life in prison: perspectives of drug injectors

Hughes, Rhidian; Huby, Meg

doi:10.1080/01639620050085843

Cited by 16 publications

(3 citation statements)

References 24 publications

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“…However, many carry on using on the inside, often with reduced frequency and amounts [51], but sometimes maintaining the same level of use [52]. Prison is also a place where drug use is initiated, often as a means to release tension and to cope with being in an overcrowded and often violent environment [53,54]. …”

Section: Reviewmentioning

confidence: 99%

HIV and incarceration: prisons and detention

Jürgens¹,

Nowak²,

Day³

2011

Journal of the International AIDS Society

123

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The high prevalence of HIV infection among prisoners and pre-trial detainees, combined with overcrowding and sub-standard living conditions sometimes amounting to inhuman or degrading treatment in violation of international law, make prisons and other detention centres a high risk environment for the transmission of HIV. Ultimately, this contributes to HIV epidemics in the communities to which prisoners return upon their release. We reviewed the evidence regarding HIV prevalence, risk behaviours and transmission in prisons. We also reviewed evidence of the effectiveness of interventions and approaches to reduce the risk behaviours and, consequently, HIV transmission in prisons.A large number of studies report high levels of risk behaviour in prisons, and HIV transmission has been documented. There is a large body of evidence from countries around the world of what prison systems can do to prevent HIV transmission. In particular, condom distribution programmes, accompanied by measures to prevent the occurrence of rape and other forms of non-consensual sex, needle and syringe programmes and opioid substitution therapies, have proven effective at reducing HIV risk behaviours in a wide range of prison environments without resulting in negative consequences for the health of prison staff or prisoners.The introduction of these programmes in prisons is therefore warranted as part of comprehensive programmes to address HIV in prisons, including HIV education, voluntary HIV testing and counselling, and provision of antiretroviral treatment for HIV-positive prisoners. In addition, however, action to reduce overcrowding and improve conditions in detention is urgently needed.

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Section: Reviewmentioning

confidence: 99%

HIV and incarceration: prisons and detention

Jürgens¹,

Nowak²,

Day³

2011

Journal of the International AIDS Society

123

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“…Previous international qualitative studies have explored prisoners’ experiences in prison of which health was a major component. These studies explored prison life and the impact of imprisonment on health including the resultant loss of autonomy for self-care, enforced breaks from drugs and chaotic lifestyles and having more time on their hands to address overdue health needs (Hughes and Huby, 2000; Douglas et al , 2009; Maruca et al , 2017; Gately et al , 2006). The barriers to accessing health care identified, in studies evaluating prison health services include: long waiting times, delays and changes in medication, confidentiality breaches, poor communication, gatekeeping practices by staff, absence of information concerning health practices and medication and quality of health care (Ahmed et al , 2016; Bowen et al , 2009; Plugge et al , 2008; Russell et al , 2006; Sullivan et al , 2015; Condon et al , 2007).…”

Section: Introductionmentioning

confidence: 99%

Prisoners’ experience and perceptions of health care in Australian prisons: a qualitative study

Capon

McGowan²,

Bowman

2020

IJPH

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Purpose Patient-centred care is a key approach used in Australia for the delivery of quality health care, and understanding experiences and perceptions is a key part to this. This paper aims to explore prisoners’ experiences and perceptions of health-care service provision in New South Wales, Australia. Design/methodology/approach In February and March 2017, 24 focus groups, consisting of 128 participants, were undertaken using semi-structured interviews that explored experiences of health care in prison. Findings A conceptualisation of the prisoners’ health-care experience around the core category of access to health care emerged from the data. Enablers or barriers to this access were driven by three categories: a prison construct – how the prisoners “see” the prison system influencing access to health care; a health-care system construct – how the prisoners “see” the prison health-care system and the pathways to navigate it; and personal factors. Communication was the category with the greatest number of relational connections. Research limitations/implications This study takes a pragmatic approach to the analysis of data, the findings forming the basis for a future quantitative study. The findings identify communication as a key issue for access to health care. Originality/value This study provides first-hand accounts of enablers and barriers to accessing health-care services in the prison environment. To the best of the authors’ knowledge, this study is the first of its kind to identify access to health care as a core category and is of value to health workers and researchers that work with the prison population.

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“…These reasons include frustrations associated with being incarcerated, family problems, and fatalistic attitudes because of long or life sentences. Although any inmate could engage in risk behaviors, inmates who had been incarcerated for long periods and those who were on life sentences were more likely to engage in sex and substance abuse [29] [30]. With regards to drug use, it has been "argued that confinement is a predictor of drug use" [12] and several studies have concluded that boredom, hopelessness, and frustration contribute in part to drug use [13] [20].…”

Section: Discussionmentioning

confidence: 99%

Explanatory Models of Inmate HIV Risk Behaviors: Does a Fatalistic Model Exist?

Balogun

Abiona²,

Anguh³

2015

WJA

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The deprivation, importation, situational, and administrative control models have been used to explain inmate violence. More recently, HIV risk behaviors of inmates have been explained with the deprivation and importation models. The goal of this study is to assess the utility of these models in describing inmate HIV risk behaviors and to identify additional models that may exist. Forty seven ex-offenders released from prison within three months of the study were recruited from a community based organization. They participated in focus group discussions that explored the contexts surrounding inmate engagement in HIV risk behaviors in prison. Data were analyzed using NVivo 7 and results were organized into themes. Inmates engaged in sex in exchange for money and for affection. Inmates who were drug users before incarceration were more likely to abuse drugs in prison. Security measures, if effective, deterred the entrance of illegal substance into prison, but when security is lax, inmates take the opportunity to engage in sex, and illegal substances are brought into prison. Our results reveal that deprivation, importation, situational, and administrative control factors are associated with HIV risk behaviors among inmates and they can be used in explaining these behaviors. The association of risk behaviors with long or life sentences suggests that fatalism may play a role in risk behaviors among inmates. Fatalism is a factor which requires future examination.

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life in prison: perspectives of drug injectors

Cited by 16 publications

References 24 publications

HIV and incarceration: prisons and detention

HIV and incarceration: prisons and detention

Prisoners’ experience and perceptions of health care in Australian prisons: a qualitative study

Explanatory Models of Inmate HIV Risk Behaviors: Does a Fatalistic Model Exist?

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