Criminal justice involvement history is associated with better HIV care continuum metrics among a population-based sample of young black MSM

AIDS. 2017 Jan 2;31(1):159-165. doi: 10.1097/QAD.0000000000001269.

Abstract

Objective: To examine how history of criminal justice involvement (CJI) is related to HIV care continuum metrics among young black MSM 16-29 years of age.

Design: Population-based survey.

Methods: From 2013 to 2014, a representative sample of young black MSM was generated using respondent-driven sampling (RDS) in Chicago (n = 618). HIV antibody/antigen and RNA testing were performed using dry blood spots. Factors assessed in the care continuum included HIV testing, HIV diagnosis, linkage to care within 6 months, retention in care, adherence to antiretrovirals, and viral suppression. RDS-weighted regression models examined the associations between history of CJI, including frequency of CJI and durations of stay and each of the continuum metrics.

Results: A final analytic sample of 618 participants was generated through RDS chains of up to 13 waves in length and with a mean of 2.1 recruits per participant. At enrollment, 40.8% had prior history of CJI and 34.6% were HIV seropositive. Of persons reporting HIV seropositive status, 58.4% were linked to care, 40.2% were retained in care, 32.2% were adherent to antiretrovirals, and 24.3% were virally suppressed. Any CJI history was associated with the overall care continuum (adjusted odds ratio = 2.35; 95% confidence interval 1.13-4.88) and was most associated with increased retention in care [adjusted odds ratio = 3.72 (1.77-7.84)]. Having one CJI experience and detention for only 1 day was associated with better retention in care compared with no or more frequent CJI.

Conclusion: Those with a previous history of CJI were more successful in achieving most HIV care continuum metrics. Frequent and cycling CJI, however, was detrimental to HIV care.

MeSH terms

  • Adolescent
  • Adult
  • Anti-Retroviral Agents / therapeutic use
  • Blacks*
  • Chicago
  • Continuity of Patient Care / organization & administration*
  • Criminal Law*
  • Diagnostic Tests, Routine / statistics & numerical data
  • Drug Monitoring / statistics & numerical data
  • HIV Infections / diagnosis*
  • HIV Infections / drug therapy*
  • Homosexuality, Male
  • Humans
  • Male
  • Medication Adherence
  • Patient Acceptance of Health Care*
  • Young Adult

Substances

  • Anti-Retroviral Agents