Incarceration, Social Support Networks, and Health among Black Sexual Minority Men and Transgender Women: Evidence from the HPTN 061 Study

Joy D. Scheidell (), Farzana Kapadia, Rodman E. Turpin, Medha Mazumdar, Typhanye V. Dyer, Jonathan Feelemyer, Charles M. Cleland, Russell Brewer, Sharon D. Parker, Natalia M. Irvine, Molly Remch, Kenneth H. Mayer and Maria R. Khan
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Joy D. Scheidell: Department of Population Health, New York University Grossman School of Medicine, New York, NY 10016, USA
Farzana Kapadia: School of Global Public Health, New York University, New York, NY 10012, USA
Rodman E. Turpin: School of Public Health, Epidemiology and Biostatistics, University of Maryland at College Park, College Park, MD 20742, USA
Medha Mazumdar: Department of Population Health, New York University Grossman School of Medicine, New York, NY 10016, USA
Typhanye V. Dyer: School of Public Health, Epidemiology and Biostatistics, University of Maryland at College Park, College Park, MD 20742, USA
Jonathan Feelemyer: Department of Population Health, New York University Grossman School of Medicine, New York, NY 10016, USA
Charles M. Cleland: Department of Population Health, New York University Grossman School of Medicine, New York, NY 10016, USA
Russell Brewer: Department of Medicine, University of Chicago, Chicago, IL 60637, USA
Sharon D. Parker: Department of Social Work, North Carolina Agricultural and Technical State University, Greensboro, NC 27411, USA
Natalia M. Irvine: Department of Population Health, New York University Grossman School of Medicine, New York, NY 10016, USA
Molly Remch: Department of Epidemiology, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
Kenneth H. Mayer: Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA
Maria R. Khan: Department of Population Health, New York University Grossman School of Medicine, New York, NY 10016, USA

IJERPH, 2022, vol. 19, issue 19, 1-15

Abstract: Support from social networks buffers against negative effects of stress but is disrupted by incarceration. Few studies examine incarceration, social support networks, and health among Black sexual minority men (BSMM) and Black transgender women (BTW). We conducted a secondary analysis using HIV Prevention Trials Network 061 (HPTN 061), a sample of BSMM/BTW recruited from six US cities. We measured associations between recent incarceration reported at six months follow-up and social support networks at twelve months follow-up, and cross-sectional associations between support networks and twelve-month health outcomes (e.g., sexual partnerships, substance use, healthcare access and depressive symptoms). Among the analytic sample (N = 1169), recent incarceration was associated with small medical support networks (adjusted risk ratio [aRR] 1.16, 95% CI 1.01, 1.34) and small financial support networks (aRR 1.18, 95% CI 1.04, 1.35). Support networks were associated with multiple partnerships (adjusted prevalence ratio [aPR] 0.77, 95% CI 0.65, 0.90), unhealthy alcohol use (aPR 1.20, 95% CI 0.96, 1.51), and depressive symptoms (aPR 1.16, 95% CI 0.99, 1.36). Incarceration adversely impacts social support networks of BSMM/BTW, and support networks were associated with a range of important health outcomes.

Keywords: incarceration; social networks; sexual minorities (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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