Incarceration, Social Support Networks, and Health among Black Sexual Minority Men and Transgender Women: Evidence from the HPTN 061 Study
Year: 2022
Type: article
Abstract: Support from social networks buffers against negative effects of stress but is disrupted by incarceration. Few studies examine incarceration, social support networks, and health among Black sexual minority men (BSMM) and Black transgender women (BTW). We conducted a secondary analysis using HIV Prevention Trials Network 061 (HPTN 061), a sample of BSMM/BTW recruited from six US cities. We measured associations between recent incarceration reported at six months follow-up and social support networks at twelve months follow-up, and cross-sectional associations between support networks and twelve-month health outcomes (e.g., sexual partnerships, substance use, healthcare access and depressive symptoms). Among the analytic sample (N = 1169), recent incarceration was associated with small medical support networks (adjusted risk ratio [aRR] 1.16, 95% CI 1.01, 1.34) and small financial support networks (aRR 1.18, 95% CI 1.04, 1.35). Support networks were associated with multiple partnerships (adjusted prevalence ratio [aPR] 0.77, 95% CI 0.65, 0.90), unhealthy alcohol use (aPR 1.20, 95% CI 0.96, 1.51), and depressive symptoms (aPR 1.16, 95% CI 0.99, 1.36). Incarceration adversely impacts social support networks of BSMM/BTW, and support networks were associated with a range of important health outcomes.
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $2,618
Funders: City University of New York, Emory University, George Washington University, Harvard University, Center for Drug Use and HIV Research, Georgia Clinical and Translational Science Alliance, York University, 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 Institute on Minority Health and Health Disparities
Awards: The District of Columbia Developmental Center for AIDS Research (DC D-CFAR), G1244137896, Center for Prevention Implementation Methodology for Drug Abuse and HIV (Ce-PIM), Atlanta Clinical and Translational Science Institute (UL1), Emory HIV/AIDS Clinical Trials Unit, G1715789334, G1913134163, Clinical Trial Unit for HIV Prevention and Microbicide Research, G2674375323, Centers for Innovative Research to Control AIDS, G2979747982, G3230377489, G345173699, G3495999278, G3529453375, UCLA AIDS Prevention and Treatment Clinical Trials Unit, G4166928756, G425202921, San Francisco Vaccine and Prevention Unit, G5768112423, G6113675784, G71720753, Stop-and-Frisk, Arrest, and Incarceration and STI/HIV Risk in Minority MSM, G80080128, 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, Training for Scientists Conducting Research to Reduce HIV/AIDS Health Disparities, Center for AIDS Research at Emory University, A community-based intervention to increase PrEP initiation in Prince George's County, Maryland: Reducing PrEP misinformation and increasing social support, LC: HIV PREVENTION TRIALS NETWORK, SDMC: HIV Prevention Trials Network, Harvard University Center for AIDS Research, Boston HIV CTU
OpenAlex ID: W4297923344