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Nabila El-bassel - One of the best experts on this subject based on the ideXlab platform.

  • Using actor-partner interdependence modeling to understand recent illicit opioid use and injection drug use among men in Community Supervision and their female partners in New York City.
    The International journal on drug policy, 2020
    Co-Authors: Alissa Davis, Dawn Goddard-eckrich, Andrea Norcini Pala, Louisa Gilbert, Phillip L. Marotta, Nabila El-bassel
    Abstract:

    Abstract Background The United States’ opioid crisis disproportionately affects individuals in the criminal justice system. Intimate partners can be a source of social support that helps reduce substance use, or they can serve as a driver of continued or increased substance use. Better understanding of the association between intimate partner characteristics and illicit opioid use and injection drug use among individuals in Community Supervision could be vital to developing targeted interventions. Methods Using actor-partner interdependence models, we examined individual and partner characteristics associated with recent illicit opioid use and injection drug use among males in Community Supervision settings in New York City (n = 229) and their female partners (n = 229). Results Higher levels of depression (aOR 1.98, 95% CI [1.39–2.82], p ≤ 0.01) and anxiety (aOR 1.98, 95% CI [1.42–2.75], p ≤ 0.01) were associated with recent opioid use among males in Community Supervision. Females with a partner having higher levels of anxiety were more likely to have recently used opioids (aOR 1.52, 95% CI [1.06–2.16], p ≤ 0.05). Males with a female partner with higher levels of anxiety (aOR 2.16, 95% CI [1.31–3.56], p ≤ 0.01) or depression (aOR 1.70, 95% CI [1.01–2.86], p ≤ 0.05) were more likely to recently inject drugs. Women with a male partner who had been in prison were more likely to have recently injected drugs (aOR 3.71, 95% CI [1.14–12.12], p ≤ 0.05), but women who had a male partner who had been arrested in the past three months were less likely to have recently injected (aOR 0.08, 95% CI [0.02–0.46], p ≤ 0.01). Conclusions Results suggest that recent individual illicit opioid use and injection drug use is associated not only with individual-level factors, but also with partner factors, highlighting the need for couple-based approaches to address the opioid epidemic.

  • Effectiveness of a Couple-Based HIV and Sexually Transmitted Infection Prevention Intervention for Men in Community Supervision Programs and Their Female Sexual Partners: A Randomized Clinical Trial.
    JAMA network open, 2019
    Co-Authors: Nabila El-bassel, Dawn Goddard-eckrich, Louisa Gilbert, Sharun Goodwin, Mingway P. Chang, Richard Tibbetts, Maria Almonte-weston, Timothy Hunt
    Abstract:

    Importance In the United States, the prevalence rates of HIV and sexually transmitted infections (STIs) are higher among individuals in Community Supervision programs (CSPs) than in the general population. However, to date, no couple-based HIV or STI prevention interventions have been implemented for the large number of men in CSPs. Objective To determine the effectiveness of a 5-session couple-based prevention intervention, compared with a 1-session counseling, testing, and referral (CTR) program, in reducing HIV and STIs as well as condomless intercourse among men in CSPs and their female sexual partners. Design, Setting, and Participants A randomized clinical trial was conducted from July 11, 2013 (first recruitment), through May 17, 2016 (last randomization). Participants were drug-involved men mandated to a CSP and their female sexual partners (n = 230 couples or 460 individuals). Participants were recruited from various CSP sites in New York, New York, and randomized into either the PACT (Protect and Connect) intervention condition or the HIV CTR control condition (n = 115 couples or 230 individuals in each arm). Analysis of behavioral outcomes used an intent-to-treat approach. Statistical analyses were conducted from November 1, 2017, through June 1, 2018. Main Outcomes and Measures Self-reported data on sexual behaviors in the past 90 days were used to assess behavioral outcomes at all time points. Biomarkers were collected at baseline and 12 months, and behavioral outcomes were collected at baseline and 3, 6, and 12 months. Results A total of 230 couples (460 individuals) were included. The mean (SD) age of participants was 35.0 (12.8) years, and most participants (341 [74.1%]) self-identified as black or African American race/ethnicity. Of the 18 new cases of STIs identified at the 12-month assessment, 10 came from the PACT arm and 8 from the HIV CTR control arm. Compared with the control participants, PACT participants had 33% fewer acts of condomless vaginal and/or anal intercourse with their main partner (incidence rate ratio [IRR], 0.67; 95% CI, 0.45-0.99;P = .04), 70% fewer acts with other partners (IRR, 0.30; 95% CI, 0.12-0.74;P = .009), and 40% fewer acts with all sexual partners (IRR, 0.60; 95% CI, 0.42-0.85;P = .005) over the entire follow-up period. In addition, PACT participants were less likely to report being under the influence of drugs or alcohol the last time they had vaginal and/or anal intercourse with their study partners (odds ratio, 0.55; 95% CI, 0.31-0.96;P = .04) and had 26% fewer sexual partners in the past 90 days (IRR, 0.74; 95% CI, 0.61-0.88;P = .001). At 12 months, HIV and STI incidence did not differ significantly between the 2 arms. Conclusions and Relevance The PACT intervention appeared to reduce risky sexual behaviors, such as condomless intercourse; this finding suggests that a couple-based HIV and STI prevention intervention program may curb the burgeoning HIV epidemic in CSPs. Clinical Trial Registration ClinicalTrials.gov identifier:NCT01690494

