Wednesday, September 21, 2016: 3:00 PM-4:15 PM
Salon B
Criminalization and incarceration have often been mentioned as potential
contributors to STD transmission. This session will explore the role of specific
policies in STD/HIV prevention efforts. The first talk discusses how
public health and human rights claims are often put forward for the criminalization
of HIV and other STDs (e.g., preventing new infections, protecting
sexual autonomy, particularly of women). Yet a closer analysis indicates that
the frequently overbroad use of the criminal law is detrimental to both human
rights and to public health, including impeding HIV/STD prevention
and treatment. Where should the lines be drawn? And what might be the elements
of useful “combination resistance” to overly broad HIV/STD criminalization?
The second talk highlights how state drug policy may serve as a social
determinant of health potentially impacting STI risk. State laws (including
DC) were systematically analyzed regarding the following topics: 1) drug possession
sentencing laws, 2) laws limiting access to public benefits based on
felony drug convictions, and 3) laws precluding occupational licensure based
on criminal convictions. This presentation illustrates how the circumstances
resulting in criminal convictions, and their consequences, vary widely across
states; findings may increase public health practitioners’ understanding of
how drug policy potentially impacts STI risk. The final talk will focus on
qualitative research conducted with a convenience sample of county jail staff
and health care providers to explore how policies and protocols related to
STD testing, treatment, and linkage to care; Medicaid; and re-entry services
and linkages further promote or suppress successful STD prevention among
populations that are more frequently incarcerated than other populations, as
well as the communities to which they return. The research focused on eight
counties across the country that reported a high number of STD infections
across 3 of 4 disease areas (gonorrhea, primary and secondary syphilis, chlamydia,
and HIV).
Moderators:
3:00 PM
3:20 PM
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