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.
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.
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.
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.