Preventive Healthcare for Underserved Women: Results of a Prison Survey

Nijhawan, Ank E.; Salloway, Rachel; Nunn, Amy; Poshkus, Michael; Clarke, Jennifer G.

doi:10.1089/jwh.2009.1469

Cited by 81 publications

(95 citation statements)

References 18 publications

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“…Almost the same and higher rates of smokers have been reported in other Greek and international surveys [33,34,36,38,[72][73][74][75][76][77]. According to the study results, women increased their smoking habits by 20.8% during their detention period, while in previous surveys conducted in two Greek male prisons the relevant increase rates were higher (37.7% and 43.4% respectively) [33,34].…”

Section: Discussionsupporting

confidence: 83%

The Impact of Incarceration on Greek Female Prisoners’ Self-reported Health Status

Milioni¹,

Geitona²

2017

J Women's Health Care

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Objective: Studies attempting to investigate issues around detainees' health status is limited in Greece and it is mainly focusing on specific prisons. The scope of this research was to investigate the impact of incarceration on health status of the Greek female prisoners' population. Methods:A cross-sectional survey was conducted to both female correctional institutions existing in Greece during the years 2014 and 2015. A semi-structured questionnaire was given to incarcerated women who voluntarily accepted to take part. Data were collected via personal interviews and were anonymized. Statistical analysis was performed through descriptive statistics, bivariate analysis and multiple regression analysis with the use of SPSS 20.Results: Out of 524 female prisoners, 397 met the inclusion criteria and participated in the study. 66.3% reported a moderate or poor health status, while the respective rate before detainment was 23.4%. Health status deterioration and poor mental health were referred by more than half of the participants. The access to health services and the quality of provided healthcare during imprisonment were considered as poor/very poor by 44.8% and 46.1% respectively. Almost half of the respondents expressed their dissatisfaction with the accommodation, the cleanliness, the nutrition as well as with the overall prison environment. Furthermore, the access to health services, the quality of provided healthcare and the experienced detention conditions affect female prisoners' self-reported general and mental health status. Conclusion:Female imprisonment impacts negatively prisoners' self-reported health status. Our findings give a cue for additional explore with the specific end goal to meet the health needs of this vulnerable population as well as to improve everyday life in prison and life after release.

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Section: Discussionsupporting

confidence: 83%

The Impact of Incarceration on Greek Female Prisoners’ Self-reported Health Status

Milioni¹,

Geitona²

2017

J Women's Health Care

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“…In England and Wales, smoking rates among prisoners are nearly four times higher than in the general population at approximately 80% [1][2][3], a level comparable with other countries [4][5][6][7][8][9][10][11]. A similarly high prevalence has also been found in police custody and probation [12,13], although the evidence is less well developed.…”

Section: Introductionmentioning

confidence: 93%

Barriers and facilitators to a criminal justice tobacco control coordinator: an innovative approach to supporting smoking cessation among offenders

et al. 2012

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Aims To examine the barriers and facilitators to effective operation of a regional tobacco control coordinator working within and across criminal justice and public health, whose goal was to raise tobacco control awareness and support the development of smoking cessation treatment for offenders. Design A reflexive, mixed-methods case study approach using in-depth interviews, project reports and observation of advisory board meetings. Setting The coordinator worked with prisons, probation and police custody, where there are high levels of social disadvantage and smoking. Participants Interviews (n = 34) at different stages of project with the coordinator, project advisers and local stakeholders from criminal justice and public health. Measurements Analysis of facilitators and barriers and the coordinator role from different perspectives. Findings Readiness to develop cessation services was a critical predictor of different criminal justice settings' engagement with the coordinator role. The coordinator enhanced cessation service delivery in individual prisons where there was a requirement and infrastructure in place to provide such services. In police custody, where there was no central guidance or pre-existing requirements, efforts to establish smoking cessation on the local agenda proved ineffective. In probation settings, the coordinator documented examples of good practice and supported brief intervention training. Variability in willingness to engage limited the project's ability to create joined-up working across criminal justice settings. Conclusions In the English criminal justice system, the prison service appears to provide a favourable context for development of smoking cessation support and a means of accessing hard-to-reach groups. Other criminal justice settings, most specifically police custody, appear less responsive to such activity. A coordinator role can improve smoking cessation support in the prison setting, and develop local improvements in tobacco control interventions in other settings such as probation, but as configured here, does not have the capacity to effect change across the criminal justice system.

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“…13,14 Incarceration offers an opportunity to provide reproductive health services to some high-risk women who might not otherwise seek or receive health services.…”

Section: Binswanger Et Almentioning

confidence: 99%

“…12 Little is known about women in community criminal justice settings, but incarcerated women have historically lacked access to preventive healthcare and are underserved when it comes to their reproductive health. 13,14 Offering preventive health services to women involved in the criminal justice system may help ameliorate health disparities and poor health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Cervical Cancer in Criminal Justice Settings

Binswanger

Mueller²,

Clark³

et al. 2011

Journal of Women's Health

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Background: Women in criminal justice settings have an increased prevalence of cervical cancer compared with the general population. However, little is known about abnormal cervical cancer screening results among women in jail and community-based criminal justice settings. Thus, the aims of this study were to compare the prevalence of self-reported abnormal Papanicolou (Pap) test results in women in jail and under community criminal justice supervision and to examine factors associated with abnormal Pap tests in these criminal justice settings. Methods: We analyzed data from two cross-sectional surveys of women in jails and community corrections in two Southern cities (n = 380) about their history of abnormal Pap tests and risk factors for cervical cancer. Univariate analyses (analysis of variance [ANOVA] and chi-square) and a binary logistic regression analysis were conducted to test associations between a history of abnormal Pap testing and factors known to be associated with cervical cancer. Results: Nearly half of the women surveyed (n = 163, 43%) reported ever having an abnormal Pap test. There was a high prevalence of risk factors for cervical cancer among women with and without an abnormal Pap test. After controlling for age and race, there were significant associations between an abnormal Pap test and inconsistent use of barrier protection (odds ratio [OR] 2.01, 95% confidence interval [CI] 1.18-3.43), having a history of gynecologic infections (OR 1.68, 95% CI 1.05-2.67), and having a history of sexually transmitted diseases (OR 1.92, 95% CI 1.17-3.15). Conclusions: Women in jail and under community justice supervision reported a high prevalence of risk factors for cervical cancer. Because of their high prevalence of abnormal Pap testing, women in criminal justice settings may be appropriate targets for improved cervical cancer screening, prevention with human papillomavirus (HPV) vaccination, risk reduction education, and treatment.

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Preventive Healthcare for Underserved Women: Results of a Prison Survey

Cited by 81 publications

References 18 publications

The Impact of Incarceration on Greek Female Prisoners’ Self-reported Health Status

The Impact of Incarceration on Greek Female Prisoners’ Self-reported Health Status

Barriers and facilitators to a criminal justice tobacco control coordinator: an innovative approach to supporting smoking cessation among offenders

Risk Factors for Cervical Cancer in Criminal Justice Settings

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