School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
School of Nursing and Midwifery, Queen's University, Belfast BT9 7BL, UK.
Int J Environ Res Public Health. 2021 Sep 3;18(17):9335. doi: 10.3390/ijerph18179335.
People who identify as LGBTQ+ and are in prison often experience many additional challenges. Once in prison, there is systemic discrimination against imprisoned LGBTQ+ people and a lack of understanding and concern regarding their care, treatment and support needs. While there is growing interest in their protection and that of other vulnerable populations in prison settings, little is known about their views and experiences regarding their distinct psychosocial needs. The aim of this systematic review is to critically evaluate and synthesize the existing research evidence relating to the unique psychological and social experiences of LGBTQ+ people in prison and identify aspects that may help or hinder access to appropriate psychosocial interventions and supports. The PRISMA procedure was utilized. A search of relevant databases from January 2010 to March 2021 was undertaken. Studies were identified that involved LGBTQ+ people, and addressed their views and experiences regarding their psychosocial needs whilst in prison. The search yielded 858 papers in total. Following the application of rigorous inclusion and exclusion criteria a total of 12 papers were considered suitable for the systematic review. Quality was assessed using the CASP instrument. Following analysis, three themes were identified: (i) interpersonal factors (ii) intrapersonal factors and (iii) institutional factors. The policy, education and practice development implications are highlighted and discussed. Future research opportunities have been identified that will add significantly to the body of evidence that may further the development of appropriate health interventions and supports specific to the LGBTQ+ population in prison.
被认定为 LGBTQ+并被监禁的人通常会面临许多额外的挑战。一旦入狱，他们就会遭受系统性的歧视，而且狱方往往缺乏对他们的护理、治疗和支持需求的理解和关注。尽管人们越来越关注保护监狱中 LGBTQ+群体和其他弱势群体，但对于他们独特的心理社会需求的看法和经验却知之甚少。本系统评价的目的是批判性地评估和综合现有关于 LGBTQ+囚犯独特心理和社会体验的研究证据，并确定可能有助于或阻碍获得适当心理社会干预和支持的方面。我们采用了 PRISMA 程序。从 2010 年 1 月至 2021 年 3 月，对相关数据库进行了搜索。确定了涉及 LGBTQ+人群的研究，这些研究涉及他们在监狱中对其心理社会需求的看法和经验。搜索共产生了 858 篇论文。经过严格的纳入和排除标准的应用，共有 12 篇论文被认为适合进行系统评价。使用 CASP 工具对质量进行了评估。经过分析，确定了三个主题：（i）人际因素；（ii）个体内因素；（iii）机构因素。强调并讨论了政策、教育和实践发展的影响。已经确定了未来的研究机会，这将大大增加证据的数量，可能进一步发展针对监狱 LGBTQ+人群的适当卫生干预措施和支持。
