■被监禁的孕妇有独特的医疗保健需求。心理健康率,传染病,与未怀孕的妇女相比,未怀孕的妇女的慢性病更高,但是这些疾病在被拘留的孕妇中的患病率尚未得到记录。
■本研究的目的是描述代谢,传染性,以及孕妇的心理健康状况,以确定美国州立监狱和当地监狱中高风险怀孕的医疗需求。
■这是对州监狱(n=20)和当地监狱(n=3)的便利样本进行的前瞻性流行病学监测。
■我们使用目的性和滚雪球抽样来招募一系列规模和地域的监狱和监狱的全国样本。记者向我们的研究数据库提交了2016年至2017年6个月的选定妊娠合并症的月度数据。筛选,诊断,和跟踪这些条件是从每个机构的医疗记录和卫生保健提供系统。
■在监狱里新入院的445名孕妇和监狱里的243名孕妇中,最普遍的疾病是精神健康状况和丙型肝炎。34.1%(n=152)在监狱中,23.5%(n=57)在监狱中有物质使用障碍,在监狱中有27.4%(n=122)的人和在监狱中有17.7%(n=43)的人患有精神病。最后,20.2%(n=91)在监狱和6.6%(n=16)在监狱中患有丙型肝炎
■这项研究表明,慢性医学和心理健康状况在孕妇中普遍存在在美国监狱和监狱。然而,各州之间以及设施类型之间报告的这些疾病的病例数量存在显着差异,这意味着缺乏或不充分的筛查措施。这些数据表明,需要全面筛查和适当护理,以满足怀孕被监禁者的复杂需求。
2016-2017年美国州立监狱和当地监狱中孕妇的医疗保健状况背景:被监禁环境中的孕妇有独特的医疗保健需求。心理健康率,传染病,与未怀孕的妇女相比,未怀孕的妇女的慢性病更高,但是这些疾病在被拘留的孕妇中的患病率尚未得到记录。
目的:本研究的目的是描述这些疾病在孕妇中的患病率,以确定美国州立监狱和当地监狱中高风险怀孕的医疗需求。
方法:该研究涉及正在进行的系统数据收集,分析和解释来自州监狱(n=20)和地方监狱(n=3)的便利样本的怀孕数据。
方法:我们有意招募了一个全国性的监狱和监狱样本,这些监狱和监狱的规模和地理位置不同。一些研究设施是从其他人那里参考的。记者向我们的研究数据库提交了2016年至2017年6个月的选定妊娠合并症的月度数据。筛选,诊断,并跟踪来自每个机构的医疗记录和医疗服务系统的这些情况。
结果:在监狱中新入院的445名孕妇和监狱中的243名孕妇中,最普遍的疾病是精神健康状况和丙型肝炎。监狱中的34.1%(n=152)和监狱中的23.5%(n=57)患有物质使用障碍,监狱中的27.4%(n=122)和监狱中的17.7%(n=43)患有精神病诊断。最后,20.2%(n=91)在监狱中,6.6%(n=16)在监狱中患有肝炎。
结论:这项研究表明,在美国监狱和监狱的孕妇中,慢性医学和心理健康状况很普遍。然而,各州之间以及设施类型之间报告的这些疾病的病例数量存在显着差异,这意味着缺乏或不充分的筛查措施。这些数据表明,需要全面筛查和适当护理,以满足怀孕被监禁者的复杂需求。
Pregnant individuals in incarcerated settings have unique healthcare needs. Rates of mental health, infectious diseases, and chronic disease are higher among nonpregnant incarcerated women compared with those who are not, but the prevalence of these conditions among pregnant people in custody has not been documented.
The objective of this study is to describe the prevalence of metabolic, infectious, and mental health conditions in pregnant people to identify the medical needs of high-risk pregnancies in US state prisons and local jails.
This was a prospective epidemiologic surveillance of a convenience sample of state prisons (n = 20) and local jails (n = 3).
We used purposive and snowball sampling to recruit a national sample of prisons and jails of a range of sizes and geographies. Reporters submitted to our study database monthly data on selected pregnancy comorbidities for 6 months between 2016 and 2017. Screening, diagnosis, and tracking of these conditions are derived from each facility\'s medical record and health care delivery systems.
Of the 445 newly admitted pregnant people in prisons and 243 in jails, the most prevalent conditions were mental health conditions and hepatitis C. Specifically, 34.1% (n = 152) in prison and 23.5% (n = 57) in jail had a substance use disorder, and 27.4% (n = 122) of those in prison and 17.7% (n = 43) in jail had a psychiatric diagnosis. Finally, 20.2% (n = 91) in prison and 6.6% (n = 16) in jail had hepatitis C.
This study demonstrates that chronic medical and mental health conditions are prevalent among pregnant people in US prisons and jails. However, significant variability in the reported number of cases of these conditions from state to state and between facility types implies a lack of or inadequate screening practices. These data indicate the need for comprehensive screening and appropriate care for the complex needs of pregnant incarcerated people.
Health care conditions among pregnant persons in US state prisons and local jails 2016–2017Background: Pregnant individuals in incarcerated settings have unique health care needs. Rates of mental health, infectious diseases, and chronic disease are higher among nonpregnant incarcerated women compared with those who are not, but the prevalence of these conditions among pregnant people in custody has not been documented.
The objective of this study is to describe the prevalence of these conditions in pregnant people to identify the medical needs of high-risk pregnancies in US state prisons and local jails.
The study involved ongoing systematic data collection, analysis and interpretation of pregnancy data from a convenience sample of state prisons (n = 20) and local jails (n = 3).
We intentionally recruited a national sample of prisons and jails of a range of sizes and geographies that house pregnant individuals. Some study facilities were referred from others. Reporters submitted to our study database monthly data on selected pregnancy comorbidities for 6 months between 2016 and 2017. Screening, diagnosis, and tracking of these conditions derived from each facility’s medical record and health care delivery systems.
Of the 445 newly admitted pregnant people in prisons and 243 in jails, the most prevalent conditions were mental health conditions and hepatitis C. Specifically, 34.1% (n = 152) in prison and 23.5% (n = 57) in jail had a substance use disorder and 27.4% (n = 122) of those in prison and 17.7% (n = 43) in jail had a psychiatric diagnosis. Finally, 20.2% (n = 91) in prison and 6.6% (n = 16) in jail had hepatitisc.
This study demonstrates that chronic medical and mental health conditions are prevalent among pregnant people in US prisons and jails. However, significant variability in the reported number of cases of these conditions from state to state and between facility types implies a lack of or inadequate screening practices. These data indicate the need for comprehensive screening and appropriate care for the complex needs of pregnant incarcerated people.