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发达国家被监禁女性的生殖健康需求:一项混合方法的系统评价

Reproductive health needs of incarcerated women in developed countries: a mixed-method systematic review.

作者信息

Gharagozloo Mohaddeseh, Moridi Maryam, Alimardi Masoud, Behboodi Moghadam Zahra

机构信息

School of Nursing and Midwifery, Tehran University of Medical Sciences, Nosrat st. Tohid sq., Tehran, 141973317, Iran.

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Poursina Avenue, Tehran, Iran.

出版信息

Eur J Med Res. 2025 Mar 24;30(1):200. doi: 10.1186/s40001-025-02458-x.

DOI:10.1186/s40001-025-02458-x
PMID:40122841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11931785/
Abstract

BACKGROUND

With the increasing number of women prisoners under 45 years of age, identifying the reproductive health needs of these marginalized women has become crucial for providing healthcare and improving their well-being. This systematic review aims to determine the reproductive health needs of incarcerated women in developed countries.

METHODS

In this systematic review, four electronic databases (PubMed, Scopus, Web of Science, and Google Scholar) were searched until January 2023. The methodological quality of the included studies was assessed using the Mixed Methods Appraisal Tool. Qualitative studies were analyzed using thematic synthesis.

RESULTS

Seventeen studies were selected and analyzed narratively. The reproductive health needs of incarcerated women were classified into four main categories: preventive care, medical care, childbearing care, and health-promoting services. Key needs included appropriate screening tests, infection control practices, medical and psychological services, pregnancy-related care, parenting services, family planning, hygiene, nutrition, and health education.

CONCLUSION

This study highlights the need for tailored reproductive healthcare for incarcerated women. An all-inclusive strategy involving various stakeholders is required to improve the health status of these vulnerable women.

摘要

背景

随着45岁以下女性囚犯数量的增加,确定这些边缘化女性的生殖健康需求对于提供医疗保健和改善她们的福祉至关重要。本系统评价旨在确定发达国家被监禁女性的生殖健康需求。

方法

在本系统评价中,检索了四个电子数据库(PubMed、Scopus、科学网和谷歌学术),直至2023年1月。使用混合方法评估工具评估纳入研究的方法学质量。定性研究采用主题综合分析法进行分析。

结果

选择了17项研究并进行叙述性分析。被监禁女性的生殖健康需求分为四大类:预防保健、医疗保健、生育保健和健康促进服务。关键需求包括适当的筛查测试、感染控制措施、医疗和心理服务、与妊娠相关的护理、育儿服务、计划生育、卫生、营养和健康教育。

结论

本研究强调了为被监禁女性提供量身定制的生殖保健的必要性。需要一项涉及各利益相关方的全面战略来改善这些弱势女性的健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab59/11931785/82c28ccf1a2c/40001_2025_2458_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab59/11931785/82c28ccf1a2c/40001_2025_2458_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab59/11931785/82c28ccf1a2c/40001_2025_2458_Fig1_HTML.jpg

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本文引用的文献

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Navigating pregnancy and early motherhood in prison: a thematic analysis of mothers' experiences.狱中度过孕期及初为人母的经历:对母亲们经历的主题分析
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Pregnancy and childbirth during incarceration: A qualitative systematic review of lived experiences.
监禁期间的怀孕和分娩:生活经历的定性系统评价。
BJOG. 2022 Aug;129(9):1460-1472. doi: 10.1111/1471-0528.17137. Epub 2022 Mar 25.
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Evaluation of birth companions perinatal and peer support provision in two prison settings in England: a mixed-methods study.评价英格兰两所监狱中分娩陪伴者提供围产期和同伴支持的情况:一项混合方法研究。
Int J Prison Health. 2023 May 10;19(2):125-142. doi: 10.1108/IJPH-09-2021-0099. Epub 2022 Feb 2.
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A systematic review of post-release programs for women exiting prison with substance-use disorders: assessing current programs and weighing the evidence.对患有物质使用障碍的出狱女性的释放后项目进行的系统评价:评估当前项目并权衡证据。
Health Justice. 2022 Jan 3;10(1):1. doi: 10.1186/s40352-021-00162-6.
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Jail as a Point of Contraceptive Care Access: Needs and Preferences Among Women in an Urban Jail.监狱作为避孕措施获取点:城市监狱中女性的需求和偏好。
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Contraceptive Needs Among Women Recently Incarcerated at a Rural Appalachian Jail.阿巴拉契亚农村地区一所监狱近期收押女性的避孕需求
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J Midwifery Womens Health. 2021 Jul;66(4):494-502. doi: 10.1111/jmwh.13239. Epub 2021 Jul 14.
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