Advertisement

 

 

Criminal justice involvement history is associated with better HIV care continuum metrics among a population-based sample of young black men who have sex with men.

Criminal justice involvement history is associated with better HIV care continuum metrics among a population-based sample of young black men who have sex with men.
Author Information (click to view)

Schneider JA, Kozloski M, Michaels S, Skaathun B, Voisin D, Lancki N, Morgan E, Khanna A, Green K, Coombs RW, Friedman SR, Laumann E, Schumm P, ,


Schneider JA, Kozloski M, Michaels S, Skaathun B, Voisin D, Lancki N, Morgan E, Khanna A, Green K, Coombs RW, Friedman SR, Laumann E, Schumm P, , (click to view)

Schneider JA, Kozloski M, Michaels S, Skaathun B, Voisin D, Lancki N, Morgan E, Khanna A, Green K, Coombs RW, Friedman SR, Laumann E, Schumm P, ,

Advertisement
Share on FacebookTweet about this on TwitterShare on LinkedIn

AIDS (London, England) 2016 9 20()

Abstract
OBJECTIVE
To examine how history of criminal justice involvement(CJI) is related to HIV care continuum metrics among young Black men who have sex with men (YBMSM) 16-29 years of age.

DESIGN
Population-based survey.

METHODS
From 2013-2014 a representative sample of YBMSM was generated using Respondent Driven Sampling (RDS) in Chicago (n = 618). HIV antibody/Ag and RNA testing were performed using dry blood spots. Factors assessed in the care continuum included HIV testing, HIV diagnosis, linkage-to-care within 6 months, retention-in-care, adherence to antiretrovirals, and viral suppression. RDS-weighted regression models examined the associations between history of CJI, including frequency of CJI and durations of stay and each of the continuum metrics.

RESULTS
A final analytic sample of 618 participants was generated through RDS chains of up to 13 waves in length and with a mean of 2.1 recruits per participant. At enrollment, 40.8% had prior history of CJI and 34.6% were HIV seropositive. Of persons reporting HIV seropositive status, 58.4% were linked to care, 40.2% retained in care, 32.2% adherent to antiretrovirals and 24.3% virally suppressed. Any CJI history was associated with the overall care continuum (aOR, 2.35; 95% CI 1.13-4.88) and was most associated with increased retention-in-care (aOR3.72 (1.77-7.84)). Having one CJI experience and detention for only one day was associated with better retention-in-care compared to no or more frequent CJI.

CONCLUSIONS
Those with a previous history of CJI were more successful in achieving most HIV care continuum metrics. Frequent and cycling CJI, however, was detrimental to HIV care.

Submit a Comment

Your email address will not be published. Required fields are marked *

seventeen + two =

[ HIDE/SHOW ]