@article {5560, title = {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.}, journal = {AIDS and behavior}, year = {2017}, month = {2017 Feb 10}, abstract = {The U.S. female criminal justice (CJ) population is rapidly growing, yet large-scale studies exploring gender-specific HIV risk behaviors in the CJ population are lacking. This analysis uses baseline data on adults with a CJ history from eight U.S. studies in an NIH-funded "Seek, Test, Treat, Retain" harmonization consortium. Data were collected using a standardized HIV risk behavior assessment tool and pooled across studies to describe participants{\textquoteright} characteristics and risk behaviors. Multilevel mixed-effects logistic regression models were used to test for gender-based behavior differences. Among 784 HIV-positive (21.4\% female) and 5521 HIV-negative (8.5\% female) participants, HIV-positive women had higher odds than HIV-positive men of engaging in condomless sexual intercourse (AOR 1.84 [1.16-2.95]) with potentially sero-discordant partners (AOR 2.40 [1.41-4.09]) and of sharing injection equipment (AOR 3.36 [1.31-8.63]). HIV risk reduction interventions targeting CJ-involved women with HIV are urgently needed as this population may represent an under-recognized potential source of HIV transmission.}, issn = {1573-3254}, doi = {10.1007/s10461-017-1722-9}, author = {Loeliger, Kelsey B and Biggs, Mary L and Young, Rebekah and Seal, David W and Beckwith, Curt G and Kuo, Irene and Gordon, Michael S and Altice, Frederick L and Ouellet, Lawrence J and Cunningham, William E and Young, Jeremy D and Springer, Sandra A} }