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Multiplex crack smoking and sexual networks: associations between network members’ incarceration and HIV risks among high-risk MSM.

Multiplex crack smoking and sexual networks: associations between network members’ incarceration and HIV risks among high-risk MSM.
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Fujimoto K, Kim JY, Ross MW, Williams ML,


Fujimoto K, Kim JY, Ross MW, Williams ML, (click to view)

Fujimoto K, Kim JY, Ross MW, Williams ML,

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Journal of behavioral medicine 2016 7 14()

Abstract

This study examined HIV risks in the multiplex crack-smoking and sexual networks of incarcerated drug-using men who have sex with men (MSM) and their associates. We estimated the associations between the network members’ incarceration, self-reported HIV infection, and trading sex for money. Our analytic sample consisted of 508 crack-smoking or sexual partnerships of 273 high-risk MSM. Network members were specified by (1) crack smoking and sexual behavior or (2) crack smoking only. Longer incarceration of the crack-smoking and sexual network members was associated with self-reported HIV infection (AOR = 1.61, p < 0.05), which extended up to one's partners' partners' partners (AOR = 1.63, p < 0.05). Similar results were found for trading sex (AOR = 2.77, p < 0.05). The findings of the study call for the development of a system-level HIV intervention among former incarcerated MSM and their associates.

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