School of Nursing, New Mexico State University, Las Cruces, NM, USA.
College of Nursing, Texas Woman's University, Denton, TX, USA.
Public Health Nurs. 2021 May;38(3):374-381. doi: 10.1111/phn.12867. Epub 2021 Feb 7.
Effective contraception prevents unintended pregnancy which disproportionately affects women in the criminal justice system. This study examined selected variables associated with contraceptive use by women on probation and parole living on the United States-Mexico border.
This quantitative correlational study examined individual and interpersonal variables-age, parity, ethnicity, prior contraception, self-efficacy, pregnancy attitudes, and reproductive autonomy-that may influence contraception among 52 women under community supervision.
Variable were examined with bivariate, multivariate analyses, and hierarchical logistic regression. Data were collected from a demographic and contraceptive use survey, and validated scales measuring reproductive autonomy and pregnancy attitudes.
Contraceptive methods were used by 89% of the women; 65% used effective methods, but this decreased to 35% among those released within the past year. Reproductive autonomy was associated with effective contraceptive use. Prior contraception and contraceptive self-efficacy were significant, but wide confidence intervals suggested instability. The remaining variables were insignificant.
No known studies have examined contraception use among women on probation and parole on the border. More women used some form of contraception than might be predicted. Collaborative efforts between correctional facilities and the community are needed to expand access to contraception.
有效的避孕措施可以防止意外怀孕，而意外怀孕对身处刑事司法系统的女性影响更大。本研究调查了生活在美国-墨西哥边境的缓刑和假释女性中，与避孕措施使用相关的部分变量。
本定量相关性研究调查了可能影响 52 名处于社区监管下的女性避孕措施使用的个体和人际变量（年龄、生育次数、种族、既往避孕措施、自我效能、怀孕态度和生殖自主权）。
采用双变量、多变量分析和分层逻辑回归对变量进行了检查。数据来自人口统计和避孕使用调查以及经过验证的测量生殖自主权和怀孕态度的量表。
89%的女性使用了避孕方法；65%使用了有效的方法，但在过去一年内获释的女性中，这一比例降至 35%。生殖自主权与有效避孕措施的使用相关。既往避孕措施和避孕自我效能是显著的，但较宽的置信区间表明其稳定性不足。其余变量则不显著。
没有已知的研究调查过边境地区缓刑和假释女性的避孕措施使用情况。使用某种形式避孕措施的女性比预期的要多。需要通过惩教机构和社区之间的合作努力，扩大避孕措施的获取途径。
