Preventive Healthcare for Underserved Women: Results of a Prison Survey
Preventive Healthcare for Underserved Women: Results of a Prison Survey
复制标题
DOI：
10.1089/jwh.2009.1469
复制
发表时间：
2010-01-01
影响因子：
3.5
通讯作者：
Clarke, Jennifer G.
中科院分区：
文献类型：
--
作者：
Nijhawan, Ank E.;Salloway, Rachel;Clarke, Jennifer G.
目标：我们试图确定被监禁妇女在以下领域的预防性医疗保健需求：宫颈癌和乳腺癌筛查、性传播感染 (STI) 筛查、肝炎筛查和疫苗接种以及戒烟。方法：对罗德岛州克兰斯顿罗德岛惩教署 (RIDOC) 的 100 名被监禁妇女进行随机抽样的横断面访谈调查。结果：参与者中有 62% 是白人，11% 是非裔美国人， 13% 是西班牙裔，14% 是混血儿。平均年龄为 35 岁。在接受调查的人中，67% 的人表示在过去一年曾接受过巴氏涂片检查，最有力的预测因素是在监禁期间接受过巴氏涂片检查。在 40 岁以上的囚犯中，58% 的人表示在过去 2 年内曾做过乳房 X 光检查。大多数人 (88%) 报告过去曾进行过性传播感染检测，39% 的人希望在当前监禁期间进行检测。至于丙型肝炎，70%的人之前接受过检测，其中37%的人报告检测结果呈阳性。西班牙裔人接受丙型肝炎检测的可能性低于白人（OR 0.1）。超过一半 (54%) 的丙型肝炎检测呈阳性的女性也表示已经完成了甲型肝炎和乙型肝炎疫苗系列。在吸烟者中（占所有调查参与者的 80%），61% 有兴趣戒烟。那些被多次监禁的人不太可能想戒烟（OR 0.1）。 结论：监禁为高危、医疗服务不足的女性提供了一个独特的机会来提供预防性医疗保健。
Objectives: We sought to determine the preventive healthcare needs of incarcerated women in the following areas: cervical cancer and breast cancer screening, sexually transmitted infection (STI) screening, hepatitis screening and vaccination, and smoking cessation.Methods: A cross-sectional interview survey of a random sample of 100 incarcerated women at the Rhode Island Department of Corrections (RIDOC) in Cranston, Rhode Island, was conducted.Results: Participants were 62% white, 11% African American, 13% Hispanic, and 14% of mixed race. Mean age was 35 years. Of those surveyed, 67% reported having had a Papanicolou (Pap) smear in the past year, the strongest predictor of which was having received a Pap smear while incarcerated. Of the inmates >40 years old, 58% reported having had a mammogram in the past 2 years. The majority (88%) reported testing for STIs in the past, and 39% desired testing during their current incarceration. As for hepatitis C, 70% had been tested previously and 37% of those reported testing positive. Hispanics were less likely than whites to have been tested for hepatitis C (OR 0.1). Over half (54%) of the women who reported testing positive for hepatitis C also reported having completed the hepatitis A and B vaccine series. Among smokers (80% of all survey participants), 61% were interested in quitting. Those who had been incarcerated multiple times were less likely to want to quit smoking (OR 0.1).Conclusions: Incarceration presents a unique opportunity to provide preventive healthcare to high-risk, medically underserved women.