HIV/AIDS disproportionately affects prisoners in the United States. Women of color and low-income women in the United States also have disproportionately high rates of HIV infection and AIDS diagnosis. Recent studies have shown that racial disparities in incarceration can be linked to health disparities, including disparities in HIV/AIDS. Research exploring how the disproportionate levels of HIV/AIDS among incarcerated men and among low-income women of color are related is crucial. The proposed study will be conducted with both members of male-female couples in which the male partner was recently released from prison and is under parole supervision (""""""""male parolees"""""""").
The specific aims of the proposed study are: 1) Using quantitative methods, we will assess the HIV-risk behaviors of each member of the couple and identify individual-level and couple-level psychosocial influences on HIV risk and risk reduction;2) Using qualitative methods, we will describe the unique influence of the context of a man's incarceration on couples'decision-making processes involving HIV risk and risk reduction;3) Using quantitative and qualitative methods, we will investigate how males'and females'perspectives on HIV risk and risk reduction influence both their own behavior and behavior within the couple. Our preliminary studies have underscored the complexities of understanding how the context of a man's incarceration influences couples'decision-making processes involving HIV risk and risk reduction and have compelled us to undertake couple-level research on this issue. Public-health researchers have identified the necessity of developing and providing population-specific HIV interventions and services for people affected by incarceration both in prison and in their home neighborhoods post-release. The proposed research will yield critical information about HIV risk and risk reduction in dyadic relationships between male parolees and their female partners that can be used to develop population-appropriate and effective interventions for the millions of low-income people of color who experience their own or their partner's incarceration each year.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH078743-03
Application #
7624289
Study Section
Behavioral and Social Science Approaches to Preventing HIV/AIDS Study Section (BSPH)
Program Officer
Forsyth, Andrew D
Project Start
2007-07-01
Project End
2011-05-31
Budget Start
2009-06-01
Budget End
2010-05-31
Support Year
3
Fiscal Year
2009
Total Cost
$389,681
Indirect Cost
Name
University of California San Francisco
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
094878337
City
San Francisco
State
CA
Country
United States
Zip Code
94143
Howell, Benjamin A; Guydish, Joseph; Kral, Alex H et al. (2015) Prevalence and factors associated with smoking tobacco among men recently released from prison in California: A cross-sectional study. Addict Behav 50:157-60
Lee, Hedwig; Porter, Lauren C; Comfort, Megan (2014) Consequences of Family Member Incarceration: Impacts on Civic Participation and Perceptions of the Legitimacy and Fairness of Government. Ann Am Acad Pol Soc Sci 651:44-73
Comfort, Megan; Reznick, Olga Grinstead; Dilworth, Samantha E et al. (2014) Sexual HIV Risk Among Male Parolees and Their Female Partners: The Relate Project. J Health Dispar Res Pract 7:26-53
Frank, Joseph W; Wang, Emily A; Nunez-Smith, Marcella et al. (2014) Discrimination based on criminal record and healthcare utilization among men recently released from prison: a descriptive study. Health Justice 2:6
Turney, Kristin; Lee, Hedwig; Comfort, Megan (2013) Discrimination and psychological distress among recently released male prisoners. Am J Mens Health 7:482-93
Wildeman, Christopher; Lee, Hedwig; Comfort, Megan (2013) A new vulnerable population? The health of female partners of men recently released from prison. Womens Health Issues 23:e335-40
Comfort, Megan (2012) ""It Was Basically College to Us"": Poverty, Prison, and Emerging Adulthood. J Poverty 16:308-322
Kramer, Katie; Comfort, Megan (2011) Considerations in HIV prevention for women affected by the criminal justice system. Womens Health Issues 21:S272-7
Bourgois, Philippe (2008) The mystery of marijuana: science and the U.S. War on Drugs. Subst Use Misuse 43:581-3