Timing and Duration of Incarceration and High-Risk Sexual Partnerships Among African Americans in North Carolina

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• 作者：Maria R. Khan ; William C. Miller ; Victor J. Schoenbach ; Sharon S. Weir ; Jay S. Kaufman ; David A. Wohl ; Adaora A. Adimora
• 关键词：Incarceration ; Poverty ; Sexual Behavior ; HIV ; Sexually Transmitted Infections ; African Americans ; Southern U.S. ; North Carolina
• 刊名：Annals of Epidemiology
• 出版年：2008
• 出版时间：May 2008
• 年：2008
• 卷：18
• 期：5
• 页码：403-410
• 全文大小：152 K

文摘

Treatment needs were assessed at admission into prison-based substance abuse treatment; participants were admitted into community-based treatment upon parole. Descriptive statistics and multiple regression were used to examine their treatment needs; logistic regression analysis was used to determine the factors related to completion of the aftercare program. Analysis of variance was used to examine ethnic differences in treatment needs.

Results

Greater treatment needs were associated with unstable housing before incarceration, a history of sexual or physical abuse, mental health problems, alcohol or drug dependence, and first arrest at age <19; lower treatment needs were associated with having been mandated to prison-based treatment (versus volunteering). Mental health problems and earlier age at first arrest predicted treatment noncompletion. Drug dependence was associated with higher treatment needs and a greater likelihood of treatment completion, whereas African American and Hispanic ethnicity were both associated with lower treatment needs (compared with Whites) and a lower likelihood of treatment completion.

Conclusions

Interventions are needed to engage substance-abusing women offenders in community treatment after parole to address their treatment needs, improve their retention in treatment, and reduce the likelihood of recidivism.