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. Issue 1 (2nd January 2016)

• Record Type: Journal Article
• Authors: Vagenas, Panagiotis; Zelenev, Alexei; Altice, Frederick L.; Di Paola, Angela; Jordan, Alison O.; Teixeira, Paul A.; Frew, Paula M.; Spaulding, Anne C.; Springer, Sandra A.
• Is Part Of: AIDS care. Volume 28:Issue 1(2016)
• Page Start: 22
• Page End: 31
• Publication Date: 2016-01-02
• Subjects: MSM -- Black -- HIV -- jail -- retention in care -- insurance -- addiction -- adherence -- secondary prevention; AIDS (Disease) -- Social aspects -- Periodicals; AIDS (Disease) -- Psychological aspects -- Periodicals; AIDS (Disease) -- Patients -- Care -- Periodicals; Acquired Immunodeficiency Syndrome; 362.1969792
• DOI: 10.1080/09540121.2015.1062464
• Languages: English
• ISSNs: 0954-0121

Abstract

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.