• Andrea K Knittel, Jacqueline E Rudolph, Bonnie E Shook-Sa, Andrew Edmonds, Catalina Ramirez, Mardge Cohen, Tonya Taylor, Adebola Adedimeji, Katherine G Michel, Joel Milam, Jennifer Cohen, Jessica D Donohue, Antonina Foster, Margaret A Fischl, Dustin M Long, and Adaora A Adimora.
• Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
• J Womens Health (Larchmt). 2022 Mar 1; 31 (3): 382390382-390.

AbstractBackground: U.S. women who have been incarcerated report high rates of sexual risk behavior and sexually transmitted infections (STIs). Materials and Methods: We estimated the effect of incarceration on the time to first incident STI in a multicenter cohort of U.S. women with or at risk for HIV. We used marginal structural models to compare time to first self-reported gonorrhea, chlamydia, or trichomonas infection for nonincarcerated women and incarcerated women. Covariates included demographic factors, HIV status, sex exchange, drug/alcohol use, and prior incarceration. Results: Three thousand hundred twenty-four women contributed a median of 4 at-risk years and experienced 213 first incident STI events. The crude incidence of STIs was 3.7 per 100 person-years for incarcerated women and 1.9 per 100 person-years for nonincarcerated women. The weighted hazard ratio for incident STIs was 4.05 (95% confidence interval: 1.61-10.19). Conclusion: Women with or at risk for HIV in the United States who have recently experienced incarceration may be at increased STI risk.

21 keywords...

hide…