Concurrent Partnerships Among Rural African Americans With Recently Reported Heterosexually Transmitted HIV Infection

Adimora, Adaora A.; Schoenbach, Victor J.; Martinson, Francis; Donaldson, Kathryn H; Stancil, Tonya; Fullilove, Robert E.

doi:10.1097/00126334-200312010-00010

Cited by 121 publications

(120 citation statements)

References 24 publications

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“…In this study, several risk behaviors found to be associated with criminal justice involvement in previous cross-sectional research, such as multiple partnerships, 7,45,46 were not found to be temporally associated with arrest or incarceration. The findings of this paper do not necessarily contradict these studies; rather, they suggest that previously found associations may be spurious and are likely influenced by social and structural factors which impact upon both criminal justice involvement and sexual risk.…”

Section: Discussionmentioning

confidence: 42%

Examining the Temporal Relationship Between Criminal Justice Involvement and Sexual Risk Behaviors among Drug-Involved Men

et al. 2010

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Although criminal justice involvement has repeatedly been associated with human immunodeficiency virus (HIV)/sexually transmitted infection prevalence and sexual risk behaviors, few studies have examined whether arrest or incarceration uniquely contributes to sexually risky behavior. We examined the temporal relationship between criminal justice involvement and subsequent sexual HIV risk among men in methadone maintenance treatment in New York City. A random sample of 356 men was interviewed at baseline (time 1), 6-month (time 2), and 12-month (time 3) followups. Propensity score matching, negative binomial, and multiple logistic regression were used to isolate and test the effect of time 2 arrest and incarceration on time 3 sexual risk behaviors. Incidence of time 2 criminal justice involvement was 20.1% for arrest and 9.4% for incarceration in the prior 6 months. Men who were arrested at time 2 demonstrated increased number (adjusted incidence rate ratio [IRR]=1.62; 95% confidence intervals [CI]=1.11, 2.37) and proportion (IRR=1.36; 95% CI=1.07, 1.72) of unprotected vaginal sex acts at time 3. Men incarcerated at time 2 displayed increased number (IRR=2.07; 95% CI=1.23, 3.48) and proportion (IRR=1.45; 95% CI=1.06, 1.99) of unprotected vaginal sex acts at time 3. Within this sample of druginvolved men, arrest and incarceration are temporally associated with and may uniquely impact successive sexual risk-taking. Findings underscore the importance of HIV prevention interventions among individuals with low-intensity criminal justice involvement. Developing prevention efforts aimed at short-term incarceration, community reentry, and alternatives to incarceration settings will address a large and underresearched segment of the criminal justice population. Alternative approaches to current criminal justice policy may result in public health benefits.

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Section: Discussionmentioning

confidence: 42%

Examining the Temporal Relationship Between Criminal Justice Involvement and Sexual Risk Behaviors among Drug-Involved Men

et al. 2010

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“…12,13 After the incarceration, absence of a stable sex partner with stress of reintegration 66 may lead newly released prisoners to engage in increased levels of multiple and concurrent partnerships. 9,[15][16][17][18][19] A number of important study limitations should be noted. First, since this study was cross-sectional, we do not know the temporal relationship between incarceration and sexual risk behavior and hence cannot conclude that incarceration contributed to high-risk sex partnerships.…”

Section: Discussionmentioning

confidence: 99%

“…[10][11][12][13][14] The absence of a stable partner, together with the stress of reintegration after incarceration, may lead newly released prisoners to engage in increased levels of multiple partnerships, including concurrent partnerships (multiple partnerships that overlap in time). 9,[15][16][17][18][19] Partnership concurrency is considered to be a particularly important determinant of STI/HIV transmission. 20 There is evidence that incarceration history is associated with high-risk sex partnerships including multiple and concurrent partnerships; 15,17,[21][22][23][24][25] however, most studies have been performed in small convenience samples.…”

