User:Wkimmerling/Prison sexuality

Gender Discrimination
Studies conducted by Cindy Struckman-Johnson conclude that 22 percent of male inmates have either been coerced or persuaded into sexual acts in prison. Sexual assault in prison is not exclusive to male prisons. Female prisoners experience sexual assault in a different way. By 1998, there were over 138,000 women in the prison system. While this is the case, the majority of prison guards are male. There is evidence that women prisoners are coerced into sex by prison staff in exchange for "drugs, favors, and promises of more lenient treatment." Female inmates also report that guards and staff watch them shower and undress, as well improperly touch them during pat-downs.

LGBTQ+ Discrimination
Members of the LGBTQ+ community are incarcerated at higher rates than heterosexual people. There is a significant demographic of LGBTQ+ individuals within the criminal justice system. The Bureau of Justice Statistics, a branch of the Department of Justice, reports that gay and lesbian men and women are ten times more likely to be sexually assaulted in prison by another inmate. Additionally, they are 2.6 times more likely than heterosexual inmates to be sexually assaulted by prison staff.

Transgender and Intersex Inmates
Transgender inmates in particular face tougher discrimination than any other prison demographic. Not only are they required to be imprisoned with their other members of their biological sex, but the lack of facilities for transgender inmates is discriminatory in nature. The concept of differentiating the sexes in prisons is called "sex segregation." The separate men's and women's prisons bring forward issues for transgender and intersex people who are incarcerated.

While it is known that discrimination exists against transgender and intersex prisoners, there is little data on the issue thus far. This is due to the fact that jails and prisons are segregated by binary sex. There are studies that demonstrate that compared to the United Kingdom, transgender inmates in the United States are much less likely to be housed with other members of the gender they identify with.

The treatment of transgender inmates also varies across different jurisdictions in the United States. The most inclusive states allow for inmates to be segregated based on their gender identity on their Department of Motor Vehicle identification card. Others states such as Tennessee have restrictive laws against gender identification in prisons. The state of Tennessee only allows inmates to be housed based on their biological sex on their birth certificate, which in this state cannot be changed.

The lack of autonomy for transgender people in prison to decide where they should be housed discriminatory and dangerous in nature. It leads to more sexual assaults from other prisoners and prison personnel. A study conducted in California concluded that transgender people in prison are 13 times more likely to be a victim of sexual assault.

Lead:
Around 2 million people, both men and women, are incarcerated within the United States in the correctional system. Year after year, and estimated 1 in 7 people are sent to prison or a correctional facility while having been diagnosed with HIV. During 2010 alone, state and federal correctional facilities had held over 20,000 individuals who were previously living with HIV before entering the prison. Sadly because of poor health care in many areas some prisoners first find out about their diagnosis or receive treatment after having entered the correctional system.

Article body:
Men aged 19 to 35 years old make up the vast majority of people in prison and many are there due to drug offences. Young men who use drugs are already at higher risk of HIV infection before entering prison.

The regions where prisoners are most affected by HIV are East and Southern Africa and West and Central Africa, both of which have high HIV prevalence in the general population, and Eastern Europe and Central Asia and Western Europe, reflecting the over-representation of people who inject drugs in prison - a group with a high prevalence of HIV.

A total of 58 countries – or around 30% of countries in the world – provide condoms in prisons. This includes prison systems in Western Europe, North America, Australia, Indonesia, Iran, South Africa and parts of Eastern Europe and Central Asia.

A study of around 1,000 adults living with HIV who had previously been in prison in Connecticut in the USA found retention in care declined over time after release (67% were retained in care one year after release, compared to 42% after three years). Those who were re-incarcerated were more likely to be retained in HIV care than those who were not. However, being re-imprisoned was not associated with viral suppression, suggesting the care they were receiving in prison was ineffective.

In the past decade, people who use drugs have been incarcerated as a result of what have proved to be profoundly misguided and harmful approaches to treatable substance use disorders. Mass incarceration has destroyed countless individual lives, had lasting negative effects on prisoners’ families and communities, and, in many settings, increased infection rates of HIV and TB. Efforts to provide alternatives to prison for people who use drugs need to be intensified.

Although the prevalence of HIV in prisons has decreased since the late 1990s, concomitant increases in the size of the incarcerated population have led to a constant number of HIV cases in correctional facilities. The HIV prevalence in the state prisons of Florida, Maryland and New York exceeds 3%, a rate higher than the national prevalence of any country outside of sub-Saharan Africa. The disproportionate prevalence of HIV in jails and prisons highlights the socioeconomic and racial disparities that characterize both the “epidemic” of incarceration and the current state of HIV/AIDS in the U.S.

It is clear that pre-trial detention in jails presents unique challenges to HIV testing and treatment when compared to the relatively stable and predictable environments in state and federal prisons. Jails are characterized by rapid turnover, having a median length of stay of only 2–5 days. The median length of stay is only 2–5 days. Caring for acute medical and mental health conditions may be prioritized over screening for infectious diseases and other preventive health care. The Bureau of Justice Statistics reported that 32% of prisoners were under the influence of an illegal drug at their time of arrest, and 56% reported use of any illicit substance in the month before arrest.