Sexual behaviour in Scottish prisons.

Power, Kevin; Marková, Ivana; Rowlands, Alison; McKee, Kevin; Anslow, P J; Kilfedder, Catherine

doi:10.1136/bmj.302.6791.1507-a

Cited by 50 publications

(13 citation statements)

References 2 publications

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“…The only inmate who admitted his homosexuality was already aware of his HIV+ status and commented that his homo-sexual practice had been the cause of his infection. A similar finding was described by Power et al 30 , who reported only one participant involved in homosexual relations in a group of 559 inmates in Scotland. However, papers reporting homosexual inmates who practice sex inside the prison are more numerous.…”

Section: Resultssupporting

confidence: 88%

HIV prevalence and risk factors in a Brazilian penitentiary

et al. 2007

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HIV infection among prison inmates shows one of the highest prevalence rates for specific population subgroups, reaching as high as 17% in Brazil and elsewhere in the world. The present study aimed to estimate HIV antibody prevalence and risk factors for infection in male inmates at the Ribeirão Preto Penitentiary, São Paulo State, Brazil, from May to August 2003. Using simple random sampling, 333 participants were selected, answered a standardized questionnaire, and had blood samples collected. Enzyme-linked immunosorbent assay (ELISA) and indirect immunofluorescence were used for HIV serological diagnosis. Overall HIV prevalence among inmates was 5.7% (95%CI: 3.2-8.2). All variables associated with HIV antibodies in the univariate analysis were submitted to unconditional multivariate logistic regression. Independent predictors of HIV infection were: total prison sentence less than five years and sharing needles and syringes.

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Section: Resultssupporting

confidence: 88%

HIV prevalence and risk factors in a Brazilian penitentiary

et al. 2007

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“…Despite the sensitivities regarding same-gender practice, on average, 2.5% of prisoners, with no difference between injecting and non-injecting drug users, reported having had sex with another man in this prison. While low rates of same-gender sexual practices have been reported among prisoners in some European countries, 26,27 other studies have reported higher proportions (over 10%) of male prisoners engaging in same-gender sex while in prison. 28,29 Importantly, the finding that none of those who had had same-gender sex in this prison used a condom for their last sex encounter is worrying and deserves careful consideration by the prison health policy makers.…”

Section: Discussionmentioning

confidence: 94%

Patterns of Drug Use and HIV-Related Risk Behaviors among Incarcerated People in a Prison in Iran

Zamani

Farnia²,

Torknejad³

et al. 2010

J Urban Health

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Previous research indicates that prisoners in Iran are at risk of drug-related harm, including acquisition of blood-borne infections. In response, several prevention interventions have been introduced into prisons in Iran, such as methadone maintenance treatment (MMT). MMT is now provided to opioid-dependent prisoners in 142 of the 230 prisons and correctional settings in Iran. A baseline behavioral survey was conducted in Karaj Central prison which mainly holds prisoners with drug-related charges. Overall, 203 male prisoners from randomly selected rooms in two prison blocks were interviewed using a structured questionnaire in 2007, just before the introduction of MMT program in this prison. Among participants, 7% reported never having used illicit drugs in their lifetime, but 51% had used non-injecting illicit drugs, and as high as 42% reported having injected an illicit drug. Up to 79% (160/203) of all participants reported using drugs, and about 6% (12/203) reported drug injecting during their current incarceration term. Same-gender sexual practice during current incarceration term was reported by 2.5% (5/203) of all male prisoners. Comparison between injecting and non-injecting drug-using prisoners indicated that drug injectors had higher rates of previous incarcerations, commenced drug use at a younger age, were more likely to have used illicit drugs in the previous week, were more likely to have been treated by a physician for drug addiction, had higher rates of registration for methadone treatment inside prison, and were more likely to have been tested for HIV infection. These study findings provide a behavioral profile of prisoners in regard to drug-related harm and can be considered in any plan to introduce or improve provision of MMT in prisons in Iran or other countries with similar features.

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“…Sexual behaviors during incarceration, however, have not been widely documented (10)(11)(12)(13) and have not been linked to increased HIV risk (11)(12)(13). There have been limitations, however, to previous research that have included the collection of risk behavior data in jail or prison settings (10)(11)(12)(13) where a person may be unlikely to admit to illegal drug or sexual behaviors (5,11,14) and small numbers of persons reporting sex while incarcerated (10)(11)(12)(13). In addition, none of the earlier studies focused exclusively on African-American men who are overrepresented among the incarcerated (2) and among persons with AIDS (1).…”

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confidence: 99%

High-Risk Behaviors During Incarceration in African-American Men Treated for HIV at Three Los Angeles Public Medical Centers

Wohl¹,

Johnson²,

Jordan³

et al. 2000

Journal of Acquired Immune Deficiency Syndromes

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Objectives: This paper describes research that examined the association between high-risk sexual and drug-using behaviors during incarceration and HIV infection for African-American men receiving HIV care at three public medical centers in Los Angeles County (LAC), California.Methods: A case-control study was conducted in which 305 HIV-infected AfricanAmerican men and 305 neighborhood controls, ages 20 to 49, were frequency-matched by age.Results: After controlling for anal sex while not incarcerated, we found no association between anal sex during incarceration and HIV (odds ratio [OR], 1.1; 95% confidence interval [CI], 0.6-2.2). Among men with a history of incarceration (n ‫ס‬ 332), the percentage reporting anal sex with men outside of incarceration (45%) was greater than those reporting anal sex while incarcerated (16%). Injection drug use (IDU) during incarceration was also not associated with HIV when controlling for IDU outside of incarceration (OR, 1.6; 95% CI, 0.5-4.9). Increased time in jail or prison was associated with less HIV infection (p ‫ס‬ .001).Conclusions: Although high-risk behaviors are more common in the community than in the incarcerated setting for this study group, incarcerated populations represent a high-risk group for whom access to prevention messages is limited. Periods of incarceration represent a unique opportunity to convey prevention messages that focus on high-risk behaviors outside the incarcerated setting.

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Sexual behaviour in Scottish prisons.

Cited by 50 publications

References 2 publications

HIV prevalence and risk factors in a Brazilian penitentiary

HIV prevalence and risk factors in a Brazilian penitentiary

Patterns of Drug Use and HIV-Related Risk Behaviors among Incarcerated People in a Prison in Iran

High-Risk Behaviors During Incarceration in African-American Men Treated for HIV at Three Los Angeles Public Medical Centers

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