The Contraceptive Needs of Incarcerated Women

The Contraceptive Needs of Incarcerated Women
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DOI:
10.1089/jwh.2008.1296
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发表时间:
2009-08-01
影响因子:
3.5
通讯作者:
Matthews, Catherine A.
Matthews, Catherine A.
中科院分区:
医学3区
文献类型:
--
作者:
Hale, Galen J.;Oswalt, Krista L.;Matthews, Catherine A.

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目的:我们评估了在美国东南部的监狱中监禁的妇女的避孕需求,以确定可行的和有效的节育干预措施的基础上,这个population.Methods的需求:参与者被招募从当地监狱周围的一个中型的都会区。参与者完成了一项调查的人口统计学,性健康,避孕药具的使用,以及首选的避孕方法。参与者报告性传播疾病(STD)的高发病率(50.5%),不一致的避孕措施(36.5%),以及使用不可靠和依赖用户的避孕方法。大多数人不希望将来怀孕(61.5%),但打算在出狱后发生性行为(76.9%)。有生育能力的妇女在获释后更有可能报告打算采取避孕措施或性传播疾病防护措施(77.9%)。此外,显着的种族差异被发现。具体而言,nonwhites更有可能是单身,有更多的性病和更少的使用各种避孕方法比white.Conclusions:在这个样本中的妇女是在高风险的意外怀孕。因此,这一人群的一个主要避孕需求似乎是关于持久、独立于使用者的避孕形式的教育。这些妇女中的许多人将是这种形式避孕的理想人选,特别是如果在释放前提供这种避孕措施。
Objectives: We assessed the contraceptive needs of women incarcerated in jails in the southeastern United States to determine feasible and effective birth control interventions based on the needs of this population.Methods: Participants were recruited from local jails around a medium-sized metro area. Participants completed a survey of demographics, sexual health, contraceptive use, and preferred method of contraception.Results: The survey was completed by 188 women in jail. Participants reported high rates of sexually transmitted diseases (STDs) (50.5%), inconsistent use of birth control (36.5%), and use of unreliable and user-dependent methods of birth control. The majority did not desire to become pregnant in the future (61.5%) but intended to have sex after release from jail (76.9%). Women who were able to bear children were more likely to report intentions to use birth control or STD protection after release (77.9%). Additionally, significant racial differences were found. Specifically, nonwhites were more likely to be single and have more STDs and less use of a variety of birth control methods than whites.Conclusions: Women in this sample were at high risk for unplanned pregnancies. Therefore, a primary contraceptive need for this population appeared to be education about longer lasting, user-independent forms of contraception. Many of these women would be ideal candidates for such forms of contraception, especially if it was provided prior to release.