Faculty, Staff and Student Publications
Publication Date
1-1-2023
Journal
AIDS Care
Abstract
Black men who have sex with men (BMSM) and transgender women (BTW) are disproportionately affected by incarceration and HIV. We assessed factors associated with HIV testing and viral suppression among 176 incarcerated BMSM and BTW in Chicago, IL; Los Angeles, CA; and Houston, TX. In multivariable logistic regression, having a sexual orientation of bisexual, heterosexual, or other vs. gay or same-gender loving was associated with higher odds of testing in custody (aOR 8.97; 95% CI 1.95 - 41.24). Binge drinking (aOR 0.19; 95% CI 0.04 - 0.92) and being unemployed prior to incarceration (aOR 0.03; 95% CI 0.00 - 0.23) were associated with lower odds of testing; participants in Los Angeles were also more likely to be tested than those in Chicago. Being housed in protective custody (aOR 3.12; 95% CI 1.09-9.59) and having a prescription for ART prior to incarceration (aOR 2.58; 95% CI 1.01-6.73) were associated with higher odds of viral suppression when adjusted for site and duration of incarceration, though the associations were not statistically significant in the full multivariable model. Future research should examine structural and process level factors that impact engagement in HIV testing and treatment among detained BMSM and BTW.
Keywords
Humans, Male, Female, Homosexuality, Male, HIV Infections, Jails, Sexual and Gender Minorities, HIV Testing, Transgender Persons, Men who have sex with men, Transgender women, HIV testing, ART Adherence, Jail health care, Black/African American
DOI
10.1080/09540121.2022.2094312
PMID
35848452
PMCID
PMC10359835
PubMedCentral® Posted Date
1-1-2024
PubMedCentral® Full Text Version
Author MSS
Published Open-Access
yes
Included in
Clinical Epidemiology Commons, Public Health Education and Promotion Commons, Women's Health Commons
