Epidemiology of Sexually Transmitted Infections Among Offenders Following Arrest or Incarceration

• DOI: 10.2105/ajph.2015.302852
• Publication Date: 2015-10-15T20:57:00Z
• Authors: Sarah E. Wiehe; Marc B. Rosenman; Matthew C. Aalsma; Michael L. Scanlon; J. Dennis Fortenb...
• Keywords: Adult; Male; Indiana; Adolescent; Sexually Transmitted Diseases; HIV Infections; Gonorrhea; 03 medical and health sciences; Sex Factors; 0302 clinical medicine; Risk Factors; Humans; Syphilis; Child; Aged; Retrospective Studies; Aged, 80 and over; Prisoners; Chlamydia Infections; Middle Aged; 16. Peace & justice; 3. Good health; epidemiology; Female; Crime; statistics & numerical data

We sought to estimate rates of sexually transmitted infections (STIs) among criminal offenders in the 1 year after arrest or release from incarceration.We performed a retrospective cohort study risk having positive STI (chlamydia, gonorrhea, syphilis) incident-positive HIV test following incarceration Marion County (Indianapolis), Indiana. Participants were 247,211 individuals with jail, prison, juvenile detention between 2003 and 2008.Test positivity (per 100,000 per year) highest for chlamydia (2968) gonorrhea (2305), lower syphilis (278) (61). Rates 1.5 2.8 times higher female than male participants 2.7 6.9 Blacks Whites. Compared nonoffenders, had relative 3.9 chlamydia, 6.6 3.6 syphilis, 4.6 HIV.The 1-year period represents high-impact opportunity reduce infection at population level.