Mediation of the Effect of Incarceration on Selling Sex Among Black Sexual Minority Men and Black Transgender Women in the HPTN 061 Study

Molly Remch; Joy D. Scheidell; Charles M. Cleland; Rodman Turpin; Dustin T. Duncan; Typhanye T. Dyer; Jay S. Kaufman; Medha Mazumdar; Russell Brewer; Jonathan Feelemyer; Kenneth H. Mayer; Maria R. Khan

doi:10.1007/s10461-023-04003-5

Mediation of the Effect of Incarceration on Selling Sex Among Black Sexual Minority Men and Black Transgender Women in the HPTN 061 Study

Molly Remch, Joy D. Scheidell, Charles M. Cleland, Rodman Turpin, Dustin T. Duncan, Typhanye T. Dyer, Jay S. Kaufman, Medha Mazumdar, Russell Brewer, Jonathan Feelemyer, Kenneth H. Mayer, Maria R. Khan

Urban Initiative

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Abstract

Incarceration among Black sexual minority men and Black transgender women (BSMM/BTW) is disproportionately high in the United States. Limited research has documented the disruptive effect of incarceration on sexual networks and sexual partnership exchange among BSMM/BTW. We estimate the influence of incarceration on selling sex and mediating pathways among 1169 BSMM/BTW enrolled in the HIV Prevention Trials Network (HPTN) 061 cohort to assess this relationship. Mediators investigated were social support, violence, illicit drug use, and distress due to experienced racism and homophobia. During the 6 months following baseline, 14% of the cohort was incarcerated, including 24% of BTW. After adjustment, recent incarceration was associated with 1.57 (95% CI 1.02, 2.42) times the risk of subsequently selling sex. The hypothesized mediators together explained 25% of the relationship, with an indirect effect risk ratio of 1.09 (95% CI 0.97, 1.24). Our results document an association and call for more research investigating mechanisms.

Original language	English (US)
Pages (from-to)	2791-2802
Number of pages	12
Journal	AIDS and Behavior
Volume	27
Issue number	8
DOIs	https://doi.org/10.1007/s10461-023-04003-5
State	Published - Aug 2023

Keywords

Black sexual minority men
Black transgender women
Incarceration
Mediation
Selling sex

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-023-04003-5

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Remch, M., Scheidell, J. D., Cleland, C. M., Turpin, R., Duncan, D. T., Dyer, T. T., Kaufman, J. S., Mazumdar, M., Brewer, R., Feelemyer, J., Mayer, K. H., & Khan, M. R. (2023). Mediation of the Effect of Incarceration on Selling Sex Among Black Sexual Minority Men and Black Transgender Women in the HPTN 061 Study. AIDS and Behavior, 27(8), 2791-2802. https://doi.org/10.1007/s10461-023-04003-5

Remch, M, Scheidell, JD, Cleland, CM, Turpin, R, Duncan, DT, Dyer, TT, Kaufman, JS, Mazumdar, M, Brewer, R, Feelemyer, J, Mayer, KH & Khan, MR 2023, 'Mediation of the Effect of Incarceration on Selling Sex Among Black Sexual Minority Men and Black Transgender Women in the HPTN 061 Study', AIDS and Behavior, vol. 27, no. 8, pp. 2791-2802. https://doi.org/10.1007/s10461-023-04003-5

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abstract = "Incarceration among Black sexual minority men and Black transgender women (BSMM/BTW) is disproportionately high in the United States. Limited research has documented the disruptive effect of incarceration on sexual networks and sexual partnership exchange among BSMM/BTW. We estimate the influence of incarceration on selling sex and mediating pathways among 1169 BSMM/BTW enrolled in the HIV Prevention Trials Network (HPTN) 061 cohort to assess this relationship. Mediators investigated were social support, violence, illicit drug use, and distress due to experienced racism and homophobia. During the 6 months following baseline, 14% of the cohort was incarcerated, including 24% of BTW. After adjustment, recent incarceration was associated with 1.57 (95% CI 1.02, 2.42) times the risk of subsequently selling sex. The hypothesized mediators together explained 25% of the relationship, with an indirect effect risk ratio of 1.09 (95% CI 0.97, 1.24). Our results document an association and call for more research investigating mechanisms.",

keywords = "Black sexual minority men, Black transgender women, Incarceration, Mediation, Selling sex",

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doi = "10.1007/s10461-023-04003-5",

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AU - Duncan, Dustin T.

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AB - Incarceration among Black sexual minority men and Black transgender women (BSMM/BTW) is disproportionately high in the United States. Limited research has documented the disruptive effect of incarceration on sexual networks and sexual partnership exchange among BSMM/BTW. We estimate the influence of incarceration on selling sex and mediating pathways among 1169 BSMM/BTW enrolled in the HIV Prevention Trials Network (HPTN) 061 cohort to assess this relationship. Mediators investigated were social support, violence, illicit drug use, and distress due to experienced racism and homophobia. During the 6 months following baseline, 14% of the cohort was incarcerated, including 24% of BTW. After adjustment, recent incarceration was associated with 1.57 (95% CI 1.02, 2.42) times the risk of subsequently selling sex. The hypothesized mediators together explained 25% of the relationship, with an indirect effect risk ratio of 1.09 (95% CI 0.97, 1.24). Our results document an association and call for more research investigating mechanisms.

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Mediation of the Effect of Incarceration on Selling Sex Among Black Sexual Minority Men and Black Transgender Women in the HPTN 061 Study

Abstract

Keywords

ASJC Scopus subject areas

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