Male Incarceration Rates and Rates of Sexually Transmitted Infections

Abstract

Background In the United States (US), rates of certain sexually transmitted infections (STIs) are increasing. Contextual factors appear to play an important role in shaping STI transmission dynamics. This longitudinal study explores the relationship between one contextual determinant of health (the male incarceration rate) and rates of newly-diagnosed STIs in census tracts in Atlanta, GA. Methods The sample consisted of all census tracts in Atlanta (N=946). Annual data on STI diagnoses were drawn from the Georgia surveillance system for 2005–2010; annual male incarceration data were drawn from the Georgia Department of Corrections. for 2005–2010; data on potential confounders were drawn from the US Census. Multivariable growth models were used to examine the association between the male incarceration rate and rates of newly-diagnosed STIs, controlling for covariates. Results Census tracts with higher baseline male incarceration rates had a higher baseline rate of newly-diagnosed STIs. Census tracts with increasing male incarceration rates experienced a more rapid increase in their rate of newly-diagnosed STIs. Census tracts with medium and high baseline male incarceration rates experienced a decrease in their rate of newly-diagnosed STIs over time. Conclusions The present study strengthens the evidence that male incarceration rates have negative consequences on sexual health outcomes, though the relationship may be more nuanced than originally thought. Future multilevel research should explore individual sexual risk behaviors and networks in the context of high male incarceration rates to better understand how male incarceration shapes rates of STIs.

The Syndemic of Opioid Misuse, Overdose, HCV, and HIV: Structural-Level Causes and Interventions

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