Abstract Encountering the criminal justice system at the first point of entry---an arrest---is associated with heightened HIV and Hepatitis risk behavior among people who inject drugs (PWIDS). Intervening structurally through the criminal justice system impacts public health; therefore, determining arrest patterns is an important tool for risk reduction. Among a sample of 740 PWIDs, and their social network members recruited from predominantly African-American neighborhoods in Baltimore City, a third were recently arrested in the previous six months, and of those, the arrests were disproportionately African-American persons and characterized as nonviolent, i.e., drug possession/attempt to purchase (38%) and loitering (29%). Poisson regression models were built adjusted for age, sex, race, education level, homelessness, and monthly income after exploring bivariable characteristics of arrests using chi-squared tests. Active drug use was associated with a recent arrest (adjusted prevalence ratio: aPR 2.38 95% CI 1.6, 3.6), in addition to participants who recently reported attending a syringe exchange program (aPR 1.45 95% CI 1.1, 2.0). Our findings are suggestive of recent media coverage and burgeoning research revealing the prioritization of policing resources toward both communities of color and neighborhoods of intensified drug trafficking. Further research is warranted to contextualize the operationalization of criminal justice resources and the impact on community health.

中文翻译：

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最大化秩序或危害？在大城市注射毒品者的社交网络中被捕

摘要在入境的第一点遇到刑事司法制度-逮捕-与注射毒品者（PWIDS）中较高的HIV和肝炎风险行为有关。通过刑事司法系统进行结构性干预会影响公共卫生；因此，确定逮捕方式是降低风险的重要工具。在740名PWID的样本中，以及从巴尔的摩市主要是非裔美国人社区招募的社交网络成员中，最近六个月中有三分之一是被捕的，其中，逮捕的人是非裔美国人，而且属于非暴力行为。 ，即拥有/试图购买毒品（38％）和游荡（29％）。根据年龄，性别，种族，受教育程度，无家可归，和使用卡方检验探索逮捕的双变量特征后的月收入。积极用药与最近被捕（调整后的患病率：aPR 2.38 95％CI 1.6，3.6）有关，此外，最近报告参加注射器更换计划的参与者（aPR 1.45 95％CI 1.1，2.0）。我们的发现表明最近的媒体报道和迅速发展的研究表明，治安资源优先用于有色人种和贩毒加剧的社区。有必要进行进一步的研究，以便将刑事司法资源的运作及其对社区健康的影响具体化。除了最近报告参加注射器更换计划的参与者（aPR 1.45 95％CI 1.1，2.0）。我们的发现表明最近的媒体报道和迅速发展的研究表明，治安资源优先用于有色人种和贩毒加剧的社区。有必要进行进一步的研究，以便将刑事司法资源的运作及其对社区健康的影响具体化。除了最近报告参加注射器更换计划的参与者（aPR 1.45 95％CI 1.1，2.0）。我们的发现表明最近的媒体报道和迅速发展的研究表明，治安资源优先用于有色人种和贩毒加剧的社区。有必要进行进一步的研究，以便将刑事司法资源的运作及其对社区健康的影响具体化。