"I Said Maybe We Should Use a Condom, and Then that Just Went South" : Exploring Condomless Sex among Formerly Incarcerated Black Men in New York City, USA.

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  • Additional Information
    • Source:
      Publisher: Routledge Country of Publication: United States NLM ID: 0062647 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1559-8519 (Electronic) Linking ISSN: 00224499 NLM ISO Abbreviation: J Sex Res Subsets: MEDLINE
    • Publication Information:
      Publication: Philadelphia : Routledge
      Original Publication: New York, Society for the Scientific Study of Sex.
    • Subject Terms:
      HIV Infections*/prevention & control ; Prisoners* ; Sexually Transmitted Diseases*/epidemiology ; Sexually Transmitted Diseases*/prevention & control; Condoms ; Humans ; Male ; New York City/epidemiology ; Sexual Behavior ; United States ; Unsafe Sex
    • Abstract:
      More than 600,000 incarcerated individuals are released annually in the United States; a large proportion are Black men incarcerated for drug-related offenses, including drug use and possession. Formerly incarcerated Black men report elevated rates of condomless sex and sexually transmitted infections, including human immunodeficiency virus (HIV). The purpose of this study was to explore condom usage among Black men who were formerly incarcerated for drug-related offenses and living in New York City (NYC). Using a semi-structured interview guide, in-depth interviews were conducted with 26 formerly incarcerated Black men. Interviews were audio-recorded, transcribed, and entered into NVivo, then manually coded utilizing thematic analysis methods. The following four themes were identified: partner type and length of the relationship affected condom use; diminished pleasure was a barrier for condom use; challenges with ill-fitting and poor-quality condoms; and the withdrawal method was used as an HIV prevention technique. Our findings suggest that formerly incarcerated Black men are engaging in condomless sex post-incarceration. Greater exposure to prevention messages and targeted interventions with content that includes interpersonal and condom use skill-building, methods to increase pleasurable condom use, information on HIV and STI transmission modes, and access to pre-exposure prophylaxis (PrEP) may be beneficial for this population.
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    • Grant Information:
      K01 DA036411 United States DA NIDA NIH HHS
    • Publication Date:
      Date Created: 20211202 Date Completed: 20220519 Latest Revision: 20230502
    • Publication Date:
      20230502
    • Accession Number:
      PMC9118125
    • Accession Number:
      10.1080/00224499.2021.2004083
    • Accession Number:
      34854792