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Factors Associated With Incarceration History Among HIV-Positive Persons Experiencing Homelessness or Imminent Risk of Homelessness

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Abstract

Among persons living with HIV/AIDS (PLWHA) experiencing homelessness or imminent risk of homelessness, a history of incarceration may serve as a marker for ongoing risk behavior or health disparities. We examined factors associated with a history of incarceration among HIV-positive clients of housing agencies in Baltimore, Chicago, and Los Angeles (N = 581). We used logistic regression to conduct analyses. Of the 581 participants, 68% (n = 438) reported a history of incarceration: 32% (n = 182) had spent more than 1 year incarcerated. After adjustment for covariates, incarceration history was associated with having ever injected drugs, ever engaged in sex exchange, and ever experienced physical abuse. Incarceration history was also associated with having a detectable HIV viral load, better mental health, and being a biological parent. It was not associated with current risk behavior. Service providers may explore possible increased need for medical support among homeless PLWHA with a history of incarceration.

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Acknowledgments

Funding for the research study was provided by the Centers for Disease Control and Prevention to RTI International under contract 200-2001-0123, Task 9; and funding for tenant-based permanent supportive rental housing assistance was provided by the Department of Housing and Urban Development. We thank the HUD grantee agencies in the participating cities and the following persons for their many contributions to the research: Angela Aidala (Columbia University), Paul Dornan (HUD), David Harre, David R. Holtgrave (Johns Hopkins University), Fred Licari (RTI), Scott Royal (Abt Associates), William Rudy (HUD), Ron Stall (University of Pittsburgh), Esther Sumartojo (CDC), David Vos (HUD), and Richard J. Wolitski (CDC).

Disclaimer

The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

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Authors and Affiliations

  1. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., NE, Mailstop E-37, Atlanta, GA, 30333, USA

    Cari Courtenay-Quirk & Kirk Henny

  2. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd., NE, Mailstop E-45, Atlanta, GA, 30333, USA

    Sherri L. Pals

  3. Global AIDS Program, Centers for Disease Control and Prevention, 1600 Clifton Rd., NE, Mailstop E-04, Atlanta, GA, 30333, USA

    Daniel P. Kidder

  4. Department of Psychology, Georgia State University, P.O. Box 5010, Atlanta, GA, 30302-5010, USA

    James G. Emshoff

Authors
  1. Cari Courtenay-Quirk
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  2. Sherri L. Pals
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  3. Daniel P. Kidder
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  4. Kirk Henny
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  5. James G. Emshoff
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Correspondence to Cari Courtenay-Quirk.

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Courtenay-Quirk, C., Pals, S.L., Kidder, D.P. et al. Factors Associated With Incarceration History Among HIV-Positive Persons Experiencing Homelessness or Imminent Risk of Homelessness. J Community Health 33, 434–443 (2008). https://doi.org/10.1007/s10900-008-9115-7

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  • DOI: https://doi.org/10.1007/s10900-008-9115-7

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