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Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Criminal Legal Involvement

Author

Listed:
  • Tyler D. Harvey

    (SEICHE Center for Health and Justice, Yale School of Medicine, New Haven, CT 06511, USA)

  • Ijeoma Opara

    (Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06511, USA)

  • Emily A. Wang

    (SEICHE Center for Health and Justice, Yale School of Medicine, New Haven, CT 06511, USA
    Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06511, USA)

Abstract

Limited research has focused on how substance use and sexual risk behaviors differ among individuals impacted by the criminal legal system based on social identities. Using the National Survey on Drug Use and Health, we estimated relative risk for reporting a sexually transmitted infection (STI) among intersectional social groups with criminal legal involvement using a modified Poisson regression. We then utilized multivariate logistic regression and marginal effects to measure associations between substance use behaviors and STIs and to estimate whether these varied among the intersectional social groups with elevated STI rates. Three groups had elevated risk of reporting an STI compared to white, heterosexual men: white, heterosexual women (1.53, 95% CI: 1.05–2.20); Black, heterosexual women (2.03, 95% CI: 1.18–3.49); and white, gay or bisexual men (5.65, 95% CI: 2.61–12.20). Considering the intersections of gender, race, and sexual orientation, elevated risks for STIs among white and Black heterosexual women were mitigated after adjusting for substance use alongside other confounders. Only those who identified as white, gay or bisexual, and male had increased STI risk after controlling for substance use. Interventions targeting Black and white heterosexual women’s sexual health following incarceration should focus on substance use and interventions targeting white, gay or bisexual men should focus on healthy sexual behaviors, HIV/STI screening, and care continuum efforts.

Suggested Citation

  • Tyler D. Harvey & Ijeoma Opara & Emily A. Wang, 2022. "Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Crimi," IJERPH, MDPI, vol. 19(7), pages 1-14, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4100-:d:783289
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    References listed on IDEAS

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    1. Donte T. Boyd & Ijeoma Opara & Camille R. Quinn & Bernadine Waller & S. Raquel Ramos & Dustin T. Duncan, 2021. "Associations between Parent–Child Communication on Sexual Health and Drug Use and Use of Drugs during Sex among Urban Black Youth," IJERPH, MDPI, vol. 18(10), pages 1-14, May.
    2. Hallfors, D.D. & Iritani, B.J. & Miller, W.C. & Bauer, D.J., 2007. "Sexual and drug behavior patterns and HIV and STD racial disparities: The need for new directions," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 125-132.
    3. Wiehe, S.E. & Rosenman, M.B. & Aalsma, M.C. & Scanlon, M.L. & Fortenberry, J.D., 2015. "Epidemiology of sexually transmitted infections among offenders following arrest or incarceration," American Journal of Public Health, American Public Health Association, vol. 105(12), pages 26-32.
    4. Bauer, Greta R., 2014. "Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity," Social Science & Medicine, Elsevier, vol. 110(C), pages 10-17.
    5. Friedman, S.R. & Cooper, H.L.F. & Osborne, A.H., 2009. "Structural and social contexts of HIV risk among African Americans," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 1002-1008.
    6. Meyer, I.H. & Flores, A.R. & Stemple, L. & Romero, A.P. & Wilson, B.D.M. & Herman, J.L., 2017. "Incarceration rates and traits of sexual minorities in the United States: National inmate survey, 2011-2012," American Journal of Public Health, American Public Health Association, vol. 107(2), pages 267-273.
    7. Gráinne Donohue & Edward McCann & Michael Brown, 2021. "Views and Experiences of LGBTQ+ People in Prison Regarding Their Psychosocial Needs: A Systematic Review of the Qualitative Research Evidence," IJERPH, MDPI, vol. 18(17), pages 1-17, September.
    8. Randolph C. H. Chan & Don Operario & Winnie W. S. Mak, 2020. "Effects of HIV-Related Discrimination on Psychosocial Syndemics and Sexual Risk Behavior among People Living with HIV," IJERPH, MDPI, vol. 17(6), pages 1-15, March.
    9. Friedman, S.R. & Cooper, H.L.F. & Osborne, A.H., 2009. "Structural and social contexts of HIV risk among African Americans (American Journal of Public Health (2009) 99, (1002-1008) doi: 10.2105/AJPH.2008.140327)," American Journal of Public Health, American Public Health Association, vol. 99(8), pages 1352-1352.
    10. Des Jarlais, D.C. & Arasteh, K. & McKnight, C. & Hagan, H. & Perlman, D.C. & Semaan, S., 2011. "Associations between herpes simplex virus type 2 and HCV with HIV among injecting drug users in New York City: The current importance of sexual transmission of HIV," American Journal of Public Health, American Public Health Association, vol. 101(7), pages 1277-1283.
    11. Bowleg, L., 2012. "The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1267-1273.
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