  • Risk factors associated with sexually transmitted infections among women under Community Supervision in New York City.
    International journal of STD & AIDS, 2018
    Co-Authors: Alissa Davis, Dawn Goddard-eckrich, Anindita Dasgupta, Nabila El-bassel
    Abstract:

    The number of women under Community Supervision in the United States has increased, and this population has a high risk for sexually transmitted infections (STIs). We examined STI prevalence and multiple risk factors among drug-involved women under Community Supervision in New York City. Data were from a randomized controlled trial testing the efficacy of a behavioral HIV/STI intervention (Women on the Road to Health [WORTH]) among drug-involved women in the Community corrections system in New York City from 2009 to 2012. To be eligible for inclusion, women had to be under Community Supervision within the past 90 days, have used illicit drugs at least once in the past six months, and have unprotected sex at least once in the past 90 days. Participants completed a survey containing items on STI risk factors and were tested for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Multivariable regression was used to examine associations between risk factors and STI diagnosis. Of 333 women tested, 89 (26.7%) tested positive for an STI. Ten (3.0%) were positive for C. trachomatis, 4 (1.2%) for N. gonorrhoeae, and 77 (23.1%) for T. vaginalis. Women with any STI were more likely to be black (AOR: 2.02; 95% CI: 1.08-3.77), homeless in the past 90 days (AOR: 2.07; 95% CI: 1.01-4.26), arrested in the past 90 days (AOR: 1.97; 95% CI: 1.14-3.39), and have a greater number of sexual partners in the past 90 days (AOR: 1.24; 95% CI: 1.08-1.42). Drug-using women under Community Supervision have a high burden of STIs driven by multiple risk factors. Implementing STI screening, prevention, and treatment programs in Community Supervision settings could facilitate a reduction in STIs among this population.

  • Trichomonas vaginalis and Human Immunodeficiency Virus Coinfection Among Women Under Community Supervision: A Call for Expanded T. vaginalis Screening.
    Sexually transmitted diseases, 2016
    Co-Authors: Alissa Davis, Dawn Goddard-eckrich, Anindita Dasgupta, Nabila El-bassel
    Abstract:

    BackgroundThe United States has a large Community Supervision population, a growing number of whom are women. Trichomonas vaginalis infection is strongly associated with an increased risk of human immunodeficiency virus (HIV) acquisition and transmission, particularly among women, but there is a pau

  • Efficacy of a group-based multimedia HIV prevention intervention for drug-involved women under Community Supervision: project WORTH.
    PloS one, 2014
    Co-Authors: Nabila El-bassel, Dawn Goddard-eckrich, Louisa Gilbert, Stacey A. Shaw, Jessica C. Rowe, Matthew W. Epperson, Mingway P. Chang, Timothy Hunt, Maria Almonte
    Abstract:

