Self-Reported Sexually Transmitted Infections after Incarceration in Women with or at Risk for HIV in the United States, 2007-2017

Academic Article


  • Background: U.S. women who have been incarcerated report high rates of sexual risk behavior and sexually transmitted infections (STIs). Materials and Methods: We estimated the effect of incarceration on the time to first incident STI in a multicenter cohort of U.S. women with or at risk for HIV. We used marginal structural models to compare time to first self-reported gonorrhea, chlamydia, or trichomonas infection for nonincarcerated women and incarcerated women. Covariates included demographic factors, HIV status, sex exchange, drug/alcohol use, and prior incarceration. Results: Three thousand hundred twenty-four women contributed a median of 4 at-risk years and experienced 213 first incident STI events. The crude incidence of STIs was 3.7 per 100 person-years for incarcerated women and 1.9 per 100 person-years for nonincarcerated women. The weighted hazard ratio for incident STIs was 4.05 (95% confidence interval: 1.61-10.19). Conclusion: Women with or at risk for HIV in the United States who have recently experienced incarceration may be at increased STI risk.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Pubmed Id

  • 15299837
  • Author List

  • Knittel AK; Rudolph JE; Shook-Sa BE; Edmonds A; Ramirez C; Cohen M; Taylor T; Adedimeji A; Michel KG; Milam J
  • Start Page

  • 382
  • End Page

  • 390
  • Volume

  • 31
  • Issue

  • 3