ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Sexuality, sexual practices, and HIV risk among incarcerated African-American women in North Carolina.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.
- HIV risk inside U.S. prisons: a systematic review of risk reduction interventions conducted in U.S. prisons.AIDS care · 2017Pooled it
- Psychosocial Determinants of Health among Incarcerated Black Women: A Systematic Literature Review.Journal of health care for the poor and underserved · 2016Pooled it
- The Application of Systems Thinking to the Prevention and Control of Sexually Transmissible Infections among Adolescents and Adults: A Scoping Review.International journal of environmental research and public health · 2023Article
- An application of agent-based modeling to explore the impact of decreasing incarceration rates and increasing drug treatment access on sero-discordant partnerships among people who inject drugs.The International journal on drug policy · 2021Article
- A Latent Class Analysis of HIV Risk Factors Among Men and Women with Opioid Use Disorder in Pre-trial Detention.AIDS and behavior · 2020Article
- Incarceration and Number of Sexual Partners After Incarceration Among Vulnerable US Women, 2007-2017.American journal of public health · 2020Article
- Personal agency and alcohol abstinence self-efficacy among incarcerated women.Journal of offender rehabilitation · 2019Article
- Gender Differences in HIV Risk Behaviors Among Persons Involved in the U.S. Criminal Justice System and Living with HIV or at Risk for HIV: A "Seek, Test, Treat, and Retain" Harmonization Consortium.AIDS and behavior · 2017Article
- HIV treatment and care among Italian inmates: a one-month point survey.BMC infectious diseases · 2015Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundWomen who have been in prison carry a greater lifetime risk of HIV for reasons that are not well understood. This effect is amplified in the Southeastern United States, where HIV incidence and prevalence is especially high among African-American (AA) women. The role of consensual sexual partnerships in the context of HIV risk, especially same-sex partnerships, merits further exploration.
methodsWe conducted digitally recorded qualitative interviews with 29 AA women (15 HIV positive, 14 HIV negative) within 3 months after entry into the state prison system. We explored potential pre-incarceration HIV risk factors, including personal sexual practices. Two researchers thematically coded interview transcripts and a consensus committee reviewed coding.
resultsWomen reported complex sexual risk profiles during the 6 months before incarceration, including sex with women as well as prior sexual partnerships with both men and women. Condom use with primary male partners was low and a history of transactional sex work was prevalent. These behaviors were linked with substance use, particularly among HIV-positive women.
conclusionsAlthough women may not formally identify as bisexual or lesbian, sex with women was an important component of this cohort's sexuality. Addressing condom use, heterogeneity of sexual practices, and partner concurrency among at-risk women should be considered for reducing HIV acquisition and preventing forward transmission in women with a history of incarceration.
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