Sexually Transmitted Infections in Association With Area-Level Prostitution and Drug-Related Arrests. Issue 7 (July 2021)
- Record Type:
- Journal Article
- Title:
- Sexually Transmitted Infections in Association With Area-Level Prostitution and Drug-Related Arrests. Issue 7 (July 2021)
- Main Title:
- Sexually Transmitted Infections in Association With Area-Level Prostitution and Drug-Related Arrests
- Authors:
- Magee, Lauren A.
Fortenberry, James Dennis
Nelson, Tammie
Roth, Alexis
Arno, Janet
Wiehe, Sarah E. - Abstract:
- Abstract : Objectives: This study aimed to examine the mediators and moderators of area-level prostitution arrests and sexually transmitted infections (STIs) using population-level data. Methods: Using justice and public health STI/HIV data in Marion County (Indianapolis), Indiana, during an 18-year period, we assessed the overall association of area-level prostitution and drug-related arrests and STI/HIV, and mediators and moderators of the relationship. Point-level arrests were geocoded and aggregated by a census block group. Results: Results indicate a positive relationship between numbers of prostitution arrests and area-level STI rates. There was a dose-response relationship between prostitution arrests and STI rates when accounting for drug-related arrests. The highest quintile block groups had significantly higher rates of reported chlamydia (incident rate ratio [IRR], 3.29; 95% confidence interval [CI], 2.82–3.84), gonorrhea (IRR, 4.73; 95% CI, 3.90–5.57), syphilis (IRR, 4.28; 95% CI, 3.47–5.29), and HIV (IRR, 2.76; 95% CI, 2.24–3.39) compared with the lowest quintile. When including drug arrests, the second (IRR, 1.19; 95% CI, 1.03–1.38) and the third (IRR, 1.20; 95% CI, 1.02–1.41) highest quintile block groups had lower IRR for reported rates of chlamydia, indicating that drug arrests mediated the prostitution arrest effect. Conclusions: These findings inform public health agencies and community-based organizations that conduct outreach in these areas to expandAbstract : Objectives: This study aimed to examine the mediators and moderators of area-level prostitution arrests and sexually transmitted infections (STIs) using population-level data. Methods: Using justice and public health STI/HIV data in Marion County (Indianapolis), Indiana, during an 18-year period, we assessed the overall association of area-level prostitution and drug-related arrests and STI/HIV, and mediators and moderators of the relationship. Point-level arrests were geocoded and aggregated by a census block group. Results: Results indicate a positive relationship between numbers of prostitution arrests and area-level STI rates. There was a dose-response relationship between prostitution arrests and STI rates when accounting for drug-related arrests. The highest quintile block groups had significantly higher rates of reported chlamydia (incident rate ratio [IRR], 3.29; 95% confidence interval [CI], 2.82–3.84), gonorrhea (IRR, 4.73; 95% CI, 3.90–5.57), syphilis (IRR, 4.28; 95% CI, 3.47–5.29), and HIV (IRR, 2.76; 95% CI, 2.24–3.39) compared with the lowest quintile. When including drug arrests, the second (IRR, 1.19; 95% CI, 1.03–1.38) and the third (IRR, 1.20; 95% CI, 1.02–1.41) highest quintile block groups had lower IRR for reported rates of chlamydia, indicating that drug arrests mediated the prostitution arrest effect. Conclusions: These findings inform public health agencies and community-based organizations that conduct outreach in these areas to expand their efforts to include harm reduction and HIV/STI testing for both sex workers and individuals experiencing substance use disorder. Another implication of these data is the importance of greater collaboration in public health and policing efforts to address overlapping epidemics that engage both health and legal interventions. Abstract : Our study demonstrates the overlapping but distinctive ways by which communities are differentially represented in sexually transmitted infection surveillance data: both prostitution arrests and drug-related arrests are associated with area-level sexually transmitted infection rates.Supplemental digital content is available in the text. … (more)
- Is Part Of:
- Sexually transmitted diseases. Volume 48:Issue 7(2021)
- Journal:
- Sexually transmitted diseases
- Issue:
- Volume 48:Issue 7(2021)
- Issue Display:
- Volume 48, Issue 7 (2021)
- Year:
- 2021
- Volume:
- 48
- Issue:
- 7
- Issue Sort Value:
- 2021-0048-0007-0000
- Page Start:
- Page End:
- Publication Date:
- 2021-07
- Subjects:
- Sexually transmitted diseases -- Periodicals
Sexual health -- Periodicals
616.951005 - Journal URLs:
- http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=toc&D=ovft&AN=00007435-000000000-00000 ↗
http://www.stdjournal.com ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/OLQ.0000000000001345 ↗
- Languages:
- English
- ISSNs:
- 0148-5717
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 8254.486500
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 25570.xml