Female permanent contraception policies and occurrence at a sample of U.S. prisons and jails.

Female permanent contraception policies and occurrence at a sample of U.S. prisons and jails.
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DOI:
10.1016/j.contraception.2021.08.005
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发表时间:
2021-12
期刊:
影响因子:
2.9
通讯作者:
Sufrin CB
Sufrin CB
中科院分区:
医学3区
文献类型:
--
作者:
Pan YL;Beal L;Espino K;Sufrin CB

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被监禁的人对避孕的需求尚未得到满足,但也受到强制性永久避孕做法的影响。没有关于获得永久避孕措施的监狱和监狱政策的数据,也没有关于被拘留妇女发生这种情况的频率的数据。我们试图描述美国殡葬机构的永久性和可逆性避孕政策,以及这些程序的频率。从2016年到2017年,我们对22个州监狱系统和6个县监狱的便利样本进行了调查,了解了女性永久避孕和可逆避孕政策。此外,10所监狱和4所监狱报告了6个月的月度数据,即对在拘留期间分娩的妇女进行了产后永久避孕手术的次数。我们分析了描述性统计的结果。11所监狱(50%)和5所监狱(83%)允许女性永久避孕;其中7所监狱和3所监狱没有关于永久避孕的书面政策。六所监狱和没有一所监狱提供了永久但不可逆转的避孕方法。在6个月的时间里,来自2所监狱的3名妇女和2所监狱的4名妇女接受了产后永久避孕。我们研究中的大多数监狱和监狱允许被监禁的妇女在拘留期间采取永久性避孕措施,通常没有正式的政策。产后永久避孕是在研究期间进行的。鉴于这一边缘化群体天生缺乏监禁自主权和滥用绝育的历史,政策制定者应推动避免强制永久避孕的政策,并增加在监禁环境中获得可逆避孕的机会。许多监禁机构允许妇女采取永久避孕措施,但不提供可逆避孕措施;这种做法使人们担心,获得优质生殖保健服务的机会有限,这种做法损害了妇女的自主性,使她们在生殖方面进一步边缘化。
Incarcerated individuals have an unmet need for contraception, yet have also been subject to coercive permanent contraception practices. Data do not exist on prison and jail policies around access to permanent contraception or how often it occurs among women in custody. We sought to describe permanent and reversible contraception policies at U.S carceral institutions and the frequency of these procedures. We surveyed a convenience sample of 22 state prison systems and 6 county jails from 2016 to 2017 about female permanent contraception and reversible contraception policies. In addition, 10 prisons and 4 jails reported 6 months of monthly data on the number of postpartum permanent contraception procedures performed on women who gave birth in custody. We analyzed results for descriptive statistics. Eleven prisons (50%) and 5 jails (83%) permitted female permanent contraception; 7 of these prisons and 3 of these jails allowing permanent contraception did not have a written policy about it. Six prisons and no jails provided access to permanent but not reversible contraception. Over 6 months, 3 women from 2 prisons and 4 women at 2 jails received postpartum permanent contraception. The majority of prisons and jails in our study allowed incarcerated women to have permanent contraception in custody, often without formalized policies in place. Postpartum permanent contraception occurred during the study period. Given the inherent lack of autonomy of incarceration and history of sterilization abuses in this marginalized group, policy-makers should advance policies that avoid coercive permanent contraception and increase access to reversible contraception in carceral settings. Many carceral institutions permit women to undergo permanent contraception but provide no access to reversible contraception; this practice raises concern for compromised autonomy and further reproductive marginalization of a group with limited access to quality reproductive health care.
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