Ex-offender data shows high risk of sexually transmitted infections after release

The American health care system may be missing a golden opportunity to curtail sexually transmitted infections in communities, according to a new study of offenders following release from the justice system.

Researchers at Indiana University School of Medicine and Regenstrief Institute presented findings at the STI & AIDS World Congress in Vienna, Austria, July 14 to 17, showing that individuals released from the justice system have a high risk of contracting an sexually transmitted infection within the first year.

Sarah E. Wiehe, M.D., associate professor of pediatrics at IU School of Medicine and an affiliated scientist at the Regenstrief Institute, said studies have shown that criminal offenders have a high rate of sexually transmitted infections when entering the justice system and that communities with a high percent of incarcerations also have an increased number of STI cases.

The analysis using existing justice system and public health data by the IU researchers also shows that ex-offenders had a high risk of contracting a sexually transmitted infection within the first year of release. That risk was particularly high for those released from the juvenile system, she said.

Wiehe and colleagues worked with the Marion County (Indiana) Courts, the Marion County Health Department, the Indianapolis Metropolitan Police Department and the Indiana Department of Corrections to track 260,000 youths and adults who had interaction with the justice system through arrest, jail, juvenile detention, juvenile prison or adult prison from 2000 to 2008.

Wiehe said that of those who tested positive for sexually transmitted infections from 2000 to 2008, 16 percent contracted the infection within the first 365 days of release from the justice system. That incidence rate includes:

  • 10 percent from adult prison.
  • 13 percent from jail.
  • 10 percent of those arrested but not jailed or imprisoned.
  • 26 percent from juvenile prison.
  • 22 percent from juvenile detention.

"The one-year time period following release from the justice system represents a high-impact opportunity to reduce the sexually transmitted infection rates at a population level. Even modestly successful efforts to reduce post-incarceration STI and STI risk could have substantive effects on community STI burden across infection types," Dr. Wiehe said.

This research, funded by a National Institute of Allergy and Infectious Diseases grant (R21AI084060), is the first of a series the IU investigators hope to pursue. Other Indiana University investigators contributing to this research are J. Dennis Fortenberry, M.D., M.S., Matthew C. Aalsma, Ph.D., and Marc B. Rosenman, M.D.

Wiehe said the next phase of research will be looking at the rates and effect of sexual transmitted infection related to ex-offenders in the community, followed by a review to see whether racial disparities in the correlate to similar disparities in sexual transmitted infection rates.

add to favorites email to friend print save as pdf

Related Stories

New research discoveries shed light on common STI

Apr 02, 2013

Research led by David H. Martin, MD, Professor and Chief of Infectious Diseases at LSU Health Sciences Center New Orleans, has found that a common sexually transmitted infection-causing parasite "cultivates" bacteria beneficial ...

Recommended for you

Study reveals state of crisis in Canadian foster care system

Oct 24, 2014

A new study of foster care in Canada led by a researcher at Western University reveals a shrinking number of foster care providers are available across the country to care for a growing number of children with increasingly ...

Researchers prove the benefits of persimmons for diet

Oct 24, 2014

Alba Mir and Ana Domingo, researchers from the Department of Analytical Chemistry of the University of Valencia, under the supervision of professors Miguel de la Guardia and Maria Luisa Cervera, from the same department, ...

Hand blenders used for cooking can emit persistent chemicals

Oct 24, 2014

Eight out of twelve tested models of hand blenders are leaking chlorinated paraffins when used according to the suppliers' instructions. This is revealed in a report from Stockholm University where researchers analyzed a ...

User comments