Incarceration history and HIV testing among people who inject drugs in the Boston metro area: a pooled cross-sectional study
2024

HIV Testing and Incarceration History Among People Who Inject Drugs in Boston

Sample size: 957 publication 10 minutes Evidence: moderate

Author Information

Author(s): Bovell-Ammon Benjamin J., Onofrey Shauna, Kimmel Simeon D., Wurcel Alysse G., Klevens Monina

Primary Institution: UMass Chan Medical School-Baystate and Baystate Medical Center

Hypothesis

Does incarceration history influence HIV testing rates among people who inject drugs?

Conclusion

Incarceration is a common experience among people who inject drugs and serves as a significant source of HIV testing, but overall testing rates need improvement.

Supporting Evidence

  • 58.5% of participants reported past-year HIV testing.
  • 74% of those with past-year incarceration reported past-year HIV testing.
  • 30.5% of those with past-year incarceration received their last HIV test while incarcerated.

Takeaway

Many people who inject drugs get tested for HIV while in jail or prison, but we need to make sure everyone gets tested more often.

Methodology

Secondary analysis of cross-sectional survey data from the National HIV Behavioral Surveillance system.

Potential Biases

Self-reported behaviors may be subject to social desirability bias.

Limitations

The study is cross-sectional, limiting causal inference, and relies on self-reported data which may be biased.

Participant Demographics

Average age 38.9 years; 70.1% male; 15.2% Hispanic; 8.4% non-Hispanic Black; 68.1% non-Hispanic White.

Statistical Information

P-Value

1.39; 95% CI: 1.29, 1.49

Confidence Interval

1.29, 1.49

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5367945

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