建立一个实施框架,以解决在监狱环境中未得到满足的避孕护理需求:系统审查
Douglas Routh1, Rebecca Simmons2, Jessica Sanders2
1Division of Family Planning, Department of Obstetrics & Gynecology, University of Utah School of Medicine, 30 N 1900 E, Room 2B200, Salt Lake City, UT, 84132, USA. doug.routh@hsc.utah.edu.
Health & justice
|October 20, 2023
概括
监禁人员的避孕护理不一致,导致护理不足. 本系统性审查确定了政策和实践建议,以改善美国监狱系统内的访问和解决障碍.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 卫生政策 卫生政策
背景情况:
- 对被监禁者提供不一致的避孕护理导致了不充分的护理和生殖滥用.
- 之前的研究已经发现了一些问题,但在癌症系统中实施的建议很少.
- 这一系统性审查解决了改善对美国生殖年龄,监禁人员的避孕护理的需要.
研究的目的:
- 系统地审查政策和实践建议,以改善监禁人员的避孕护理.
- 识别基于证据的解决方案,以解决当前避孕保健提供中的差距和障碍.
- 为惩戒机构提供蓝图,以加强避孕护理.
主要方法:
- 使用乔安娜·布里格斯研究所的方法和NIRN的探索阶段进行系统审查.
- 在多个数据库 (PubMed,PSYCInfo,SCOPUS等) 中进行全面的文献搜索. 和参考部分.
- 从45份包含的材料中提取的政策和实践建议的专题分析.
主要成果:
- 七个总体主题出现了:政策变化,护理需求,司法机构障碍,政策障碍,融资策略,患者偏好和医疗保健提供者的知识.
- 在当前的避孕保健提供中确定了差距,障碍和促进者.
- 强调美国监狱制度需要政策和实践变革.
结论:
- 审查证实,对被监禁人员的避孕护理政策和实践有很大需要.
- 确定了由研究和专业组织支持的基于证据的解决方案.
- 实施这些变化可以使个人,惩教系统和社区受益.
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