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Developing a conceptual framework for post-incarceration care for sexual and gender minoritized adults: a concept mapping study.

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Title: Developing a conceptual framework for post-incarceration care for sexual and gender minoritized adults: a concept mapping study.
Authors: Creasy, Stephanie L. (AUTHOR), Rollins, AKeem (AUTHOR), Mintz, Laura J. (AUTHOR), Avery, Ann (AUTHOR), Hawk, Mary (AUTHOR), Egan, James E. (AUTHOR), Krier, Sarah (AUTHOR), Baumann, Sara E. (AUTHOR), Gibbons, Carey (AUTHOR), Burke, Jessica G. (AUTHOR), Dauria, Emily F. (AUTHOR)
Source: AIDS Care. May2026, Vol. 38 Issue 5, p1030-1047. 18p.
Subjects: HIV prevention, Health services accessibility, Community health services, Imprisonment, Independent living, Cluster analysis (Statistics), Patient safety, Research funding, Mobile hospitals, Rehabilitation, Gender affirming care, Questionnaires, Prisoners, HIV infections, Harm reduction, Conceptual structures, Action research, Research methodology, Sexual minorities, Medical needs assessment, Social support, Health equity, Patient aftercare, Patients' attitudes
Geographic Terms: Ohio
Abstract: Mass incarceration in the United States is a social-structural driver of health for sexual and gender minoritized adults (SGMA). The aim of this study was to develop a conceptual framework for post-release healthcare to use in adapting a mobile health unit (MHU) for SGMA returning from jail. We used concept mapping to answer a focal prompt regarding health-related needs for SGMA post-release. We recruited SGMA with recent incarceration experience and relevant community partners to participate in 4 concept mapping sessions. Multidimensional scaling produced a two-dimensional point map of all statements and their relative relationships and hierarchical cluster analysis illustrated clusters of needs. SGMA community members (n = 16) and community partners (n = 13) generated 109 unique statements describing post-release healthcare-related needs for SGMA. Participants sorted and rated these items, creating a map of 10 clusters of needs: Physical Health, LGBTQ-Affirming Mental Health Care, Release Planning, Release Aftercare, Peer Support, Immediate Needs, Stabilizing Needs, Resources to Thrive, Access to Education, and Structural Healthcare Advantages. While HIV prevention and treatment were identified as the most important and the best fitting, the vast majority of post-release healthcare needs identified by SGMA related to other social and structural drivers of health to reduce stigma and risk, increase access to important health services like harm reduction and gender-affirming care, improve their economic conditions, and provide social support and safety. This participant-led conceptual framework provides insight regarding important components to include in development and adaptation of interventions to address HIV and other health inequities for SGMA produced and exacerbated by the CLS. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Developing a conceptual framework for post-incarceration care for sexual and gender minoritized adults: a concept mapping study.
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  Data: <searchLink fieldCode="AR" term="%22Creasy%2C+Stephanie+L%2E%22">Creasy, Stephanie L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rollins%2C+AKeem%22">Rollins, AKeem</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mintz%2C+Laura+J%2E%22">Mintz, Laura J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Avery%2C+Ann%22">Avery, Ann</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hawk%2C+Mary%22">Hawk, Mary</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Egan%2C+James+E%2E%22">Egan, James E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Krier%2C+Sarah%22">Krier, Sarah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Baumann%2C+Sara+E%2E%22">Baumann, Sara E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gibbons%2C+Carey%22">Gibbons, Carey</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burke%2C+Jessica+G%2E%22">Burke, Jessica G.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dauria%2C+Emily+F%2E%22">Dauria, Emily F.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. May2026, Vol. 38 Issue 5, p1030-1047. 18p.
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  Data: Mass incarceration in the United States is a social-structural driver of health for sexual and gender minoritized adults (SGMA). The aim of this study was to develop a conceptual framework for post-release healthcare to use in adapting a mobile health unit (MHU) for SGMA returning from jail. We used concept mapping to answer a focal prompt regarding health-related needs for SGMA post-release. We recruited SGMA with recent incarceration experience and relevant community partners to participate in 4 concept mapping sessions. Multidimensional scaling produced a two-dimensional point map of all statements and their relative relationships and hierarchical cluster analysis illustrated clusters of needs. SGMA community members (n = 16) and community partners (n = 13) generated 109 unique statements describing post-release healthcare-related needs for SGMA. Participants sorted and rated these items, creating a map of 10 clusters of needs: Physical Health, LGBTQ-Affirming Mental Health Care, Release Planning, Release Aftercare, Peer Support, Immediate Needs, Stabilizing Needs, Resources to Thrive, Access to Education, and Structural Healthcare Advantages. While HIV prevention and treatment were identified as the most important and the best fitting, the vast majority of post-release healthcare needs identified by SGMA related to other social and structural drivers of health to reduce stigma and risk, increase access to important health services like harm reduction and gender-affirming care, improve their economic conditions, and provide social support and safety. This participant-led conceptual framework provides insight regarding important components to include in development and adaptation of interventions to address HIV and other health inequities for SGMA produced and exacerbated by the CLS. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=193816000
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/09540121.2025.2602163
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Community health services
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      – SubjectFull: Imprisonment
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      – SubjectFull: Independent living
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      – SubjectFull: Cluster analysis (Statistics)
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      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Mobile hospitals
        Type: general
      – SubjectFull: Rehabilitation
        Type: general
      – SubjectFull: Gender affirming care
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Prisoners
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      – SubjectFull: HIV infections
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      – SubjectFull: Harm reduction
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      – SubjectFull: Conceptual structures
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      – SubjectFull: Action research
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Sexual minorities
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      – SubjectFull: Medical needs assessment
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      – SubjectFull: Social support
        Type: general
      – SubjectFull: Health equity
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      – SubjectFull: Patient aftercare
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      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Ohio
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      – TitleFull: Developing a conceptual framework for post-incarceration care for sexual and gender minoritized adults: a concept mapping study.
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