Characteristics of drug-involved black women under community supervision; implications for retention in HIV clinical trials and healthcare

Soc Work Health Care. 2024 Jan-Jun;63(1):35-52. doi: 10.1080/00981389.2023.2278781. Epub 2023 Dec 1.

Abstract

This study examined retention and its relationship to mental health, substance use, and social determinants of health in a randomized clinical trial of a behavioral HIV/sexually transmitted infection prevention intervention with drug-involved Black women (N = 348) under community supervision programs in New York City. Using secondary analysis, we used logistic models to test the association between factors related to mental health, substance use, and social determinants of health and follow-up assessment completion (three, six, and 12 months). Participants who were diagnosed with schizophrenia had lower odds of retention. Participants who misused prescription opiates during their lifetime or food insecure in the past 90 days had higher odds of retention throughout the intervention.

Keywords: HIV; Retention; black women; community supervision programs; criminal justice; health equity; intervention; randomized clinical trial; sociodemographic characteristics; substance use.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Delivery of Health Care
  • Female
  • HIV Infections* / diagnosis
  • Humans
  • Mental Health
  • Sexually Transmitted Diseases* / prevention & control
  • Substance-Related Disorders* / diagnosis