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Dual Incarceration and Condom Use in Committed Relationships
Allison K Groves1, WeiHai Zhan2, Ana Maria Del Río-González3
1Department of Community Health and Prevention, Drexel Dornsife School of Public Health, 416 Nesbitt Hall, Drexel University 3215 Market Street, Philadelphia, PA, USA. aligroves@drexel.edu.
Dual incarceration is linked to inconsistent condom use in committed relationships, increasing HIV risk. Reducing incarcerations may strengthen relationships and decrease sexual health risks.
Area of Science:
- Public Health
- Sociology
- Criminology
Background:
- Incarceration disrupts social ties and is linked to increased unprotected sexual activity.
- Dual incarceration, where both partners have a history of imprisonment, may exacerbate relationship instability and sexual risk behaviors.
Purpose of the Study:
- To investigate the association between dual incarceration and condom use.
- To determine if relationship type modifies the link between dual incarceration and condom use.
Main Methods:
- Analysis of data from 499 sexual partnerships reported by 210 individuals with incarceration history.
- Generalized estimating equations used to assess condom use, controlling for covariates.
- Examination of interaction between dual incarceration and relationship commitment.
Main Results:
- Dual incarceration was significantly associated with inconsistent condom use in committed relationships (AOR: 4.33; 95% CI 1.02, 18.45).
- No significant association between dual incarceration and condom use was found in never-committed relationships.
Conclusions:
- Dual incarceration poses a significant risk for inconsistent condom use within committed relationships.
- Interventions aimed at reducing incarceration rates may improve relationship stability and decrease HIV transmission risks.
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