Age Differences in the Associations Between Incarceration and Subsequent Substance Use, Sexual Risk-Taking, and Incident STI Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort
Incarceration can lead to different risk behaviors often due to increased distress and disruption of social networks. It is not well known, however, how these associations may differ by age. In this study, we measure age differences in longitudinal associations between incarceration and substance us...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-11-01
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| Series: | American Journal of Men's Health |
| Online Access: | https://doi.org/10.1177/15579883231204120 |
| _version_ | 1797632645434179584 |
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| author | Jonathan Feelemyer Jasmyn Abrams Medha Mazumdar Natalia M. Irvine Joy D. Scheidell Rodman E. Turpin Typhanye V. Dyer Russell A. Brewer Christopher Hucks-Ortiz Ellen C. Caniglia Molly Remch Faith Scanlon Charlotte A. Gaydos Simon Sandh Charles M. Cleland Kenneth H. Mayer Maria R. Khan |
| author_facet | Jonathan Feelemyer Jasmyn Abrams Medha Mazumdar Natalia M. Irvine Joy D. Scheidell Rodman E. Turpin Typhanye V. Dyer Russell A. Brewer Christopher Hucks-Ortiz Ellen C. Caniglia Molly Remch Faith Scanlon Charlotte A. Gaydos Simon Sandh Charles M. Cleland Kenneth H. Mayer Maria R. Khan |
| author_sort | Jonathan Feelemyer |
| collection | DOAJ |
| description | Incarceration can lead to different risk behaviors often due to increased distress and disruption of social networks. It is not well known, however, how these associations may differ by age. In this study, we measure age differences in longitudinal associations between incarceration and substance use, sex risk, and sexually transmitted infection (STI) among Black sexual minority men and Black transgender women (BSMM/BTW). We recruited BSMM/BTW from 2009 to 2011 that were part of the HIV Prevention Trials Network 061 study. We compared those less than 30 years old ( n = 375) to those 30 years old or greater ( n = 794) examining substance use, sex risk, and STI infection stratified by age. Logistic regression with inverse probability weighting was used for the statistical analysis. Approximately 59% of the sample reported incarceration history. In adjusted analysis, incarceration was more strongly associated with alcohol use and stimulant use among older individuals as was sexual risk behaviors including buying and selling sex. Concurrent partnerships were associated with the younger age groups. STI incidence was associated with younger individuals while associations with HIV infection were similar for the two age groups. Understanding differences in substance use and STI risk among age cohorts is imperative to the design and implementation of re-entry programs. Younger BSMM/BTW participating in re-entry support programs may benefit in particular from HIV/STI prevention and care efforts, while post-release substance abuse treatment and harm reduction programs should target older individuals with continued substance abuse. |
| first_indexed | 2024-03-11T11:39:43Z |
| format | Article |
| id | doaj.art-98bc08e6e6a04580980b7d68c55d0a78 |
| institution | Directory Open Access Journal |
| issn | 1557-9891 |
| language | English |
| last_indexed | 2024-03-11T11:39:43Z |
| publishDate | 2023-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | American Journal of Men's Health |
| spelling | doaj.art-98bc08e6e6a04580980b7d68c55d0a782023-11-10T06:35:34ZengSAGE PublishingAmerican Journal of Men's Health1557-98912023-11-011710.1177/15579883231204120Age Differences in the Associations Between Incarceration and Subsequent Substance Use, Sexual Risk-Taking, and Incident STI Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 CohortJonathan Feelemyer0Jasmyn Abrams1Medha Mazumdar2Natalia M. Irvine3Joy D. Scheidell4Rodman E. Turpin5Typhanye V. Dyer6Russell A. Brewer7Christopher Hucks-Ortiz8Ellen C. Caniglia9Molly Remch10Faith Scanlon11Charlotte A. Gaydos12Simon Sandh13Charles M. Cleland14Kenneth H. Mayer15Maria R. Khan16Department of Population Health, New York University Grossman School of Medicine, New York, NY, USADepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USADepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USADepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USADepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USADepartment of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD, USADepartment of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD, USADepartment of Medicine, The University of Chicago, Chicago, IL, USABlack AIDS Institute (BAI), Los Angeles, CA, USAPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USAUNC Gillings School of Global Public Health, Chapel Hill, NC, USADepartment of Psychological Sciences, Texas Tech University, Lubbock, TX, USADepartment of Medicine, Johns Hopkins University, Baltimore, MD, USADepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USADepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USADepartment of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USADepartment of Population Health, New York University Grossman School of Medicine, New York, NY, USAIncarceration can lead to different risk behaviors often due to increased distress and disruption of social networks. It is not well known, however, how these associations may differ by age. In this study, we measure age differences in longitudinal associations between incarceration and substance use, sex risk, and sexually transmitted infection (STI) among Black sexual minority men and Black transgender women (BSMM/BTW). We recruited BSMM/BTW from 2009 to 2011 that were part of the HIV Prevention Trials Network 061 study. We compared those less than 30 years old ( n = 375) to those 30 years old or greater ( n = 794) examining substance use, sex risk, and STI infection stratified by age. Logistic regression with inverse probability weighting was used for the statistical analysis. Approximately 59% of the sample reported incarceration history. In adjusted analysis, incarceration was more strongly associated with alcohol use and stimulant use among older individuals as was sexual risk behaviors including buying and selling sex. Concurrent partnerships were associated with the younger age groups. STI incidence was associated with younger individuals while associations with HIV infection were similar for the two age groups. Understanding differences in substance use and STI risk among age cohorts is imperative to the design and implementation of re-entry programs. Younger BSMM/BTW participating in re-entry support programs may benefit in particular from HIV/STI prevention and care efforts, while post-release substance abuse treatment and harm reduction programs should target older individuals with continued substance abuse.https://doi.org/10.1177/15579883231204120 |
| spellingShingle | Jonathan Feelemyer Jasmyn Abrams Medha Mazumdar Natalia M. Irvine Joy D. Scheidell Rodman E. Turpin Typhanye V. Dyer Russell A. Brewer Christopher Hucks-Ortiz Ellen C. Caniglia Molly Remch Faith Scanlon Charlotte A. Gaydos Simon Sandh Charles M. Cleland Kenneth H. Mayer Maria R. Khan Age Differences in the Associations Between Incarceration and Subsequent Substance Use, Sexual Risk-Taking, and Incident STI Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort American Journal of Men's Health |
| title | Age Differences in the Associations Between Incarceration and Subsequent Substance Use, Sexual Risk-Taking, and Incident STI Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort |
| title_full | Age Differences in the Associations Between Incarceration and Subsequent Substance Use, Sexual Risk-Taking, and Incident STI Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort |
| title_fullStr | Age Differences in the Associations Between Incarceration and Subsequent Substance Use, Sexual Risk-Taking, and Incident STI Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort |
| title_full_unstemmed | Age Differences in the Associations Between Incarceration and Subsequent Substance Use, Sexual Risk-Taking, and Incident STI Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort |
| title_short | Age Differences in the Associations Between Incarceration and Subsequent Substance Use, Sexual Risk-Taking, and Incident STI Among Black Sexual Minority Men and Black Transgender Women in the HIV Prevention Trials 061 Cohort |
| title_sort | age differences in the associations between incarceration and subsequent substance use sexual risk taking and incident sti among black sexual minority men and black transgender women in the hiv prevention trials 061 cohort |
| url | https://doi.org/10.1177/15579883231204120 |
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