监狱医疗保健中的堕胎和避孕:一种定性研究
Martha J Paynter1, Clare Heggie2, Anja Mcleod3
1Faculty of Nursing, University of New Brunswick Faculty of Nursing, PO Box 4400, 33 Dineen Drive, Fredericton, NB, E3B 5A3, Canada. martha.paynter@unb.ca.
BMC women's health
|January 24, 2025
概括
加拿大的监禁人员面临着严重的障碍,无法获得计划生育服务,包括堕胎和避孕,这是由于相互竞争的健康需求和制度挑战. 这些障碍甚至在释放后仍然存在,突出显示生殖健康服务获得的关键差距.
科学领域:
- 生殖健康 生殖健康
- 犯罪学 犯罪学
- 社会学 社会学 社会学
背景情况:
- 尽管加拿大堕胎合法化,但获得生殖健康保健仍然具有挑战性.
- 监禁人口面临着对计划生育和性健康服务的独特障碍.
- 缺乏有关加拿大监禁人员性和生殖健康的系统数据.
研究的目的:
- 探索妇女和性别多样化的个人在加拿大有监禁历史的计划生育护理经验.
- 确定在监狱系统内和释放后获得堕胎和避孕服务的障碍和促进者.
主要方法:
- 基于社区的定性研究设计.
- 用于数据收集的焦点小组与35名最近被监禁的参与者进行了数据收集.
- 使用反思性的专题分析来确定关键主题.
主要成果:
- 出现了五个主要主题:竞争的健康需求,制度障碍,虐待/不道德的护理,健康知识差距和社区护理的挑战.
- 同时出现的健康问题往往会掩盖被监禁人员的性和生殖健康需求.
- 在惩戒设施内,关于堕胎和避孕的信息存在重大差距.
结论:
- 监禁人员有未满足的健康需求,这阻碍了获得性和生殖健康护理的机会.
- 监狱政策和被认为是不道德的专业行为造成了大量的护理障碍.
- 发布后的挑战进一步加剧了获得计划生育服务的困难.
- 医疗保健提供者应解决同时存在的心理健康需求和以前的负面经历,以改善对这一群体的护理.
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