The associations of incarceration and depression with healthcare experiences and utilization among Black men who have sex with men in HPTN 061
Year: 2021
Type: article
Abstract: Associations of incarceration with healthcare access and utilization among Black sexual minority men (BSMM) and differences in association among those with and without pre-incarceration symptoms of depression were measured. Secondary analysis using survey data from the longitudinal cohort HIV Prevention Trials Network 061 study was conducted among 1553 BSMM from six major U.S. cities from 2009 to 2011. We used modified log-binomial regression with robust standard errors to estimate associations of incarceration (reported at 6 month follow-up) on next six-month healthcare utilization and access (reported at the 12 month follow-up). We tested the significance of baseline depressive symptoms by incarceration interaction and reported differences in associations when observed. Participants with a history of incarceration were more likely to have depressive symptoms at baseline compared to those without. Recent incarceration was associated with almost twice the risk of mistrust in healthcare providers and emergency room utilization. Among men reporting depressive symptoms, a history of incarceration was associated with almost tripled risk of reporting providers do not communicate understandably. Among those with depression, one in five reported a missed visit regardless of incarceration status.
Source: AIDS Care
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
Funders: Pacific Institute for Research and Evaluation, City University of New York, Columbia University, New York University, Emory University, George Washington University, Harvard University, University of Maryland, Center for Drug Use and HIV Research, National Institutes of Health, University of California, Los Angeles, Center for AIDS Research, University of Washington, National Institute of Mental Health, National Institute on Drug Abuse, National Institute of Allergy and Infectious Diseases, National Center for Research Resources, National Center for Chronic Disease Prevention and Health Promotion, National Center for Advancing Translational Sciences, National Institute on Minority Health and Health Disparities
Awards: The District of Columbia Developmental Center for AIDS Research (DC D-CFAR), G1201818732, G1227259140, Center for Prevention Implementation Methodology for Drug Abuse and HIV (Ce-PIM), G183157880, Clinical Trial Unit for HIV Prevention and Microbicide Research, Centers for Innovative Research to Control AIDS, G2993261131, G3529453375, G3623308093, G4471225931, G681742546, G71720753, Stop-and-Frisk, Arrest, and Incarceration and STI/HIV Risk in Minority MSM, G793395730, G830266829, HIV Prevention Trials Network Leadership and Operations Center, Reinvigorating HIV Prevention and Care for People Who Use Drugs: Accelerating Progress and Sustaining Gains in the Midst of Societal Disruption, Center for AIDS Research at Emory University, LC: HIV PREVENTION TRIALS NETWORK, SDMC: HIV Prevention Trials Network, G90079629, G926868656, G95499620, G95938990, G961682679
OpenAlex ID: W3190696002