University of Kansas School of Medicine, Kansas City, Kansas.
Johns Hopkins School of Medicine, Baltimore, Maryland.
Womens Health Issues. 2023 Jan-Feb;33(1):97-104. doi: 10.1016/j.whi.2022.07.004. Epub 2022 Sep 10.
Women incarcerated in local jails have pregnancy and sexual health needs, yet little information is available about what services are provided and how jail administrators prioritize this care. Our objective was to document jails' provision of pregnancy and sexual health services in four states in the Midwest.
We invited all jail administrators (N = 347) in Kansas, Missouri, Iowa, and Nebraska to participate in a web-based survey conducted from November 2017 to October 2018. We asked administrators which pregnancy and sexual health services they offered and to rate the importance of offering services. Results were analyzed using descriptive statistics and logistic regression.
The survey response rate was 55% (192/347). Jails most often provided pregnancy testing (n = 116 [60%]) and distribution of prenatal vitamins (n = 85 [44%]). Sexually transmitted infection treatment was offered at 23% of jails (n = 45). Larger, accredited jails located in urban areas and with high numbers of clinical providers on staff were more likely to provide sexual health services. Jails with privately contracted health care were more likely to provide pregnancy services compared with other entities providing medical care. The most prioritized sexual health service was sexually transmitted infection testing, with 39% of administrators believing it was important. Only 6% of administrators responded that contraception was important.
Local jails in the Midwest do not meet the basic reproductive and sexual health needs of women. Provision of these services is not a priority for jail administrators. Appropriate partnerships could engage administrators and increase the availability of services to meet the needs of women in jail.
被监禁在当地监狱的女性有怀孕和性健康需求，但关于提供哪些服务以及监狱管理人员如何优先考虑这些护理，几乎没有信息。我们的目的是记录中西部四个州的监狱提供怀孕和性健康服务的情况。
我们邀请堪萨斯州、密苏里州、爱荷华州和内布拉斯加州的所有监狱管理人员（N=347）参加了一项从 2017 年 11 月至 2018 年 10 月进行的基于网络的调查。我们询问管理人员提供了哪些怀孕和性健康服务，并对提供服务的重要性进行了评分。结果采用描述性统计和逻辑回归进行分析。
调查的回复率为 55%（192/347）。监狱最常提供妊娠检测（n=116[60%]）和产前维生素的分发（n=85[44%]）。23%的监狱提供性传播感染治疗（n=45）。规模较大、位于城市地区、拥有大量临床服务提供者的监狱更有可能提供性健康服务。与其他提供医疗服务的实体相比，由私人承包医疗保健的监狱更有可能提供怀孕服务。性健康服务中优先级最高的是性传播感染检测，39%的管理人员认为这很重要。只有 6%的管理人员认为避孕很重要。
中西部地区的当地监狱无法满足女性的基本生殖和性健康需求。监狱管理人员并没有将提供这些服务作为优先事项。适当的合作可以使管理人员参与进来，并增加服务的可用性，以满足监狱中女性的需求。
