History of Arrest and Associated Factors among Men Who Have Sex with Men |
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Authors: | Jennifer R Lim Patrick S Sullivan Laura Salazar Anne C Spaulding Elizabeth A DiNenno |
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Institution: | (1) Rollins School of Public Health, Emory University, Atlanta, GA, USA;(2) Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA; |
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Abstract: | Incarceration has been proposed to be a driving factor in the disproportionate impact of HIV in African-American communities.
However, few data have been reported on disparities in criminal justice involvement by race among men who have sex with men
(MSM). To describe history of arrest and associated factors among, we used data from CDC’s National HIV Behavioral Surveillance
system. Respondents were recruited by time–space sampling in venues frequented by MSM in 15 US cities from 2003 to 2005. Data
on recent arrest (in the 12 months before the interview), risk behaviors, and demographic information were collected by face-to-face
interview for MSM who did not report being HIV-positive. Six hundred seventy-nine (6.8%) of 10,030 respondents reported recent
arrest. Compared with white MSM, black MSM were more likely to report recent arrest history (odds ratio (OR), 1.6; 95% confidence
interval (CI), 1.3–2.1). Men who were less gay-identified (bisexual OR, 1.5; 95% CI, 1.1–1.9] or heterosexual OR, 2.0; 95%
CI, 1.2–3.5]) were more likely to report recent arrest than homosexually identified men. In addition, men who reported arrest
history were more likely to have used non-injection (OR, 3.0; 95% CI, 2.4–3.6) and injection (OR, 4.7; 95%, 3.3–6.7) drugs,
exchanged sex (OR, 2.7; 95% CI, 2.1–3.4), and had a female partner (OR, 1.5; 95% CI, 1.2–2.0) in the 12 months before interview.
Recent arrest was associated with insertive unprotected anal intercourse in the 12 months before interview (OR, 1.4; 95% CI,
1.2–1.7). Racial differences in arrest seen in the general US population are also present among MSM, and history of arrest
was associated with high-risk sex. Future research and interventions should focus on clarifying the relationship between criminal
justice involvement and sexual risk among MSM, particularly black MSM. |
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Keywords: | Black MSM Sexual identity Incarceration Risk behavior HIV/AIDS |
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