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Members of the public health and criminal justice disciplines often work with marginalized populations: people at high risk of drug use, health problems, incarceration, and other difficulties. As these fields increasingly overlap, distinctions between them are blurred, as numerous research reports and funding trends document. However, explicit theoretical and methodological linkages between the 2 disciplines remain rare. A new paradigm that links methods and statistical models of public health with those of their criminal justice counterparts is needed, as are increased linkages between epidemiological analogies, theories, and models and the corresponding tools of criminology. We outline disciplinary commonalities and distinctions, present policy examples that integrate similarities, and propose "epidemiological criminology" as a bridging framework.

Data collected from incarcerated youth (n = 113) and a public school sample (n = 802) demonstrate that both adolescent groups have a high level of AIDS knowledge. Incarcerated youth are less aware of HIV risk-reduction behaviors and report markedly higher rates of HIV risk behaviors. Incarcerated youth are at substantially increased risk of HIV infection relative to their school-based counterparts and should be a primary target of HIV prevention programs.

An anonymous self-report survey was completed by 335 sexually active, incarcerated adolescents in a southern rural state. Multivariate logistic regression analysis was used to identify correlates of condom use during sexual intercourse. Four variables were identified as associated with frequent condom use: nonuse of marijuana, nonuse of beer, asking sexual partners about their sexual history, and feeling worried about friends contracting AIDS. This four-variable model was highly significant, correctly classifying 70% of the adolescents in their condom-use categories. The intersecting nature of substance use and the HIV epidemic is discussed, as well as the importance of teaching substance refusal skills and sexual communication and negotiation skills to incarcerated adolescents.

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