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Thorpe S, Miller-Roenigk B, Hargons CN, Dogan JN, Thrasher S, Wheeler P, Oser C, Stevens-Watkins D. HIV Knowledge and Perceived Risk Among Black Men and Women Who Are Incarcerated in Kentucky. Health Promot Pract 2023; 24:566-570. [PMID: 35128949 PMCID: PMC11200107 DOI: 10.1177/15248399211069091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In the United States, Black men and women who are incarcerated bear a disproportionate and inequitable burden of HIV infection. While HIV knowledge does not consistently predict HIV risk behaviors, HIV knowledge can inform one's perceptions of their risk for HIV. We examined gender differences in HIV knowledge and perceived risk of contracting HIV (N = 424) among Black men and women who were incarcerated and nearing community reentry from seven prisons in Kentucky. Our results demonstrated that women reported greater levels of HIV knowledge and perceived greater risk for contracting HIV than their male counterparts. Implications for HIV prevention interventions are discussed.
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Affiliation(s)
- S Thorpe
- University of Kentucky, Lexington, KY, USA
| | | | | | - J N Dogan
- University of Kentucky, Lexington, KY, USA
| | - S Thrasher
- University of Kentucky, Lexington, KY, USA
| | - P Wheeler
- University of Kentucky, Lexington, KY, USA
| | - C Oser
- University of Kentucky, Lexington, KY, USA
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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.
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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
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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.
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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
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Iwai Y. Commentary on "Caged Bird". ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2021; 96:849. [PMID: 34031306 DOI: 10.1097/01.acm.0000754404.05829.b9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Affiliation(s)
- Yoshiko Iwai
- Y. Iwai is a first-year medical student, University of North Carolina School of Medicine, Chapel Hill, North Carolina, and was, when this piece was written, a graduate student at Columbia University, Division of Narrative Medicine, New York, New York; ; ORCID: http://orcid.org/0000-0001-9759-384X
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Iwai Y. Caged Bird. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2021; 96:849. [PMID: 33149088 DOI: 10.1097/acm.0000000000003817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Yoshiko Iwai
- Y. Iwai is a first-year medical student, University of North Carolina School of Medicine, Chapel Hill, North Carolina, and was, when this piece was written, a graduate student at Columbia University, Division of Narrative Medicine, New York, New York; ; ORCID: http://orcid.org/0000-0001-9759-384X
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