Self-Reported Sexually Transmitted Infections After Incarceration in Women with or at Risk for HIV in the United States, 2007–2017
Year: 2021
Type: article
Study design: Observational Study
Abstract: Background: U.S. women who have been incarcerated report high rates of sexual risk behavior and sexually transmitted infections (STIs). Materials and Methods: We estimated the effect of incarceration on the time to first incident STI in a multicenter cohort of U.S. women with or at risk for HIV. We used marginal structural models to compare time to first self-reported gonorrhea, chlamydia, or trichomonas infection for nonincarcerated women and incarcerated women. Covariates included demographic factors, HIV status, sex exchange, drug/alcohol use, and prior incarceration. Results: Three thousand hundred twenty-four women contributed a median of 4 at-risk years and experienced 213 first incident STI events. The crude incidence of STIs was 3.7 per 100 person-years for incarcerated women and 1.9 per 100 person-years for nonincarcerated women. The weighted hazard ratio for incident STIs was 4.05 (95% confidence interval: 1.61–10.19). Conclusion: Women with or at risk for HIV in the United States who have recently experienced incarceration may be at increased STI risk.
Source: Journal of Women s Health
Institutions: University of North Carolina at Chapel Hill, SUNY Downstate Health Sciences University, Albert Einstein College of Medicine, Georgetown University, University of Southern California, University of California, San Francisco, Johns Hopkins University, Emory University, University of Miami, University of Alabama at Birmingham
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
Funders: Northwestern University, Georgia Clinical and Translational Science Alliance, National Institutes of Health, Gillings School of Public Health, Center for AIDS Research, University of Washington, University of North Carolina at Chapel Hill, University of California, San Francisco, Center for AIDS Research, University of Alabama at Birmingham, National Institute on Alcohol Abuse and Alcoholism, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute of Mental Health, National Institute on Drug Abuse, National Cancer Institute, National Institute on Deafness and Other Communication Disorders, National Institute of Nursing Research, National Institute of Allergy and Infectious Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, National Institute of Environmental Health Sciences, National Institute of Dental and Craniofacial Research, National Center for Advancing Translational Sciences, National Institute on Minority Health and Health Disparities, Center for AIDS Research, University of North Carolina at Chapel Hill
Awards: G1077701788, G1329112180, G1467100060, G1655989834, G1787625665, G183157880, G1849940085, G1913134163, G192128497, G1939027404, G1951574862, G2230551448, G2759654445, G2908277772, G311558797, G3242306066, The Connie Wofsy Women's HIV Study, Brooklyn Women's Interagency HIV Study (WIHS) V, G3630727822, G3869857964, G4391827178, G4535678174, G5147848267, G521591464, G5660189159, G5691055145, G5747858550, G5863844756, Clinical and Translational Science Institute, G5900455136, G6396423216, G654751394, G6990385686, G7152846654, G775892330, G7807729167, G8541996175, G9000010044, G9000037749, G9000050451, G9000075494, G9000080293, G9000088144, G9000102070, G9000132212, G9000310219, MACS/WIHS -CCS, UNC MACS/WIHS Combined Cohort Study Clinical Research Site, Surviving the HIV Epidemic (S/HE) in metropolitan Washington DC - Advancing knowledge through cohort studies, Northwestern CORE Clinical Research Site: Trans-omics for HIV/AIDS Research, Data Analysis and Coordination Center for the MACS-WIHS Combined Cohort Study, MACS/WIHS Combined Cohort Study: Cook County Clinical Research Site (CC_CRS), The University of North Carolina Center for AIDS Research, MACS/WIHS Combined Cohort Study: Brooklyn Clinical Research Site (Bklyn CRS), Clinical Research Sites for the MACS/WIHS Combined Cohort Study (MACS/WIHS-CCS) - Baltimore/Wash DC Center, Biostatistics for Research in Environmental Health, Clinical Research Sites for the MACS/WIHS Combined Cohort Study (MACS/WIHS-CCS), UAB Center for AIDS Research (CFAR), G908157178
OpenAlex ID: W4200534990