HIV-infected men who have sex with men, before and after release from jail: the impact of age and race, results from a multi-site study

Vagenas, Panagiotis; Zelenev, Alexei; Altice, Frederick L.; Paola, Angela Di; Jordan, Alison O.; Teixeira, Paul A.; Frew, Paula M.; Spaulding, Anne C.; Springer, Sandra A.

doi:10.1080/09540121.2015.1062464

Cited by 22 publications

(33 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These groups, particularly HIV-infected MSM and transgender women, remain largely hidden within correctional populations and few studies have estimated their prevalence. The multi-site Enhance Link Initiative enrolled over 1200 HIV-infected persons with a history of jail incarceration and among these, 20% identified as MSM or bisexual [44], which was consistent with the proportion observed in our study. These findings and our results suggest that HIV-infected MSM, bisexuals, and transgender women may represent a larger proportion of HIV-infected persons behind bars than previously recognized.…”

Section: Discussionsupporting

confidence: 87%

Gender Differences in HIV Care among Criminal Justice-Involved Persons: Baseline Data from the CARE+ Corrections Study

et al. 2017

View full text Add to dashboard Cite

BackgroundHIV-infected individuals recently released from incarceration have suboptimal linkage and engagement in community HIV care. We conducted a study to evaluate an information and communication technology intervention to increase linkage to community care among HIV-infected persons recently involved in the criminal justice (CJ) system. Baseline characteristics including risk behaviors and HIV care indicators are reported and stratified by gender.MethodsWe recruited HIV-infected individuals in the District of Columbia jail and persons with a recent history of incarceration through community and street outreach. Participants completed a baseline computer-assisted personal interview regarding HIV care and antiretroviral treatment (ART) adherence, substance use, and sexual behaviors. CD4 and HIV plasma viral load testing were performed at baseline or obtained through medical records. Data were analyzed for the sample overall and stratified by gender.ResultsOf 110 individuals, 70% were community-enrolled, mean age was 40 (SD = 10.5), 85% were Black, and 58% were male, 24% female, and 18% transgender women. Nearly half (47%) had condomless sex in the three months prior to incarceration. Although drug dependence and hazardous alcohol use were highly prevalent overall, transgender women were more likely to have participated in drug treatment than men and women (90%, 61%, and 50% respectively; p = 0.01). Prior to their most recent incarceration, 80% had an HIV provider and 91% had ever taken ART. Among those, only 51% reported ≥90% ART adherence. Fewer women (67%) had received HIV medications during their last incarceration compared to men (96%) and transgender women (95%; p = 0.001). Although neither was statistically significant, transgender women and men had higher proportions of baseline HIV viral suppression compared to women (80%, 69%, and 48.0% respectively, p>0.05); a higher proportion of women had a CD4 count ≤200 compared to men and transgender women (17%, 8% and 5% respectively; p>0.05).ConclusionsIn this study, HIV-infected persons with recent incarceration in Washington, DC reported important risk factors and co-morbidities, yet the majority had access to HIV care and ART prior to, during, and after incarceration. Self-reported ART adherence was sub-optimal, and while there were not statistically significant differences, CJ-involved women appeared to be at greatest risk of poor HIV outcomes.Trial registrationRegistered on ClinicalTrials.gov on 10/16/2012. Reference number: NCT01721226.

show abstract

Section: Discussionsupporting

confidence: 87%

Gender Differences in HIV Care among Criminal Justice-Involved Persons: Baseline Data from the CARE+ Corrections Study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Vagenas et al found that pre-incarceration, young African-American MSM had significantly less insurance and less access to HIV health care during incarceration. 142 Young African-American MSM were less likely to receive disease management and were less likely to be linked to HIV care post-incarceration. 142 …”

Section: Mental Health and Hiv Prevention Engagement And Carementioning

confidence: 98%

“…142 Young African-American MSM were less likely to receive disease management and were less likely to be linked to HIV care post-incarceration. 142 …”

Section: Mental Health and Hiv Prevention Engagement And Carementioning

confidence: 98%

Mental health in 2020 for men who have sex with men in the United States

et al. 2017

View full text Add to dashboard Cite

Despite continued advances in HIV prevention and treatment, gay and bisexual men and other men who have sex with men (MSM) remain the population most impacted by HIV/AIDS in the US and many other Western countries. Additionally, MSM are disproportionately affected by various psychological problems, including depression, distress, trauma and substance use. These challenges frequently co-occur, and are associated with higher rates of behaviours related to HIV acquisition and transmission, HIV infection, and, for those living with HIV/AIDS, lower levels of treatment engagement. Moreover, racial disparities exist among MSM in the US; for example, young African American MSM bear a disproportionate burden of the continuing HIV epidemic, likely related to disparate HIV prevalence in partner pools as well as long-standing structural inequities. In this review, the mental health challenges facing MSM primarily in the US, related to HIV and STI prevention and across the HIV care cascade, including HIV diagnosis, engagement and retention in care, and antiretroviral adherence, are illustrated. Disparities among MSM including racial and ethnic, age-related and structural barriers associated with HIV prevention and treatment, as well as current interventions, are also described. Moving forward towards 2020, resources will be needed to assess and implement scalable intervention strategies to address psychological and social barriers to HIV and STI risk reduction and treatment for MSM, with a particular focus on the most vulnerable subpopulations. As access to prevention and treatment strategies expand, and new breakthroughs continue to emerge, behavioural strategies will continue to be needed to reduce risk and increase uptake and engagement among MSM most at risk through 2020 and beyond.

show abstract

“…The HIV epidemic disproportionately affects the incarcerated population in the US, with a 1.3% seroprevalence that is approximately three times that of the general population [1]. Furthermore, compared to people living with HIV (PLH) in the US general population, incarcerated PLH are often less likely to have achieved HIV care continuum milestones [2,3] -engaged in care, received and adhered to antiretroviral therapy (ART) and achieved virologic suppression -at the time of incarceration [4][5][6][7]. The disproportionate burden as well as the profound challenges in achieving the care continuum reflect how the incarcerated population represents one of the most socially and economically marginalized individuals in the US [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Life Chaos is Associated with Reduced HIV Testing, Engagement in Care, and ART Adherence Among Cisgender Men and Transgender Women upon Entry into Jail

et al. 2019

View full text Add to dashboard Cite

HIV-infected men who have sex with men, before and after release from jail: the impact of age and race, results from a multi-site study

Cited by 22 publications

References 48 publications

Gender Differences in HIV Care among Criminal Justice-Involved Persons: Baseline Data from the CARE+ Corrections Study

Gender Differences in HIV Care among Criminal Justice-Involved Persons: Baseline Data from the CARE+ Corrections Study

Mental health in 2020 for men who have sex with men in the United States

Life Chaos is Associated with Reduced HIV Testing, Engagement in Care, and ART Adherence Among Cisgender Men and Transgender Women upon Entry into Jail

Contact Info

Product

Resources

About