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Related Experiment Videos

Great Expectations: HIV Risk Behaviors and Misperceptions of Low HIV Risk among Incarcerated Men.

C E Golin1,2,3, B G Barkley4, C Biddell5

  • 1Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, 725 MLK Blvd, CB 7590, Chapel Hill, NC, 27599-7590, USA. carol_golin@unc.edu.

AIDS and Behavior
|April 1, 2017
PubMed
Summary

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Many incarcerated men have high HIV risk but low perceived risk. HIV testing and counseling must address this gap to prevent infections.

Area of Science:

  • Public Health
  • Epidemiology
  • Behavioral Science

Background:

  • Incarcerated populations exhibit elevated HIV prevalence.
  • Limited data exists on HIV risk behaviors and risk perceptions within this demographic.

Purpose of the Study:

  • To assess HIV risk behaviors and perceived risk among incarcerated men.
  • To identify factors associated with elevated actual but low perceived HIV risk (EALPR).

Main Methods:

  • A random sample of 855 HIV-negative men entering a US state prison system were surveyed.
  • Multivariate logistic regression was used to analyze factors associated with EALPR.

Main Results:

  • 88% of participants were at elevated risk for HIV.
Keywords:
HIVIncarcerated populationsRisk behaviorRisk perceptions

Related Experiment Videos

  • 14% of men exhibited EALPR, indicating a disconnect between actual and perceived risk.
  • Pre-incarceration HIV testing was associated with lower EALPR, while negative prison entry tests were associated with higher EALPR.

    • Conclusions:

    • A significant proportion of incarcerated men underestimate their HIV risk.
    • HIV testing and counseling protocols should address the discrepancy between actual and perceived risk.
    • Clear communication about ongoing HIV risk, even after a negative test, is crucial.