Male Incarceration Rates and Rates of Sexually Transmitted Infections: Results From a Longitudinal Analysis in a Southeastern US City.

Publisher: J B Lippincott Country of Publication: United States NLM ID: 7705941 Publication Model: Print Cited Medium: Internet ISSN: 1537-4521 (Electronic) Linking ISSN: 01485717 NLM ISO Abbreviation: Sex Transm Dis Subsets: MEDLINE

Publication: Philadelphia Pa : J B Lippincott
Original Publication: Philadelphia, Lippincott.

Prisoners*; Chlamydia Infections/*epidemiology ; Gonorrhea/*epidemiology ; HIV Infections/*epidemiology ; Syphilis/*epidemiology; Adult ; Black or African American/statistics & numerical data ; Georgia/epidemiology ; Hispanic or Latino/statistics & numerical data ; Humans ; Longitudinal Studies ; Male ; Risk-Taking ; Sexual Behavior ; United States/epidemiology ; White People/statistics & numerical data

Background: In the United States, rates of certain sexually transmitted infections (STIs) are increasing. Contextual factors seem to play an important role in shaping STI transmission dynamics. This longitudinal study explores the relationship between one contextual determinant of health (the male incarceration rate) and rates of newly diagnosed STIs in census tracts in Atlanta, GA.
Methods: The sample consisted of all census tracts in Atlanta (n = 946). Annual data on STI diagnoses were drawn from the Georgia surveillance system for 2005 to 2010; annual male incarceration data were drawn from the Georgia Department of Corrections for 2005 to 2010; and data on potential confounders were drawn from the US Census. Multivariable growth models were used to examine the association between the male incarceration rate and rates of newly diagnosed STIs, controlling for covariates.
Results: Census tracts with higher baseline male incarceration rates had a higher baseline rate of newly diagnosed STIs. Census tracts with increasing male incarceration rates experienced a more rapid increase in their rate of newly diagnosed STIs. Census tracts with medium and high baseline male incarceration rates experienced a decrease in their rate of newly diagnosed STIs over time.
Conclusions: The present study strengthens the evidence that male incarceration rates have negative consequences on sexual health outcomes, although the relationship may be more nuanced than originally thought. Future multilevel research should explore individual sexual risk behaviors and networks in the context of high male incarceration rates to better understand how male incarceration shapes rates of STIs.

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F31 MH096630 United States MH NIMH NIH HHS; R25 HD045810 United States HD NICHD NIH HHS; 1F31MH096630-01 United States MH NIMH NIH HHS; 2T32-MH07878 United States MH NIMH NIH HHS

Date Created: 20150514 Date Completed: 20160516 Latest Revision: 20221207

20240513

PMC4505749

10.1097/OLQ.0000000000000268

25970309