    Design, Setting, Participants, and Intervention: We randomized 306 women recruited from Community Supervision settings to receive either: (1) a four-session traditional group-based HIV/STI prevention intervention (traditional WORTH); (2) a four-session multimedia group-based HIV/STI prevention intervention that covered the same content as traditional WORTH but was delivered in a computerized format; or (3) a four-session group-based Wellness Promotion intervention that served as an attention control condition. The study examined whether the traditional or multimedia WORTH intervention was more efficacious in reducing risks when compared to Wellness Promotion; and whether multimedia WORTH was more efficacious in reducing risks when compared to traditional WORTH. Main Outcomes and Measures: Primary outcomes were assessed over the 12-month post-intervention period and included the number of unprotected sex acts, the proportion of protected sex acts, and consistent condom use. At baseline, 77% of participants reported unprotected vaginal or anal sex (n=237) and 63% (n=194) had multiple sex partners. Results: Women assigned to traditional or multimedia WORTH were significantly more likely than women assigned to the control condition to report an increase in the proportion of protected sex acts (b=0.10; 95% CI=0.02–0.18) and a decrease in the number of unprotected sex acts (IRR=0.72; 95% CI=0.57–0.90). Conclusion and Relevance: The promising effects of traditional and multimedia WORTH on increasing condom use and high participation rates suggest that WORTH may be scaled up to redress the concentrated epidemics of HIV/STIs among drug-involved women in the criminal justice system. Trial Registration: ClinicalTrials.gov NCT01784809

Karen A. Mason - One of the best experts on this subject based on the ideXlab platform.

  • Punishment and Paperwork: White-Collar Offenders Under Community Supervision
    American Journal of Criminal Justice, 2007
    Co-Authors: Karen A. Mason
    Abstract:

    This article examines how changes in penal ideology may affect the experiences of white-collar offenders under Community Supervision. In-depth interviews with white-collar offenders on their experiences while under federal probation are used to examine how changes in criminal punishment have undermined the traditional reintegrative and rehabilitative goals of Community Supervision. The analysis suggests that shifts to a more managerial, actuarial model that seeks depersonalized efficiency has unintended consequences that delegitimatize the criminal justice system, and foster sentiments of degradation. Based on these findings, considerations for future research are discussed.

Dawn Goddard-eckrich - One of the best experts on this subject based on the ideXlab platform.

  • Using actor-partner interdependence modeling to understand recent illicit opioid use and injection drug use among men in Community Supervision and their female partners in New York City.
    The International journal on drug policy, 2020
    Co-Authors: Alissa Davis, Dawn Goddard-eckrich, Andrea Norcini Pala, Louisa Gilbert, Phillip L. Marotta, Nabila El-bassel
    Abstract:

    Abstract Background The United States’ opioid crisis disproportionately affects individuals in the criminal justice system. Intimate partners can be a source of social support that helps reduce substance use, or they can serve as a driver of continued or increased substance use. Better understanding of the association between intimate partner characteristics and illicit opioid use and injection drug use among individuals in Community Supervision could be vital to developing targeted interventions. Methods Using actor-partner interdependence models, we examined individual and partner characteristics associated with recent illicit opioid use and injection drug use among males in Community Supervision settings in New York City (n = 229) and their female partners (n = 229). Results Higher levels of depression (aOR 1.98, 95% CI [1.39–2.82], p ≤ 0.01) and anxiety (aOR 1.98, 95% CI [1.42–2.75], p ≤ 0.01) were associated with recent opioid use among males in Community Supervision. Females with a partner having higher levels of anxiety were more likely to have recently used opioids (aOR 1.52, 95% CI [1.06–2.16], p ≤ 0.05). Males with a female partner with higher levels of anxiety (aOR 2.16, 95% CI [1.31–3.56], p ≤ 0.01) or depression (aOR 1.70, 95% CI [1.01–2.86], p ≤ 0.05) were more likely to recently inject drugs. Women with a male partner who had been in prison were more likely to have recently injected drugs (aOR 3.71, 95% CI [1.14–12.12], p ≤ 0.05), but women who had a male partner who had been arrested in the past three months were less likely to have recently injected (aOR 0.08, 95% CI [0.02–0.46], p ≤ 0.01). Conclusions Results suggest that recent individual illicit opioid use and injection drug use is associated not only with individual-level factors, but also with partner factors, highlighting the need for couple-based approaches to address the opioid epidemic.