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confidence: 99%

“…9,[15][16][17][18][19] Partnership concurrency is considered to be a particularly important determinant of STI/HIV transmission. 20 There is evidence that incarceration history is associated with high-risk sex partnerships including multiple and concurrent partnerships; 15,17,[21][22][23][24][25] however, most studies have been performed in small convenience samples. Given incarceration has become an important social force that likely influences STI/HIV epidemiology, 9,26,27 a large, nationally representative study of this association is needed to best understand the potential population-level effects of incarceration on relationships and health.…”

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confidence: 99%

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Incarceration and High-Risk Sex Partnerships among Men in the United States

et al. 2009

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“…3,4 In addition to these risk factors, the characteristics of sexual networks among heterosexuals, 5 specifically the pattern of sex partner concurrency (overlapping sex partnerships in the same time interval), may help to explain the heterosexual spread of HIV and other STDs in sub-Saharan Africa [6][7][8] and in high-risk urban and rural areas in the United States. [9][10][11] A high prevalence of sex partner concurrency in a population has been hypothesized to increase the number of direct or indirect sexual connections and thereby to influence the extent, rapidity, and persistence of HIV and other STD epidemics. 12 However, the theory that sex partner concurrency is a driver of heterosexual HIV epidemics has been criticized for being based on limited evidence.…”

Section: Introductionmentioning

confidence: 99%

Reciprocal Sex Partner Concurrency and STDs among Heterosexuals at High-Risk of HIV Infection

et al. 2012

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Inconsistent findings on the relationship of sex partner concurrency to infection with HIV and other sexually transmitted diseases (STDs) may result from differences in how sex partner concurrency is conceptualized. We examine the relationship of reciprocal sex partner concurrency (RSPC) to diagnosed STDs among heterosexuals. Heterosexually active adults (N=717) were recruited for a cross-sectional study using respondent-driven sampling (RDS) from high-HIV-risk areas in New York City (NYC, 2006(NYC, -2007 and interviewed about their sexual risk behaviors, number of sex partners, last sex partners, and STD diagnoses (prior 12 months). RSPC was when both the participant and her/his last sex partner had sex with other people during their sexual relationship. Odds ratios (OR), adjusted odds ratios (aOR), and 95 % confidence intervals (95%CI) were estimated by logistic regression. The sample was 52.4 % female, 74.3 % Black; median age was 40 years. RSPC was reported by 40.7 % and any STD diagnoses by 23.4 %. Any STDs was reported by 31.5 % of those reporting RSPC vs. 17.9 % of those who did not (OR=2.11, 95%CI=1.49-3.0). Any STDs was independently associated with RSPC (aOR=1.54, 95%CI=1.02-2.32), female gender (aOR=2.15, 95%CI=1.43-3.23), having more than three sex partners (aOR=1.72, 95%CI=1.13-2.63), and unprotected anal sex (aOR=1.65, 95%CI=1.12-2.42). Heterosexuals in high-HIV-risk neighborhoods in sexual partnerships that involve RSPC are at greater risk of STDs and, potentially, HIV. RSPC, in addition to sexual risk behaviors and the number of sex partners, may facilitate the heterosexual spread of HIV through STD cofactors and linkage into larger STD/HIV sexual transmission networks.

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Concurrent Partnerships Among Rural African Americans With Recently Reported Heterosexually Transmitted HIV Infection

Abstract: Concurrent partnerships likely accelerate heterosexual HIV transmission among blacks in the rural southeastern United States. Future research should examine the socioeconomic context that supports this network pattern.

Cited by 121 publications

References 24 publications

Examining the Temporal Relationship Between Criminal Justice Involvement and Sexual Risk Behaviors among Drug-Involved Men

Examining the Temporal Relationship Between Criminal Justice Involvement and Sexual Risk Behaviors among Drug-Involved Men

Incarceration and High-Risk Sex Partnerships among Men in the United States

Reciprocal Sex Partner Concurrency and STDs among Heterosexuals at High-Risk of HIV Infection

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