Dissolution of Committed Partnerships during Incarceration and STI/HIV-Related Sexual Risk Behavior after Prison Release among African American Men |
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| Authors: | Maria R. Khan Joy D. Scheidell Carol E. Golin Samuel R. Friedman Adaora A. Adimora Carl W. Lejuez Hui Hu Kelly Quinn David A. Wohl |
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| Affiliation: | 1.Division of Comparative Effectiveness and Decision Science, Department of Population Health,NYU School of Medicine,New York,USA;2.Division of General Internal Medicine and Epidemiology, Department of Medicine, UNC School of Medicine,University of North Carolina at Chapel Hill,Chapel Hill,USA;3.Department of Health Behavior, UNC Gillings School of Global Public Health,University of North Carolina at Chapel Hill,Chapel Hill,USA;4.National Development and Research Institutes, Inc.,New York,USA;5.Division of Infectious Disease, UNC School of Medicine,University of North Carolina at Chapel Hill,Chapel Hill,USA;6.Department of Epidemiology, UNC Gillings School of Global Public Health,University of North Carolina at Chapel Hill,Chapel Hill,USA;7.Cofrin Logan Center for Addiction Research and Treatment, Department of Psychology, College of Liberal Arts & Sciences,University of Kansas,Lawrence,USA;8.Department of Epidemiology,University of Florida College of Public Health and Health Professions,Gainesville,USA |
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| Abstract: | Incarceration is strongly associated with post-release STI/HIV risk. One pathway linking incarceration and STI/HIV risk may be incarceration-related dissolution of protective network ties. Among African American men released from prison who were in committed partnerships with women at the time of incarceration (N?=?207), we measured the association between committed partnership dissolution during incarceration and STI/HIV risk in the 4 weeks after release. Over one-quarter (28%) experienced incarceration-related partnership dissolution. In adjusted analyses, incarceration-related partnership dissolution was strongly associated with post-release binge drinking (adjusted odds ratio (AOR) 4.2, 95% confidence interval (CI); 1.4–15.5). Those who experienced incarceration-related partnership dissolution were much more likely to engage in multiple/concurrent partnerships or sex trade defined as buying or selling sex (64%) than those who returned to the partner (12%; AOR 20.1, 95% CI 3.4–175.6). Policies that promote maintenance of relationships during incarceration may be important for protecting health. |
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