Title | HIV-infected men who have sex with men, before and after release from jail: the impact of age and race, results from a multi-site study. |
Publication Type | Journal Article |
Year of Publication | 2015 |
Authors | Vagenas, Panagiotis, Alexei Zelenev, Frederick L. Altice, Angela Di Paola, Alison O. Jordan, Paul A. Teixeira, Paula M. Frew, Anne C. Spaulding, and Sandra A. Springer |
Journal | AIDS care |
Pagination | 1-10 |
Date Published | 2015 Aug 14 |
ISSN | 1360-0451 |
Abstract | The US HIV/AIDS epidemic is concentrated among men who have sex with men (MSM). Black men are disproportionately affected by incarceration and Black MSM experience higher infection rates and worse HIV-related health outcomes compared to non-Black MSM. We compared HIV treatment outcomes for Black MSM to other HIV-infected men from one of the largest cohorts of HIV-infected jail detainees (N = 1270) transitioning to the community. Of the 574 HIV-infected men released, 113 (19.7%) self-identified as being MSM. Compared to other male subgroups, young Black MSM (<30 years old, N = 18) were significantly less likely: (1) before incarceration, to have insurance, access to an HIV healthcare provider, and use cocaine; (2) during incarceration, to receive a disease management intervention; and (3) in the 6 months post-release, to link to HIV care. Interventions that effectively link and retain young HIV-infected Black MSM in care in communities before incarceration and post-release from jail are urgently needed. |
Alternate Journal | AIDS Care |