  • Effectiveness of a Couple-Based HIV and Sexually Transmitted Infection Prevention Intervention for Men in Community Supervision Programs and Their Female Sexual Partners: A Randomized Clinical Trial.
    JAMA network open, 2019
    Co-Authors: Nabila El-bassel, Dawn Goddard-eckrich, Louisa Gilbert, Sharun Goodwin, Mingway P. Chang, Richard Tibbetts, Maria Almonte-weston, Timothy Hunt
    Abstract:

    Importance In the United States, the prevalence rates of HIV and sexually transmitted infections (STIs) are higher among individuals in Community Supervision programs (CSPs) than in the general population. However, to date, no couple-based HIV or STI prevention interventions have been implemented for the large number of men in CSPs. Objective To determine the effectiveness of a 5-session couple-based prevention intervention, compared with a 1-session counseling, testing, and referral (CTR) program, in reducing HIV and STIs as well as condomless intercourse among men in CSPs and their female sexual partners. Design, Setting, and Participants A randomized clinical trial was conducted from July 11, 2013 (first recruitment), through May 17, 2016 (last randomization). Participants were drug-involved men mandated to a CSP and their female sexual partners (n = 230 couples or 460 individuals). Participants were recruited from various CSP sites in New York, New York, and randomized into either the PACT (Protect and Connect) intervention condition or the HIV CTR control condition (n = 115 couples or 230 individuals in each arm). Analysis of behavioral outcomes used an intent-to-treat approach. Statistical analyses were conducted from November 1, 2017, through June 1, 2018. Main Outcomes and Measures Self-reported data on sexual behaviors in the past 90 days were used to assess behavioral outcomes at all time points. Biomarkers were collected at baseline and 12 months, and behavioral outcomes were collected at baseline and 3, 6, and 12 months. Results A total of 230 couples (460 individuals) were included. The mean (SD) age of participants was 35.0 (12.8) years, and most participants (341 [74.1%]) self-identified as black or African American race/ethnicity. Of the 18 new cases of STIs identified at the 12-month assessment, 10 came from the PACT arm and 8 from the HIV CTR control arm. Compared with the control participants, PACT participants had 33% fewer acts of condomless vaginal and/or anal intercourse with their main partner (incidence rate ratio [IRR], 0.67; 95% CI, 0.45-0.99;P = .04), 70% fewer acts with other partners (IRR, 0.30; 95% CI, 0.12-0.74;P = .009), and 40% fewer acts with all sexual partners (IRR, 0.60; 95% CI, 0.42-0.85;P = .005) over the entire follow-up period. In addition, PACT participants were less likely to report being under the influence of drugs or alcohol the last time they had vaginal and/or anal intercourse with their study partners (odds ratio, 0.55; 95% CI, 0.31-0.96;P = .04) and had 26% fewer sexual partners in the past 90 days (IRR, 0.74; 95% CI, 0.61-0.88;P = .001). At 12 months, HIV and STI incidence did not differ significantly between the 2 arms. Conclusions and Relevance The PACT intervention appeared to reduce risky sexual behaviors, such as condomless intercourse; this finding suggests that a couple-based HIV and STI prevention intervention program may curb the burgeoning HIV epidemic in CSPs. Clinical Trial Registration ClinicalTrials.gov identifier:NCT01690494

  • Risk factors associated with sexually transmitted infections among women under Community Supervision in New York City.
    International journal of STD & AIDS, 2018
    Co-Authors: Alissa Davis, Dawn Goddard-eckrich, Anindita Dasgupta, Nabila El-bassel
    Abstract:

