HIV and AIDS Risk Behaviors Among Female Jail Detainees: Implications for Public Health Policy

McClelland, Gary M.; Teplin, Linda A.; Abram, Karen M.; Jacobs, Naomi

doi:10.2105/ajph.92.5.818

Cited by 78 publications

(67 citation statements)

References 81 publications

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“…22 This can be attributed to the high rates of IDU among incarcerated women, which ranges from 14% to 42% nationwide. 23 Also, 80% of study participants were smokers compared with 19.8% in the general population. 24 The high prevalence rates of cervical dysplasia, hepatitis C, and tobacco use in corrections has implications for both primary and secondary prevention as well as treatment of disease.…”

Section: Discussionmentioning

confidence: 92%

Preventive Healthcare for Underserved Women: Results of a Prison Survey

Nijhawan

Salloway

Nunn

et al. 2010

Journal of Women's Health

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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.

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Section: Discussionmentioning

confidence: 92%

Preventive Healthcare for Underserved Women: Results of a Prison Survey

Nijhawan

Salloway

Nunn

et al. 2010

Journal of Women's Health

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“…Our findings also support previous studies which have found high rates of HIV, drug and alcohol use, mental health diagnoses, homelessness and chronic diseases in incarcerated populations. [6][7][8][9][10] While threequarters of participants expressed a desire for drug treatment services, only 13% reported receiving treatment while incarcerated, illustrating a dearth of treatment availability within BCDC. The diagnoses (e.g., depression, bipolar disorder and schizophrenia) named by respondents are consistent with a similar study of female detainees in Chicago.…”

Section: Release From Jail: Moment Of Crisis or Window Of Opportunitymentioning

confidence: 99%

“…1 In addition to differing from incarcerated men, female prisoners also differ from their non-incarcerated counterparts. Compared with adult females in the general population, incarcerated women are more likely to experience substance use, mental illness, intimate partner violence, HIV risk behaviors, 6 HIV, hepatitis B and hepatitis C infection 7 and homelessness. [8][9][10] Furthermore, female detainees who report being homeless upon arrest also report higher numbers of previous arrests, substance abuse, prostitution-related charges, and difficulty accessing drug treatment.…”

Section: Introductionmentioning

confidence: 99%

Release from Jail: Moment of Crisis or Window of Opportunity for Female Detainees?

McLean

Robarge²,

Sherman

2006

J Urban Health

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Despite extensive documentation of the reentry challenges facing female prisoners, few such studies have focused on women exiting jails. The Window Study investigated factors associated with the perceived availability of stable housing upon release from detention. Anonymous surveys were conducted with a random sample (n = 148) of female detainees at the Baltimore City Detention Center from January 21 to March 17, 2005. Interviews focused on socio-demographic background, health status, recent drug use and sexual behavior history, and material and social resource availability upon release. The median age of female detainees was 37 (interquartile range [IQR]: 29, 41), 69% were African-American, and 33% identified as lesbian or bisexual. The median income in the 30 days prior to arrest was $145 (IQR: 0, 559), and the median number of prior arrests was 5 (IQR: 3, 11). In the presence of other variables familial support (Adjusted Odds Ratio [AOR] 2.57; 95% Confidence Interval [CI] 1.21, 5.47) and a monthly income of $400-799 (AOR 3.18; 95% CI 1.00, 10.07) were positively associated with perceived housing stability upon release; wanting a support group for having traded sex for money, drugs or a place to stay (AOR 0.25; 95% CI 0.10, 0.63) was significantly negatively associated with perceived housing stability upon release. This study suggests the importance of pre-release planning and continuity of care for female detainees. Interventions should emphasize access to housing, economic opportunity and family reunification. Special attention is warranted to those who have engaged in sex work, who may be marginalized from family and service-based support networks.

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“…Heteronormative expectations also routinely render queer sexualities invisible in providers' efforts to address the sexual needs of incarcerated women (Zierler & Krieger, 1997). Jail-based programs may represent an opportunity for service providers and advocates to make visible and then address the needs of disenfranchised women (McClelland, Teplin, Abram, & Jacobs, 2002). In contrast to state and federal prisons, jails are city and county facilities in which women usually serve shorter terms, typically 72 hours to 5 months.…”

Section: June 2008mentioning

confidence: 99%