Mukherjee Soumyadeep, Pierre-Victor Dudith, Bahelah Raed, Madhivanan Purnima
a Department of Epidemiology , Robert Stempel College of Public Health & Social Work, Florida International University , Miami , Florida , USA.
Women Health. 2014;54(8):816-42. doi: 10.1080/03630242.2014.932894.
Incarceration-induced stress makes pregnant women in correctional facilities a high-risk group for mental health problems, resulting in adverse maternal and fetal outcomes. A systematic review was conducted to examine the prevalence and correlates of mental health issues among pregnant inmates. Databases searched included PubMed, Medline, CINAHL Plus, PsycINFO, National Criminal Justice Reference System, Social Work Abstracts, Cochrane and Campbell libraries, which were searched for studies published in English from 1950 till July 2013. Eleven studies were included of pregnant women in correctional facilities and addressed at least one mental illness. Quality score was assigned to these eligible articles. Due to heterogeneity, a narrative review was performed. All of the studies were conducted in the United States, with quality scores ranging from 7 to 10 out of 10. Only one of these studies used mixed methods, the rest were quantitative. Tobacco use among pregnant inmates exceeded 50%, with some studies reporting as high as 84%. Alcohol use was common; 36% of the inmates used illicit drugs in one study. Depression and anxiety levels were high-some studies reported depression among 80% of inmates. Findings suggest that mental health among pregnant prisoners is a huge concern that has not been adequately addressed.
监禁引发的压力使惩教机构中的孕妇成为心理健康问题的高危人群，从而导致不良的母婴结局。开展了一项系统综述，以研究怀孕囚犯心理健康问题的患病率及其相关因素。检索的数据库包括PubMed、Medline、CINAHL Plus、PsycINFO、国家刑事司法参考系统、社会工作摘要、Cochrane和Campbell图书馆，从中检索1950年至2013年7月以英文发表的研究。纳入了11项关于惩教机构中孕妇的研究，这些研究至少涉及一种精神疾病。对这些符合条件的文章进行了质量评分。由于存在异质性，进行了叙述性综述。所有研究均在美国开展，质量评分在10分制中为7至10分。这些研究中只有一项采用了混合方法，其余均为定量研究。怀孕囚犯中的吸烟率超过50%，一些研究报告高达84%。饮酒很常见；在一项研究中，36%的囚犯使用非法药物。抑郁和焦虑水平很高——一些研究报告称，80%的囚犯存在抑郁。研究结果表明，怀孕囚犯的心理健康是一个尚未得到充分解决的重大问题。
