HIV/STI/HCV Risk Clusters and Hierarchies Experienced by Women Recently Released from Incarceration
Abstract
:1. Introduction
2. Methods
2.1. Intervention
2.2. Recruitment and Enrollment
2.3. Measures
2.3.1. SAVA Syndemic Explanatory Variables
2.3.2. Lifetime Trauma
2.3.3. Covariates
2.3.4. Outcome Variable
- −
- Risk behaviors were measured using the GAIN HIV risk scale (α = 0.96).
- −
- Self-reported HIV/STI/HCV was recorded as “yes” upon receipt of a positive answer to the question “In the past 6 months, have you been diagnosed with a sexually transmitted disease/HIV/HEP C?” [40].
2.4. Statistical Analyses
2.5. Bivariate Analyses
2.6. Clusters
2.7. Logistic Regression
3. Results
Multivariate Logistic Regression (Longitudinal)
4. Discussion
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Clusters | Pseudo-F |
---|---|
2 | 21.6 |
3 | 18.2 |
4 | 16.0 |
5 | 14.4 |
6 | 13.1 |
Characteristic | Cluster 1 N = 34 | Cluster 2 N = 45 | Cluster 3 N = 74 | Entire Sample N = 206 * |
---|---|---|---|---|
Sociodemographic characteristics | ||||
Age 40 years or older | 53% | 44% | 5% | 35% |
BIWOC race/ethnicity | 53% | 22% | 59% | 46% |
Some college or greater education | 32% | 56% | 19% | 34% |
Housing status | ||||
Unhoused | 47% | 40% | 32% | 34% |
Childhood trauma | ||||
Physical abuse aged <16 | 68% | 51% | 41% | 49% |
Sex coerced aged <16 | 79% | 67% | 20% | 50% |
Sex forced aged <16 | 67% | 40% | 4% | 30% |
Other substance use | ||||
Marijuana use past 90 days | 59% | 9% | 36% | 33% |
Alcohol use past 90 days | 76% | 9% | 41% | 40% |
Expanded SAVA syndemic risk clusters | ||||
Substance Use | ||||
Hard drug use past 90 days | 97% | 0% | 28% | 39% |
Prescription drug use past 90 days | 24% | 4% | 09% | 13% |
Intimate partner violence | ||||
Physical abuse aged >16 | 85% | 84% | 57% | 72% |
Sex coerced aged >16 | 62% | 71% | 1% | 33% |
Sex forced aged >16 | 67% | 73% | 5% | 38% |
Mental health | ||||
Severe depression | 94% | 58% | 70% | 75% |
PTSD | 91% | 96% | 74% | 84% |
HIV/STI/HCV outcome | ||||
Unprotected sex past 30 days | 88% | 53% | 30% | 50% |
Sex while high, with HIV+ partner, or with IDU partner, past 30 days | 62% | 13% | 4% | 20% |
HIV/STI/HCV Composite | Odds Ratio | Std. Err. | p > |z| | Lower 95% CI | Upper 95% CI |
---|---|---|---|---|---|
Sociodemographic characteristics | |||||
Age 40 years or older | 0.82 | 0.3617316 | 0.660 | 0.34 | 1.94 |
BIWOC race/ethnicity | 0.79 | 0.3975951 | 0.651 | 0.30 | 2.11 |
Some college or greater education | 1.30 | 0.59 | 0.561 | 0.53 | 3.17 |
Housing status | |||||
Unhoused | 1.90 | 0.8027072 | 0.126 | 0.83 | 4.35 |
Childhood trauma | |||||
Physical abuse aged <16 | 0.95 | 0.4239064 | 0.925 | 0.40 | 2.28 |
Sex coerced aged <16 | 2.30 | 1.086514 | 0.077 + | 0.91 | 5.80 |
Sex forced aged <16 | 1.12 | 0.5329074 | 0.811 | 0.44 | 2.84 |
Other substance use | |||||
Marijuana use (past 90 days) | 0.69 | 0.3242343 | 0.430 | 0.27 | 1.73 |
Alcohol use (past 90 days) | 1.65 | 0.760738 | 0.273 | 0.67 | 4.07 |
Expanded SAVA syndemic risk clusters | |||||
Substance use | |||||
Hard drug use (past 90 days) | 4.32 | 2.087291 | 0.002 ** | 1.67 | 11.13 |
Prescription drug use (past 90 days) | 1.16 | 0.7085623 | 0.796 | 0.35 | 3.83 |
Intimate partner violence | |||||
Physical abuse aged >16 | 2.64 | 1.552898 | 0.097 | 0.83 | 8.35 |
Sex coerced aged >16 | 0.69 | 0.3506522 | 0.472 | 0.25 | 1.86 |
Sex forced aged >16 | 1.70 | 0.7946392 | 0.251 | 0.68 | 4.25 |
Mental health | |||||
Severe depression | 1.17 | 0.6326619 | 0.770 | 0.40 | 3.37 |
PTSD positive | 2.37 | 1.767297 | 0.244 | 0.55 | 10.20 |
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Johnson, K.A.; Hunt, T.; Puglisi, L.; Chapman, B.; Epa-Llop, A.; Elumn, J.; Braick, P.; Bhagat, N.; Ko, E.; Nguyen, A.; et al. HIV/STI/HCV Risk Clusters and Hierarchies Experienced by Women Recently Released from Incarceration. Healthcare 2023, 11, 1066. https://doi.org/10.3390/healthcare11081066
Johnson KA, Hunt T, Puglisi L, Chapman B, Epa-Llop A, Elumn J, Braick P, Bhagat N, Ko E, Nguyen A, et al. HIV/STI/HCV Risk Clusters and Hierarchies Experienced by Women Recently Released from Incarceration. Healthcare. 2023; 11(8):1066. https://doi.org/10.3390/healthcare11081066
Chicago/Turabian StyleJohnson, Karen A., Timothy Hunt, Lisa Puglisi, Ben Chapman, Amali Epa-Llop, Johanna Elumn, Peter Braick, Navya Bhagat, Elizabeth Ko, Antoinette Nguyen, and et al. 2023. "HIV/STI/HCV Risk Clusters and Hierarchies Experienced by Women Recently Released from Incarceration" Healthcare 11, no. 8: 1066. https://doi.org/10.3390/healthcare11081066