    The number of women under Community Supervision in the United States has increased, and this population has a high risk for sexually transmitted infections (STIs). We examined STI prevalence and multiple risk factors among drug-involved women under Community Supervision in New York City. Data were from a randomized controlled trial testing the efficacy of a behavioral HIV/STI intervention (Women on the Road to Health [WORTH]) among drug-involved women in the Community corrections system in New York City from 2009 to 2012. To be eligible for inclusion, women had to be under Community Supervision within the past 90 days, have used illicit drugs at least once in the past six months, and have unprotected sex at least once in the past 90 days. Participants completed a survey containing items on STI risk factors and were tested for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Multivariable regression was used to examine associations between risk factors and STI diagnosis. Of 333 women tested, 89 (26.7%) tested positive for an STI. Ten (3.0%) were positive for C. trachomatis, 4 (1.2%) for N. gonorrhoeae, and 77 (23.1%) for T. vaginalis. Women with any STI were more likely to be black (AOR: 2.02; 95% CI: 1.08-3.77), homeless in the past 90 days (AOR: 2.07; 95% CI: 1.01-4.26), arrested in the past 90 days (AOR: 1.97; 95% CI: 1.14-3.39), and have a greater number of sexual partners in the past 90 days (AOR: 1.24; 95% CI: 1.08-1.42). Drug-using women under Community Supervision have a high burden of STIs driven by multiple risk factors. Implementing STI screening, prevention, and treatment programs in Community Supervision settings could facilitate a reduction in STIs among this population.

  • Trichomonas vaginalis and Human Immunodeficiency Virus Coinfection Among Women Under Community Supervision: A Call for Expanded T. vaginalis Screening.
    Sexually transmitted diseases, 2016
    Co-Authors: Alissa Davis, Dawn Goddard-eckrich, Anindita Dasgupta, Nabila El-bassel
    Abstract:

    BackgroundThe United States has a large Community Supervision population, a growing number of whom are women. Trichomonas vaginalis infection is strongly associated with an increased risk of human immunodeficiency virus (HIV) acquisition and transmission, particularly among women, but there is a pau

  • Project WINGS (Women Initiating New Goals of Safety): A randomised controlled trial of a screening, brief intervention and referral to treatment (SBIRT) service to identify and address intimate partner violence victimisation among substance-using wom
    Criminal behaviour and mental health : CBMH, 2015
    Co-Authors: Louisa Gilbert, Dawn Goddard-eckrich, Stacey A. Shaw, Mingway Chang, Jessica C. Rowe, Tara Mccrimmon, Maria Almonte, Sharun Goodwin, Matthew W. Epperson
    Abstract:

    BACKGROUND: The high rate of intimate partner violence (IPV) victimisation found among substance-using women receiving Community Supervision underscores the need for effective IPV victimisation screening, brief intervention and referral to treatment services (SBIRT) for this population. AIMS: This randomised controlled trial (RCT) aims to assess the feasibility, safety and efficacy of a single-session computerised self-paced IPV SBIRT (Computerised WINGS) in identifying IPV victimisation among women under Community Supervision and increasing access to IPV services, compared to the same IPV SBIRT service delivered by a case manager (Case Manager WINGS). METHODS: This RCT was conducted with 191 substance-using women in probation and Community court sites in New York City. RESULTS: No significant differences were found between Computerised and Case Manager WINGS arms on any outcomes. Both arms reported identical high rates of any physical, sexual or psychological IPV victimisation in the past year (77% for both arms) during the intervention. Both arms experienced significant increases from baseline to the 3-month follow-up in receipt of IPV services, social support, IPV self-efficacy and abstinence from drug use. CONCLUSIONS: Findings suggest that both modalities of WINGS show promise in identifying and addressing IPV victimisation among substance-using women receiving Community Supervision.Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd. Language: en

Doris Layton Mackenzie - One of the best experts on this subject based on the ideXlab platform.

