Bond L, Semaan S
Philadelphia Health Management Corporation, PA 19102-5085, USA.
Women Health. 1996;24(4):27-45. doi: 10.1300/j013v24n04_02.
This study presents the results of a needs assessment survey conducted with 66 incarcerated women in a large Philadelphia county jail during the winter of 1993. Results indicated that prior to incarceration, these women engaged in very high risk sexual and drug use behaviors, and had experienced a myriad of other problems that may contribute to their risk for HIV infection. Of the 66 women who participated in the study, over three-fourths had used crack cocaine, nearly one-half had traded sex for drugs and money in the six months prior to incarceration, one-third reported a prior history of injection drug use, and one-half report sexual contact with a male partner who injected drugs. In addition, one-fourth of the study sample had been homeless during the year prior to incarceration, one-half reported a prior history of sexual abuse, three-fourths had been physically beaten by a boyfriend or spouse, and nearly one-half had a prior history of syphilis. Although limited in scope, the results of the study have important implications for developing relevant jail-based HIV risk reduction programs for women. The results provide strong evidence for the need for interventions that address not only the HIV-related risk behaviors of incarcerated women, but also the underlying social problems that contribute to their risk of HIV infection.
本研究展示了1993年冬季在费城一个大型县监狱对66名被监禁女性进行的需求评估调查结果。结果表明，在被监禁之前，这些女性从事非常高风险的性行为和吸毒行为，并且经历了无数其他可能导致她们感染艾滋病毒风险增加的问题。在参与研究的66名女性中，超过四分之三使用过快克可卡因，近一半在被监禁前六个月曾以性交易换取毒品和金钱，三分之一报告有注射吸毒史，一半报告与注射毒品的男性伴侣有性接触。此外，四分之一的研究样本在被监禁前一年曾无家可归，一半报告有性虐待史，四分之三曾被男友或配偶殴打，近一半有梅毒史。尽管范围有限，但该研究结果对于为女性制定相关的基于监狱的艾滋病毒风险降低项目具有重要意义。这些结果为不仅要针对被监禁女性与艾滋病毒相关的风险行为，还要针对导致她们感染艾滋病毒风险的潜在社会问题进行干预提供了有力证据。
