Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan;35(1):123-130.
doi: 10.1080/09540121.2022.2094312. Epub 2022 Jul 17.

Factors associated with HIV testing and treatment among young Black MSM and trans women in three jail systems

Nicholas Antos  1 , Rey Flores  2 , Nina Harawa  3 , Natascha Del Vecchio  2 , Rodal Issema  2 , Kayo Fujimoto  4 , Aditya S Khanna  5 , Angela Di Paola  4 , John A Schneider  1   2 , Anna L Hotton  1   2
Affiliations

Factors associated with HIV testing and treatment among young Black MSM and trans women in three jail systems

Nicholas Antos et al. AIDS Care. 2023 Jan.

Abstract

Black men who have sex with men (BMSM) and transgender women (BTW) are disproportionately affected by incarceration and HIV. We assessed factors associated with HIV testing and viral suppression among 176 incarcerated BMSM and BTW in Chicago, IL; Los Angeles, CA; and Houston, TX. In multivariable logistic regression, having a sexual orientation of bisexual, heterosexual, or other vs. gay or same-gender loving was associated with higher odds of testing in custody (aOR 8.97; 95% CI 1.95 - 41.24). Binge drinking (aOR 0.19; 95% CI 0.04 - 0.92) and being unemployed prior to incarceration (aOR 0.03; 95% CI 0.00 - 0.23) were associated with lower odds of testing; participants in Los Angeles were also more likely to be tested than those in Chicago. Being housed in protective custody (aOR 3.12; 95% CI 1.09-9.59) and having a prescription for ART prior to incarceration (aOR 2.58; 95% CI 1.01-6.73) were associated with higher odds of viral suppression when adjusted for site and duration of incarceration, though the associations were not statistically significant in the full multivariable model. Future research should examine structural and process level factors that impact engagement in HIV testing and treatment among detained BMSM and BTW.

Keywords: ART adherence; HIV testing; Men who have sex with men; black/African American; jail health care; transgender women.

PubMed Disclaimer

Conflict of interest statement

Declaration of Interest

The authors declare they have no conflict of interest.

References

    1. Becasen JS, Denard CL, Mullins MM, Higa DH, & Sipe TA (2018). Estimating the Prevalence of HIV and Sexual Behaviors Among the US Transgender Population: A Systematic Review and Meta-Analysis, 2006–2017. American Journal of Public Health, 109(1), e1–e8. 10.2105/AJPH.2018.304727 - DOI - PMC - PubMed
    1. Bland SE, Mimiaga MJ, Reisner SL, White JM, Driscoll MA, Isenberg D, Cranston K, & Mayer KH (2012). Sentencing risk: history of incarceration and HIV/STD transmission risk behaviours among Black men who have sex with men in Massachusetts. Culture, health & sexuality, 14(3), 329–345. 10.1080/13691058.2011.639902 - DOI - PubMed
    1. Braithwaite RL, & Arriola KRJ (2003). Male Prisoners and HIV Prevention: A Call for Action Ignored. American Journal of Public Health, 93(5), 759. - PMC - PubMed
    1. Brewer RA, Magnus M, Kuo I, Wang L, Liu T-Y, & Mayer KH (2014a). The High Prevalence of Incarceration History Among Black Men Who Have Sex With Men in the United States: Associations and Implications. American Journal of Public Health, 104(3), 448–454. 10.2105/AJPH.2013.301786 - DOI - PMC - PubMed
    1. Brewer RA, Magnus M, Kuo I, Wang L, Liu T-Y, & Mayer KH (2014b). Exploring the relationship between incarceration and HIV among Black men who have sex with men in the United States. Journal of Acquired Immune Deficiency Syndromes (1999), 65(2), 218–225. 10.1097/01.qai.0000434953.65620.3d - DOI - PMC - PubMed

Publication types