  • Community Supervision, prosocial activities, and recidivism
    Justice Quarterly, 2001
    Co-Authors: Doris Layton Mackenzie, Robert Brame
    Abstract:

    Research studying the relationship between intensity of Community Supervision and recidivism leads to two possible conclusions: (1) there is no consistent relationship, or (2) the relationship is indirect. In this paper we consider a theoretical model that is consistent with the latter possibility. Increased intensity of Supervision is hypothesized to increase involvement in conventional and therapeutic activities; this, in turn, should be associated with a reduction in future offending. We examined the viability of this connection using data from four states, and drew the following conclusions: (1) intensity of Supervision is associated positively with involvement in prosocial activities; (2) intensity of Supervision is not associated consistently with involvement in new criminal activities; and (3) an inverse association exists between involvement in prosocial activities and involvement in new criminal activities after adjusting for measured factors that are thought to affect both outcomes.

  • Shock incarceration and positive adjustment during Community Supervision
    Journal of Quantitative Criminology, 1995
    Co-Authors: Doris Layton Mackenzie, Robert Brame
    Abstract:

    This study examines the adjustment of offenders from shock incarceration programs (boot-camp prisons) during Community Supervision over a 1-year followup period in five states. Their performance is compared to comparison groups who were eligible for the shock program but did not attend. An index was used to quantify the positive activities of offenders. The results provide little conclusive evidence that the shock incarceration programs had a positive effect on offender behavior. The data do suggest that Supervision intensity plays an important role in shaping offenders' activities during Community Supervision.

  • The one-year Community Supervision performance of drug offenders and Louisiana DOC-identified substance abusers graduating from shock incarceration
    Journal of Criminal Justice, 1992
    Co-Authors: James W. Shaw, Doris Layton Mackenzie
    Abstract:

    Since the late 1980s there has been an increasing number of advocates for shock incarceration (SI) or boot-camp programs. One reason is that it has been suggested that these programs may provide a general rehabilitative environment for treating substance abusers. In this study two categories of drug-involved offenders were examined: 1) offenders having a legal drug history and 2) offenders identified by the division of probation and parole in the Louisiana Department of Public Safety and Corrections as drug abusers who were in need of Community substance abuse counseling. The study found that successful completion of the SI program was unrelated to the drug involvement of offenders. During one year of Community Supervision, drug-involved offenders were more likely than others to have a positive drug screen. While the total sample of drug-involved offenders was no more likely to have one or more drug arrests, they were more likely to have one or more total arrests and to be jailed or revoked during one year of Community Supervision. In contrast, offenders having only a legal drug history were less likely than others to have one or more total arrests and to be jailed or revoked during that time. Perhaps most importantly, SI as a treatment was unrelated to performance during one year of Community Supervision.

  • Characteristics Associated with Successful Adjustment to Supervision A Comparison of Parolees, Probationers, Shock Participants, and Shock Dropouts
    Criminal Justice and Behavior, 1992
    Co-Authors: Doris Layton Mackenzie, James W. Shaw, Claire Souryal
    Abstract:

    Offender adjustment during Community Supervision was examined in two studies. Study 1 examined the positive social activities of parolees and probationers during Community Supervision. Shock parolees engaged in more positive social activities in comparison to regular parolees, probationers, and dropouts; however, once the intensity of Supervision was controlled, differences among groups in positive social activities disappeared. Regardless of the Supervision intensity, offenders who were younger, younger at first arrest, and non-White adjusted less well to Community Supervision. The second study examined the characteristics of offenders who successfully completed two phases of a shock incarceration program. Those who completed the in-prison phase had higher IQs and longer sentences, and believed more strongly in their ability to control events. Shock graduates who succeeded during the first year of parole Supervision were older and were less likely to have a criminal history. They were also more apt to be...

Alissa Davis - One of the best experts on this subject based on the ideXlab platform.

