HIV-infected men who have sex with men, before and after release from jail: the impact of age and race, results from a multi-site study

AIDS Care. 2016;28(1):22-31. doi: 10.1080/09540121.2015.1062464. Epub 2015 Aug 14.


The US HIV/AIDS epidemic is concentrated among men who have sex with men (MSM). Black men are disproportionately affected by incarceration and Black MSM experience higher infection rates and worse HIV-related health outcomes compared to non-Black MSM. We compared HIV treatment outcomes for Black MSM to other HIV-infected men from one of the largest cohorts of HIV-infected jail detainees (N = 1270) transitioning to the community. Of the 574 HIV-infected men released, 113 (19.7%) self-identified as being MSM. Compared to other male subgroups, young Black MSM (<30 years old, N = 18) were significantly less likely: (1) before incarceration, to have insurance, access to an HIV healthcare provider, and use cocaine; (2) during incarceration, to receive a disease management intervention; and (3) in the 6 months post-release, to link to HIV care. Interventions that effectively link and retain young HIV-infected Black MSM in care in communities before incarceration and post-release from jail are urgently needed.

Keywords: Black; HIV; MSM; addiction; adherence; insurance; jail; retention in care; secondary prevention.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Anti-HIV Agents / therapeutic use*
  • Black People / statistics & numerical data*
  • Black or African American / statistics & numerical data
  • Continuity of Patient Care*
  • HIV Infections / drug therapy*
  • HIV Infections / ethnology
  • Health Services Accessibility
  • Healthcare Disparities
  • Homosexuality, Male / ethnology*
  • Homosexuality, Male / statistics & numerical data
  • Humans
  • Insurance, Health
  • Kaplan-Meier Estimate
  • Male
  • Prisoners*
  • Prisons*
  • Racial Groups / statistics & numerical data
  • Treatment Outcome
  • Young Adult


  • Anti-HIV Agents