Yale University

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.

TitleHIV-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 TypeJournal Article
Year of Publication2015
AuthorsVagenas, 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
JournalAIDS care
Pagination1-10
Date Published2015 Aug 14
ISSN1360-0451
AbstractThe 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 (Nā€‰=ā€‰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, Nā€‰=ā€‰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 JournalAIDS Care

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