice venues, particularly in rural communities.
Collapse
Affiliation(s)
- Michele Staton
- Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, UK.
- Department of Behavioral Science, University of Kentucky Medical Center, Lexington, KY, 40536-0086, UK.
| | - Justin C Strickland
- Department of Psychology, College of Arts and Sciences, University of Kentucky, Lexington, KY, UK
| | - J Matthew Webster
- Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, UK
| | - Carl Leukefeld
- Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, UK
| | - Carrie Oser
- Department of Sociology, College of Arts and Sciences, University of Kentucky, Lexington, KY, UK
| | - Erika Pike
- Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, UK
| |
Collapse
|
16
|
Rowell-Cunsolo TL, Long Y, Szeto B, Mkuu R, El-Bassel N. Examining factors associated with unprotected sexual behavior among Black Americans postrelease from incarceration in New York City. JOURNAL OF OFFENDER REHABILITATION 2018; 57:330-342. [PMID: 31649474 PMCID: PMC6812487 DOI: 10.1080/10509674.2018.1487899] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2017] [Revised: 07/05/2017] [Accepted: 12/27/2017] [Indexed: 06/10/2023]
Abstract
Black Americans are overrepresented among incarcerated individuals and those infected with sexually transmitted infections. We assessed unprotected sexual behavior among 165 formerly incarcerated Black Americans in New York City, New York. Most participants (63%) reported engaging in unprotected sexual behavior post-incarceration. According to our regression results, less time spent in jail and reporting multiple sexual partnerships were associated with a greater likelihood of engaging in unprotected sexual behavior. High rates of unprotected sexual behavior may place formerly incarcerated Black Americans at risk for sexually transmitted infections. Discharge planning programs that include STI/HIV prevention information and education may be useful for this population.
Collapse
Affiliation(s)
| | - Yue Long
- Columbia University, Quantitative Methods in the Social Sciences,
New York, NY
| | - Betsy Szeto
- Columbia University, College of Physicians & Surgeons, New
York, NY
| | - Rahma Mkuu
- Texas A & M University, College Station, TX
| | | |
Collapse
|
17
|
Rutledge R, Madden L, Ogbuagu O, Meyer JP. HIV Risk perception and eligibility for pre-exposure prophylaxis in women involved in the criminal justice system. AIDS Care 2018. [PMID: 29527934 DOI: 10.1080/09540121.2018.1447079] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Women involved in the criminal justice system (WICJ) are at high risk of acquiring HIV and would benefit from HIV pre-exposure prophylaxis (PrEP) but there are no studies in this population to inform PrEP implementation programs. We conducted a cross-sectional survey of HIV-uninfected, cis-gender women on probation, parole and/or recently released from prison/jail to assess PrEP awareness, eligibility, potential barriers to uptake, and the PrEP care continuum. The 125 WICJ surveyed reported high rates of HIV risk behaviors including recent transactional sex (22.4%) and unsafe injection practices (14.4%). Despite 33% (n = 42) meeting eligibility criteria for PrEP, only 25% were aware of PrEP and one person was currently using it. Just 16.7% of those who were PrEP eligible perceived they were at risk for HIV. Following a brief explanation of PrEP, 90% said they would try it if recommended by their physician. Compared to those not PrEP eligible (n = 83), PrEP eligible women were less likely to be stably housed or have a primary care provider, and were more likely to be violence-exposed, charged with drug possession, have lifetime substance use, or living with Hepatitis C infection. WICJ frequently engage in HIV risk behaviors that make them eligible for PrEP. Uptake may be limited by lack of PrEP awareness or underestimation of personal HIV risk. WICJ report receptiveness to PrEP and represent an important population for targeted PrEP implementation programs.
Collapse
Affiliation(s)
- Ronnye Rutledge
- a Department of Internal Medicine, Section of Infectious Diseases, Yale AIDS Program , Yale School of Medicine , New Haven , CT , USA
| | - Lynn Madden
- b APT Foundation, Inc. , New Haven , CT , USA.,c Department of Psychiatry , Yale School of Medicine , New Haven , CT , USA
| | - Onyema Ogbuagu
- a Department of Internal Medicine, Section of Infectious Diseases, Yale AIDS Program , Yale School of Medicine , New Haven , CT , USA
| | - Jaimie P Meyer
- a Department of Internal Medicine, Section of Infectious Diseases, Yale AIDS Program , Yale School of Medicine , New Haven , CT , USA
| |
Collapse
|
18
|
Stanton AE, Kako P, Sawin KJ. Mental Health Issues of Women After Release From Jail and Prison: A Systematic Review. Issues Ment Health Nurs 2016; 37:299-331. [PMID: 27100407 DOI: 10.3109/01612840.2016.1154629] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The aim of this review article is to gain an understanding of the mental health issues of women released from jail or prison. Thirty-six studies were synthesized using the biopsychosocial model. Results indicate that released women's mental health issues include psychiatric diagnoses, psychological trauma, substance use disorders; access to psychological medications and services; and motherhood challenges, support, access to basic needs, and criminalized behaviors. Nurses can promote released women's mental health through pre-release assessment and treatment of mental health issues and ensuring access to post-release resources. Future research should examine released women's mental health experiences.
Collapse
Affiliation(s)
- Ann E Stanton
- a University of Wisconsin-Milwaukee , College of Nursing , Milwaukee , Wisconsin , USA
| | - Peninnah Kako
- a University of Wisconsin-Milwaukee , College of Nursing , Milwaukee , Wisconsin , USA
| | - Kathleen J Sawin
- b Children's Hospital of Wisconsin , Milwaukee , Wisconsin , USA
| |
Collapse
|