  • Using actor-partner interdependence modeling to understand recent illicit opioid use and injection drug use among men in Community Supervision and their female partners in New York City.
    The International journal on drug policy, 2020
    Co-Authors: Alissa Davis, Dawn Goddard-eckrich, Andrea Norcini Pala, Louisa Gilbert, Phillip L. Marotta, Nabila El-bassel
    Abstract:

    Abstract Background The United States’ opioid crisis disproportionately affects individuals in the criminal justice system. Intimate partners can be a source of social support that helps reduce substance use, or they can serve as a driver of continued or increased substance use. Better understanding of the association between intimate partner characteristics and illicit opioid use and injection drug use among individuals in Community Supervision could be vital to developing targeted interventions. Methods Using actor-partner interdependence models, we examined individual and partner characteristics associated with recent illicit opioid use and injection drug use among males in Community Supervision settings in New York City (n = 229) and their female partners (n = 229). Results Higher levels of depression (aOR 1.98, 95% CI [1.39–2.82], p ≤ 0.01) and anxiety (aOR 1.98, 95% CI [1.42–2.75], p ≤ 0.01) were associated with recent opioid use among males in Community Supervision. Females with a partner having higher levels of anxiety were more likely to have recently used opioids (aOR 1.52, 95% CI [1.06–2.16], p ≤ 0.05). Males with a female partner with higher levels of anxiety (aOR 2.16, 95% CI [1.31–3.56], p ≤ 0.01) or depression (aOR 1.70, 95% CI [1.01–2.86], p ≤ 0.05) were more likely to recently inject drugs. Women with a male partner who had been in prison were more likely to have recently injected drugs (aOR 3.71, 95% CI [1.14–12.12], p ≤ 0.05), but women who had a male partner who had been arrested in the past three months were less likely to have recently injected (aOR 0.08, 95% CI [0.02–0.46], p ≤ 0.01). Conclusions Results suggest that recent individual illicit opioid use and injection drug use is associated not only with individual-level factors, but also with partner factors, highlighting the need for couple-based approaches to address the opioid epidemic.

  • Risk factors associated with sexually transmitted infections among women under Community Supervision in New York City.
    International journal of STD & AIDS, 2018
    Co-Authors: Alissa Davis, Dawn Goddard-eckrich, Anindita Dasgupta, Nabila El-bassel
    Abstract:

    The number of women under Community Supervision in the United States has increased, and this population has a high risk for sexually transmitted infections (STIs). We examined STI prevalence and multiple risk factors among drug-involved women under Community Supervision in New York City. Data were from a randomized controlled trial testing the efficacy of a behavioral HIV/STI intervention (Women on the Road to Health [WORTH]) among drug-involved women in the Community corrections system in New York City from 2009 to 2012. To be eligible for inclusion, women had to be under Community Supervision within the past 90 days, have used illicit drugs at least once in the past six months, and have unprotected sex at least once in the past 90 days. Participants completed a survey containing items on STI risk factors and were tested for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis. Multivariable regression was used to examine associations between risk factors and STI diagnosis. Of 333 women tested, 89 (26.7%) tested positive for an STI. Ten (3.0%) were positive for C. trachomatis, 4 (1.2%) for N. gonorrhoeae, and 77 (23.1%) for T. vaginalis. Women with any STI were more likely to be black (AOR: 2.02; 95% CI: 1.08-3.77), homeless in the past 90 days (AOR: 2.07; 95% CI: 1.01-4.26), arrested in the past 90 days (AOR: 1.97; 95% CI: 1.14-3.39), and have a greater number of sexual partners in the past 90 days (AOR: 1.24; 95% CI: 1.08-1.42). Drug-using women under Community Supervision have a high burden of STIs driven by multiple risk factors. Implementing STI screening, prevention, and treatment programs in Community Supervision settings could facilitate a reduction in STIs among this population.

  • Trichomonas vaginalis and Human Immunodeficiency Virus Coinfection Among Women Under Community Supervision: A Call for Expanded T. vaginalis Screening.
    Sexually transmitted diseases, 2016
    Co-Authors: Alissa Davis, Dawn Goddard-eckrich, Anindita Dasgupta, Nabila El-bassel
    Abstract:

    BackgroundThe United States has a large Community Supervision population, a growing number of whom are women. Trichomonas vaginalis infection is strongly associated with an increased risk of human immunodeficiency virus (HIV) acquisition and transmission, particularly among women, but there is a pau