Experiences of menopause during incarceration.

Experiences of menopause during incarceration.
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在监禁期间更年期的经历。

DOI:
10.1097/gme.0000000000001762
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发表时间:
2021-03-11
期刊:
Menopause (New York, N.Y.)
影响因子:
--
通讯作者:
Knittel AK
Knittel AK
中科院分区:
其他
文献类型:
--
作者:
Jaffe EF;Palmquist AEL;Knittel AK

文献摘要

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尽管美国监狱和监狱设施中的老年妇女人数越来越多,但她们的更年期经历和获得相关护理的机会仍然没有特征。我们的目标是探索被监禁在监狱和监狱设施中的人的更年期经历。我们进行了一项试点研究的四个半结构化的深入采访的人在社区谁经历了更年期症状,而被监禁在监狱或监狱设施。初步调查结果表明,在获得与更年期有关的资源和医疗服务方面存在重大差距。与会者描述说,在监狱中无法获得更年期生活方式和医疗干预措施,而且未经治疗的症状会造成严重的痛苦。参与者报告说,他们感觉医务人员不相信他们的担忧,对他们的投诉不屑一顾。在某些情况下,更年期症状和症状管理加剧了体制障碍在监狱系统内重现犯罪化的方式。在经历监禁的同时经历更年期过渡的个人有大量未满足的需求,并且难以获得缓解生活方式改变或医疗干预。政策和实践的变化应解决经历监禁的个人与更年期相关的需求。
Despite increasing representation of older women in U.S. jail and prison facilities, their menopause experiences and access to related care remain uncharacterized. Our objective is to explore the menopause experiences of people incarcerated in jail and prison facilities. We conducted a pilot study of four semi-structured in-depth interviews with people in the community who experienced menopause symptoms while incarcerated in either a prison or jail facility. Preliminary findings suggest critical gaps in access to menopause-related resources and medical care. Participants described that lifestyle and medical interventions for menopause in prison were inaccessible, and that untreated symptoms contributed to significant distress. Participants reported feeling as though medical staff did not believe their concerns and were dismissive of their complaints. In some cases, menopause symptoms and symptom management exacerbated the ways in which institutional barriers reproduce criminalization within the carceral system. Individuals going through the menopause transition while experiencing incarceration have significant unmet needs and poor access to relieving lifestyle changes or medical interventions. Policy and practice changes should address menopause related needs of individuals experiencing incarceration.