McGinley Abi, McMillan Tom
Institute of Health and Wellbeing, University of Glasgow, Gartnavel Royal Hospital, Glasgow, UK.
Brain Inj. 2019;33(13-14):1581-1591. doi: 10.1080/02699052.2019.1658223. Epub 2019 Aug 28.
: Although head injury (HI) is associated with offending behavior, there has been relatively little attention to female prisoners. This systematic review considers prevalence and characteristics of females prisoners with HI, with a view towards improving understanding of service needs.: Electronic databases, two meta-analyses and two systematic reviews were searched for relevant papers. Studies describing the prevalence of HI in female prisoners were included and assessed for risk of bias.: Twelve studies were included. Prevalence of HI ranged from 19%-95%. It was lower if using hospital records rather than self-report and generally not different by gender. Risk of bias was high overall, with little consistency in assessment methods and definition of HI. Sample sizes of female prisoners with HI were often modest and not clearly representative of the population. The experiences/needs of prisoners can differ by gender, females having a higher risk of physical and mental health problems, including psychological trauma.: HI is prevalent in female prisoners, and their needs and experiences may differ from male prisoners with HI and female prisoners without. Future research should address methodological limitations to allow a firm, evidence base for effective services and interventions for female prisoners with HI to be developed.
尽管头部损伤（HI）与犯罪行为有关，但女性囚犯相对较少受到关注。本系统评价旨在探讨患有HI的女性囚犯的患病率及特征，以增进对其服务需求的了解。检索了电子数据库、两项荟萃分析和两项系统评价以查找相关论文。纳入了描述女性囚犯中HI患病率的研究，并对其偏倚风险进行评估。共纳入12项研究。HI的患病率在19%至95%之间。使用医院记录而非自我报告时患病率较低，且总体上在性别上无差异。总体偏倚风险较高，评估方法和HI的定义缺乏一致性。患有HI的女性囚犯样本量往往较小，且不能明确代表总体人群。囚犯的经历/需求可能因性别而异，女性出现身心健康问题（包括心理创伤）的风险更高。HI在女性囚犯中很普遍，她们的需求和经历可能与患有HI的男性囚犯及未患HI的女性囚犯不同。未来的研究应解决方法学上的局限性，以便为患有HI的女性囚犯制定有效的服务和干预措施建立坚实的证据基础。
