School of Social Work, University at Buffalo, The State University of New York , Buffalo, NY, USA.
Clinical and Research Institute on Addictions, University at Buffalo , Buffalo, NY, USA.
Soc Work Health Care. 2020 Jul;59(6):365-386. doi: 10.1080/00981389.2020.1769249.
This study describes a secondary data analysis of contraceptive use across the lifetime and within the six months prior to incarceration in a sample of 400 currently incarcerated women recruited from rural, Appalachian jails, who were using drugs prior to incarceration. Phase 1 (baseline) data from an NIH funded study were used to examine rates of contraceptive use, reasons for nonuse of condoms, and correlates of condom use. Results indicate that the majority (96.5%) of respondents reported lifetime use of contraceptives, and most (70.5%) had a history of using multiple methods, with male condoms, oral contraceptive pills, and contraceptive injections being the most commonly used methods. Almost 69% of respondents reported nonuse of contraceptives within the last six months, despite high rates of involvement in risky, intimate male partnerships prior to incarceration. Contraceptive use was found to be historically acceptable in this sample, in stark contrast to rates of use within the last six months prior to incarceration, suggesting that reproductive justice-informed, social work interventions to help improve current contraceptive use are warranted as a harm-reduction approach.
本研究对 400 名来自农村阿巴拉契亚监狱的、在入狱前曾使用毒品的目前被监禁女性进行了一项次要数据分析，这些女性在她们的一生中以及入狱前的六个月内使用了避孕措施。该研究使用了美国国立卫生研究院（NIH）资助的一项研究的第一阶段（基线）数据，以检查避孕措施的使用率、不使用避孕套的原因以及与使用避孕套相关的因素。结果表明，大多数（96.5%）受访者报告在一生中使用过避孕药具，大多数（70.5%）有过多种方法的使用史，其中男用避孕套、口服避孕药和避孕注射是最常用的方法。尽管在入狱前曾有很高的风险性行为，近 69%的受访者报告在过去六个月内没有使用避孕药具。在本研究中，避孕措施在历史上是可以接受的，这与入狱前六个月的使用率形成鲜明对比，这表明需要采取生殖公正知情的社会工作干预措施，以帮助提高当前的避孕措施使用率，作为一种减少伤害的方法。
