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

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

John A Schneider  1 , Michael Kozloski, Stuart Michaels, Britt Skaathun, Dexter Voisin, Nicola Lancki, Ethan Morgan, Aditya Khanna, Keith Green, Robert W Coombs, Samuel R Friedman, Edward Laumann, Phil Schumm; uConnectand BARS study teams
Affiliations

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

John A Schneider et al. AIDS. .

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.

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Conflict of interest statement

We have no competing interests to declare.

Figures

Figure 1
Figure 1
Adjusted estimates of HIV Treatment Continuum success by length and frequency of criminal justice detention, uConnect 2013–2014 (n=214) *p<0.05; **p<0.01; ***p<0.001
See this image and copyright information in PMC

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