The Association between Incarceration and Transactional Sex among HIV-infected Young Men Who Have Sex with Men in the United States

Morgan M. Philbin, Elizabeth N. Kinnard, Amanda E. Tanner, Samuella Ware, Brittany D. Chambers, Alice Ma, J. Fortenberry

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Criminal justice practices in the USA disproportionately affect sexual and racial/ethnic minority men, who are at higher risk of incarceration. Previous research demonstrates associations between incarceration and sexual risk behaviors for men who have sex with men (MSM). However, little of this work focuses on young MSM (YMSM), particularly HIV-infected YMSM, despite nearly one-third reporting engagement in sexual risk behaviors, such as transactional sex. We therefore explored the association between incarceration and transactional sex among HIV-infected YMSM. We recruited 97 HIV-infected YMSM across 14 clinical sites in urban centers from August 2015 to February 2016. We used multivariate logistic regression to examine the relationship between incarceration and transactional sex among YMSM. The majority was 24 years old (78%) and racial/ethnic minority (95%); over half were not in school and reported an annual income of < $12,000. In the multivariate model, having ever been incarcerated (aOR = 3.20; 95% CI 1.07–9.63) was independently associated with a history of transactional sex. Being 24 years vs. younger (aOR = 9.68; 95% CI 1.42–65.78) and having ever been homeless (aOR = 3.71, 95% CI 1.18–11.65) also remained independently associated with a history of transactional sex. This analysis fills a gap in the literature by examining the relationship between incarceration and transactional sex among HIV-infected YMSM. Facilitating youths’ engagement with social services available in their HIV clinic may serve as a key strategy in promoting health. Public health efforts need to address social-structural factors driving disproportionate rates of arrest and incarceration and related harms among this population.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalJournal of Urban Health
DOIs
StateAccepted/In press - Apr 9 2018

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HIV
risk behavior
national minority
history
mobile social services
Risk-Taking
Sexual Behavior
public health
justice
logistics
income
regression
Criminal Law
health
school
Social Work
Public Health
Logistic Models
Health
Research

Keywords

  • Health disparities
  • HIV
  • Incarceration
  • Transactional sex
  • Young men who have sex with men (YMSM)

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

The Association between Incarceration and Transactional Sex among HIV-infected Young Men Who Have Sex with Men in the United States. / Philbin, Morgan M.; Kinnard, Elizabeth N.; Tanner, Amanda E.; Ware, Samuella; Chambers, Brittany D.; Ma, Alice; Fortenberry, J.

In: Journal of Urban Health, 09.04.2018, p. 1-8.

Research output: Contribution to journalArticle

Philbin, Morgan M. ; Kinnard, Elizabeth N. ; Tanner, Amanda E. ; Ware, Samuella ; Chambers, Brittany D. ; Ma, Alice ; Fortenberry, J. / The Association between Incarceration and Transactional Sex among HIV-infected Young Men Who Have Sex with Men in the United States. In: Journal of Urban Health. 2018 ; pp. 1-8.
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