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A longitudinal, qualitative analysis of the context of substance use and sexual behavior among 18- to 29-year-old men after their release from prison

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  • Seal, D.W.
  • Eldrige, G.D.
  • Kacanek, D.
  • Binson, D.
  • MacGowan, R.J.

Abstract

Substance use, sexual behavior, and reincarceration among 89 men from 5 state prisons across the USA, aged 18-29 years, were examined in relation to individual patterns of coping with community reintegration after their release from prison. Analyses of a series of qualitative interviews conducted over a 6-month period post-release revealed three global reintegration coping patterns: moving toward successful reintegration, resuming behavioral patterns that preceded incarceration, and reintegrating through withdrawal or isolation. Four key contextual factors that differentiated these three coping patterns were the consistency and extensiveness of social relationships, the nature of social support, and the degree of structural stability (e.g., stable employment and housing). Participants were assigned a Likert scale score (1 for poor rating to 3 for better rating) for their pattern of global reintegration and for their rating on each of the four contextual factors across the longitudinal qualitative interviews. Collectively, these five factors differentiated the prevalence and frequency of substance use, patterns of sexual behavior, and incidence of reincarceration as assessed by a quantitative survey administered 6 months post-release. Poorer ratings on all five contextual indices were related to the use of substances other than marijuana and alcohol. Men with less consistent social relationships reported more sexual partners. However, vaginal or anal sex without a condom was associated with greater social consistency and greater structural stability, possibly due to the presence of a steady main partner. Reincarceration was significantly associated with poorer global reintegration ratings, more negative social support, and less structural stability. These findings highlight the need to consider the role of social and structural support systems in HIV and sexually transmitted infection risk reduction interventions for men after their release from prison.

Suggested Citation

  • Seal, D.W. & Eldrige, G.D. & Kacanek, D. & Binson, D. & MacGowan, R.J., 2007. "A longitudinal, qualitative analysis of the context of substance use and sexual behavior among 18- to 29-year-old men after their release from prison," Social Science & Medicine, Elsevier, vol. 65(11), pages 2394-2406, December.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:11:p:2394-2406
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    References listed on IDEAS

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    1. Conklin, T.J. & Lincoln, T. & Tuthill, R.W., 2000. "Self-reported health and prior health behaviors of newly admitted correctional inmates," American Journal of Public Health, American Public Health Association, vol. 90(12), pages 1939-1941.
    2. Wolitski, R.J., 2006. "Relative efficacy of a multisession sexual risk-reduction intervention for young men released from prisons in 4 states," American Journal of Public Health, American Public Health Association, vol. 96(10), pages 1854-1861.
    3. Gaiter, J. & Doll, L.S., 1996. "Improving HIV/AIDS prevention in prisons is good public health policy," American Journal of Public Health, American Public Health Association, vol. 86(9), pages 1201-1203.
    4. Braithwaite, R.L. & Arriola, K.R.J., 2003. "Male Prisoners and HIV Prevention: A Call for Action Ignored," American Journal of Public Health, American Public Health Association, vol. 93(5), pages 759-763.
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    Cited by:

    1. Pettus-Davis, Carrie & Howard, Matthew Owen & Roberts-Lewis, Amelia & Scheyett, Anna M., 2011. "Naturally Occurring Social Support in Interventions for Former Prisoners with Substance Use Disorders: Conceptual Framework and Program Model," Journal of Criminal Justice, Elsevier, vol. 39(6), pages 479-488.
    2. Joy D. Scheidell & Farzana Kapadia & Rodman E. Turpin & Medha Mazumdar & Typhanye V. Dyer & Jonathan Feelemyer & Charles M. Cleland & Russell Brewer & Sharon D. Parker & Natalia M. Irvine & Molly Remc, 2022. "Incarceration, Social Support Networks, and Health among Black Sexual Minority Men and Transgender Women: Evidence from the HPTN 061 Study," IJERPH, MDPI, vol. 19(19), pages 1-15, September.
    3. Smith, Bryce D. & Kalayil, Elizabeth J. & Patel-Larson, Alpa & Chen, Brenda & Vaughan, Marla, 2012. "Retaining clients in an outcome monitoring evaluation study: HIV prevention efforts in community settings," Evaluation and Program Planning, Elsevier, vol. 35(1), pages 16-24.

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