Black men who have sex with men (BMSM) have disproportionate HIV/STI acquisition risk. Incarceration may increase exposure to violence and exacerbate psychosocial vulnerabilities, including internalized homophobia, which are associated with HIV/STI acquisition risk. Using data from HIV Prevention Trials Network 061 (N = 1553), we estimated adjusted prevalence ratios (APR) and 95% confidence intervals (CIs) for associations between lifetime burden of incarceration and HIV/STI risk outcomes. We measured associations between incarceration and HIV/STI risk outcomes with hypothesized mediators of recent violence victimization and internalized homophobia. Compared to those never incarcerated, those with 3–9 or ≥ 10 incarcerations had approximately 10% higher prevalence of multiple partnerships. Incarceration burden was associated with selling sex (1–2 incarcerations: APR: 1.52, 95% CI 1.14–2.03; 3–9: APR: 1.77, 95% CI 1.35–2.33; ≥ 10: APR: 1.85, 95% CI 1.37–2.51) and buying sex (≥ 10 incarcerations APR: 1.80, 95% CI 1.18–2.75). Compared to never incarcerated, 1–2 incarcerations appeared to be associated with current chlamydia (APR: 1.47, 95% CI 0.98–2.20) and 3–9 incarcerations appeared to be associated with current syphilis (APR: 1.46, 95% CI 0.92–2.30). Incarceration was independently associated with violence, which in turn was a correlate of transactional sex. Longitudinal research is warranted to clarify the role of incarceration in violence and HIV/STI risk in this population.

男男性行为者 (BMSM) 具有不成比例的 HIV/STI 感染风险。监禁可能会增加暴力暴露并加剧社会心理脆弱性，包括与 HIV/STI 感染风险相关的内化恐同症。使用来自 HIV 预防试验网络 061 (N = 1553) 的数据，我们估计了终生监禁负担与 HIV/STI 风险结果之间关联的调整流行率 (APR) 和 95% 置信区间 (CI)。我们测量了监禁和 HIV/STI 风险结果之间的关联，以及最近暴力受害和内化同性恋恐惧症的假设中介。与从未被监禁的人相比，被监禁 3-9 次或 ≥ 10 次的人的多重伴侣关系患病率大约高 10%。监禁负担与卖淫相关（1-2 次监禁：APR：1.52，95% CI 1.14-2.03；3-9：APR：1.77，95% CI 1.35-2.33；≥ 10：APR：1.85，95% CI 1.37 –2.51）和购买性行为（≥ 10 次监禁 APR：1.80，95% CI 1.18–2.75）。与从未被监禁相比，1-2 次监禁似乎与当前的衣原体感染有关（APR：1.47，95% CI 0.98-2.20），3-9 次监禁似乎与当前的梅毒有关（APR：1.46，95% CI 0.92- 2.30）。监禁与暴力独立相关，而暴力又与性交易相关。有必要进行纵向研究，以阐明监禁在该人群中的暴力和 HIV/STI 风险中的作用。95% CI 1.18–2.75)。与从未被监禁相比，1-2 次监禁似乎与当前的衣原体感染有关（APR：1.47，95% CI 0.98-2.20），3-9 次监禁似乎与当前的梅毒有关（APR：1.46，95% CI 0.92- 2.30）。监禁与暴力独立相关，而暴力又与性交易相关。有必要进行纵向研究，以阐明监禁在该人群中的暴力和 HIV/STI 风险中的作用。95% CI 1.18–2.75)。与从未被监禁相比，1-2 次监禁似乎与当前的衣原体感染有关（APR：1.47，95% CI 0.98-2.20），3-9 次监禁似乎与当前的梅毒有关（APR：1.46，95% CI 0.92- 2.30）。监禁与暴力独立相关，而暴力又与性交易相关。有必要进行纵向研究，以阐明监禁在该人群中的暴力和 HIV/STI 风险中的作用。