Abstract
Ninety-seven service providers, representing 83 agencies, were interviewed about sexual and drug use HIV/STD risk behaviors and their determinants among young men who have been released from prison. Providers believed that men frequently practiced sexual risk behavior, often in conjunction with substance use. Individual determinants of risk behavior primarily focused on “making up for lost time,” being a man, degree of HIV/STD knowledge and vulnerability, desire to escape, and future orientation. Peers, partners, and family were portrayed as strong interpersonal influences on risk behavior, both positively and negatively. The dominant contextual determinant of risk behavior was the co-occurrence of sex and drug use. Structural determinants of reduced risk included stable housing, economic sufficiency, and positive community support for safer behavior (e.g., drug treatment access, needle exchange). The findings highlight the need for comprehensive, transitional case management for young men as they reintegrate into the community, including HIV/STD prevention.
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Agar, M., and Hobbs, J. R. (1982). Interpreting discourse: Coherence and the analysis of ethnographic interviews. Discourse Process, 5, 1-32.
Altice, F. L., Mostashari, F., Selwyn, P. A., Checko, P. J., Singh, R., Tanguay, S., and Blanchette, E. A. (1998). Predictors of HIV infection among newly sentenced male prisoners. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 18, 444-453.
Arriola, K. R. J., Braithwaite, R. L., Kennedy, S., Hammett, T., Tinsley, M., Wood, P., and Arboleda, C. (2001). A collaborative effort to enhance HIV/STI screening in five county jails. Public Health Reports, 116, 520-529.
Braithwaite, R. L., Hammett, T. M., and Mayberry, R. M. (1996). Prisons and AIDS: A public health challenge. San Francisco: Jossey-Bass.
Carey, J., and Seal, D. W. (1998). HIV and STD intervention research for young men leaving prison: Training manual for qualitative interviewers. Atlanta, GA: Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention.
Carey, J. W., Wenzel, P. H., Reilly, C., Sheridan, J., Steinberg, J. M., and Harbison, K. G. (1998). CDC EZ-Text: Software for collection, management and analysis of semi-structured qualitative databases (version 3.05). Atlanta, GA: Conwal Inc., for the Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention and the Academy for Educational Development (2001). Drug use, HIV, and the criminal justice system. Atlanta, GA: Author.
Chen, J. L., Callahan, D. B., and Kerndt, P. R. (2002). Syphilis control among incarcerated men who have sex with men: Public health response to an outbreak. American Journal of Public Health, 92, 1473-1475.
Clarke, J. G., Stein, M. D., Hanna, L., Sobota, M., and Rich, J. D. (2001). Active and former injection drug users report of HIV risk behaviors during periods of incarceration. Substance Abuse, 22, 209-216.
Denzin, N. K. (1989). The research act. Englewood Cliffs, NJ: Prentice-Hall.
Dixon, P. S., Flanigan, T. P., DeBuono, B. A., Laurie, J. J., DeCiantis, M. L., Hoy, J., Stein, M., Scott, H. D., and Carpernter, C. C. (1993). Infection with the human immunodeficiency virus in prisoners: Meeting the health care challenge. American Journal of Medicine, 95, 629-635.
Gaiter, J., and Doll, L. S. (1996). Editorial: Improving HIV/AIDS prevention in prisons is good public health policy. American Journal of Public Health, 86, 1201-1203.
Grinstead, O., Faigeles, B., and Zack, B. (1997). The effectiveness of peer HIV education for male inmates entering state prison. Journal of Health Education, 28(Supplement), S31-S37.
Grinstead, O. A., Zack, B., Faigeles, B., Grossman, N., and Blea, L. (1999). Reducing post-release HIV risk among male prison inmates: A peer-led intervention. Criminal Justice and Behavior, 26, 468-480.
Hall, J., and Stevens, P. (1991). Rigor in feminist research. Advances in Nursing Science, 13, 16-29.
Hammett, T. M., Harmon, P., and Maruschak, L. (1999). 1996–1997 Update: HIV/AIDS, STDs and TB in correctional facilities. Cambridge, MA: ABT Associates.
Hammett, T. M., and Widom, R. (1996). HIV/AIDS education and prevention programs for adults in prisons and jails and juveniles in confinement facilities–United States, 1994. Morbidity and Mortality Weekly Report, 45, 268-271.
Hammett, T. M., Widom, R., Epstein, J., Gross, M., Sifre, S., and Enos, T. (1995). 1994 update: HIV/AIDS and STDs in correctional facilities. Washington, DC: National Institute of Justice and Centers for Disease Control and Prevention.
Harwell, T. S., Trino, R., Rudy, B., Yorkman, S., and Gollub, E. (1999). Sexual activity, substance use, and HIV/STD knowledge among detained male adolescents with multiple versus first admissions. Sexually Transmitted Diseases, 26, 265-271.
Hensen, K. D., Longshore, D., Kowalewski, M. R., Anglin, M.D., and Annon, K. (1998). Perceived AIDS risk among adult arrestee injection drug users in Los Angeles County. AIDS Education and Prevention, 10, 447-464.
Hoxie, N. J., Chen, M., Prieve, A., Haase, B., Pfister, J., and Vergeront, J. M. (1998). HIV seroprevalence among male prison inmates in the Wisconsin correctional system. Wisconsin Medical Journal, 1998 (May), 28–31.
Mumola, C. J., and Bonczar, T. P. (1998). Substance use and treatment of adults on probation, 1995. Washington, DC: U.S. Department of Justice, Bureau of Justice Statistics.
Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8, 27-37.
Spradley, J. P. (1980). Participant observation. New York: Holt, Rinehart and Winston.
St. Lawrence, J. S., Eldridge, G. D., Shelby, M. C., Little, C. E., Brasfield, T. L., and O'Bannon, R. E. (1997). HIV risk reduction for incarcerated women: A comparison of brief interventions based on two theoretical models. Journal of Consulting and Clinical Psychology, 65, 504-509.
U.S. Department of Justice, Bureau of Justice Statistics (2001). HIV in prisons and jails, 1999. Washington, DC: Author.
Wexler, H. K., Magura, S., Beardsley, M. M., and Josepher, H. (1994). ARRIVE: An AIDS education/relapse prevention model for high-risk parolees. International Journal of the Addictions, 29, 361-386.
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Seal, D.W., Margolis, A.D., Sosman, J. et al. HIV and STD Risk Behavior Among 18- to 25-Year-Old Men Released from U.S. Prisons: Provider Perspectives. AIDS Behav 7, 131–141 (2003). https://doi.org/10.1023/A:1023942223913
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DOI: https://doi.org/10.1023/A:1023942223913