Characterisation of social support following incarceration among black sexual minority men and transgender women in the HPTN 061 cohort study
Year: 2021
Type: article
Abstract: OBJECTIVE: To examine longitudinal associations between recent incarceration and subsequent social support among black sexual minority men and transgender women, and whether associations differed between those who did and did not have support prior to incarceration. DESIGN: A secondary analysis in 2020 of data from the HIV Prevention Trials Network 061, a cohort study of black sexual minority men and transgender women recruited in 2009-2010 and followed for 12 months. SETTING: Six US cities (Atlanta, Boston, Los Angeles, New York City, San Francisco and Washington DC). PARTICIPANTS: Individuals ≥18 years of age who identified as black, reported being male or assigned male at birth, reported ≥1 unprotected anal intercourse event with a male partner in the past 6 months, and reported on incarceration at the 6-month follow-up visit. EXPOSURE: Having spent ≥1 night in jail/prison in the past 6 months reported at the 6-month follow-up visit. OUTCOME: Social support measured using a six-item scale assessing frequency of emotional/informational, affectionate and tangible support (range 6-30); and dichotomous indicators of low support for each item (ie, receiving that form of support none/little of the time). RESULTS: Among participants who returned for the 6-month visit (N=1169), 14% had experienced incarceration in the past 6 months. Mean support score was 20.9; 18.9 among those with recent incarceration versus 21.2 among those without. Recent incarceration predicted lower support (adjusted β -2.40, 95% CI -3.94 to -0.85). Those recently incarcerated had increased risk of lacking emotional/informational (eg, no one to talk to adjusted risk ratio (aRR) 1.55, 95% CI 1.13 to 2.13) and affectionate (aRR 1.51, 95% CI 1.11 to 2.04) but not tangible support. Effects appeared somewhat stronger among those who had support at baseline. CONCLUSIONS: Incarceration may reduce support on re-entry among black sexual minority men and transgender women, populations unequally targeted for incarceration and at risk for low support.
Source: BMJ Open
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $1,839
Funders: Emory University, Johns Hopkins University, FHI 360, Centers for Disease Control and Prevention, University of California, Los Angeles, 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
Awards: The District of Columbia Developmental Center for AIDS Research (DC D-CFAR), Leadership for HIV/AIDS Clinical Trials Networks; HIV Prevention Trials Network, Atlanta Clinical and Translational Science Institute (UL1), Emory HIV/AIDS Clinical Trials Unit, Clinical Trial Unit for HIV Prevention and Microbicide Research, Centers for Innovative Research to Control AIDS, G3529453375, UCLA AIDS Prevention and Treatment Clinical Trials Unit, HIV Prevention trials Network (HPTN) Coordinating and Operations Center, San Francisco Vaccine and Prevention Unit, HIV Prevention Trials Network: Network Laboratory, G71720753, Stop-and-Frisk, Arrest, and Incarceration and STI/HIV Risk in Minority MSM, Clinical Trial Unit for HIV Prevention and Microbicide Research, 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, Harvard University Center for AIDS Research
OpenAlex ID: W3204755345