Megha Ramaswamy1, Hsiang-Feng Chen2, Karen L Cropsey3, Jennifer G Clarke4, Patricia J Kelly5. 1. 1 Department of Preventive Medicine and Public Health, University of Kansas School of Medicine , Kansas City, Kansas. 2. 2 Center for Research Methods and Data Analysis, University of Kansas , Lawrence, Kansas. 3. 3 Department of Psychiatry, School of Medicine, University of Alabama at Birmingham , Birmingham, Alabama. 4. 4 Center for Primary Care and Prevention, Memorial Hospital/Brown Medical School , Pawtucket, Rhode Island. 5. 5 School of Nursing, University of Missouri-Kansas City , Kansas City, Missouri.
Abstract
BACKGROUND: We examined factors associated with women's use of highly effective birth control before and after incarceration, since women with ongoing criminal justice involvement bear a disproportionate burden of sexual and reproductive health problems, including high rates of unintended pregnancy and inconsistent contraceptive use. METHODS: Using a longitudinal study design, we conducted surveys with 102 women in an urban midwestern jail and then followed up with 66 of them 6 months after incarceration. We used stepwise logistic regression to assess individual, interpersonal, resource-based, organizational, and environmental factors associated with utilizing highly effective birth control. RESULTS: Forty-two percent of women reported utilizing highly effective birth control (e.g., sterilization or other highly effective reversible methods) prior to incarceration, and 54% reported using these methods after release from jail (p<0.001). Ninety percent of women reported not wanting to get pregnant. Consistent use of birth control (p=0.001) and alcohol problems (p=0.027) were associated with utilization of highly effective birth control prior to incarceration. Previous pregnancies (p=0.012) were the only factor associated with utilization of highly effective birth control after release from jail. CONCLUSIONS: Clinicians and public health practitioners can use findings from this study to develop clinical and intervention efforts aimed at improving unintended-pregnancy prevention among incarcerated women both during their confinement and during the tumultuous period after their release from jail.
BACKGROUND: We examined factors associated with women's use of highly effective birth control before and after incarceration, since women with ongoing criminal justice involvement bear a disproportionate burden of sexual and reproductive health problems, including high rates of unintended pregnancy and inconsistent contraceptive use. METHODS: Using a longitudinal study design, we conducted surveys with 102 women in an urban midwestern jail and then followed up with 66 of them 6 months after incarceration. We used stepwise logistic regression to assess individual, interpersonal, resource-based, organizational, and environmental factors associated with utilizing highly effective birth control. RESULTS: Forty-two percent of women reported utilizing highly effective birth control (e.g., sterilization or other highly effective reversible methods) prior to incarceration, and 54% reported using these methods after release from jail (p<0.001). Ninety percent of women reported not wanting to get pregnant. Consistent use of birth control (p=0.001) and alcohol problems (p=0.027) were associated with utilization of highly effective birth control prior to incarceration. Previous pregnancies (p=0.012) were the only factor associated with utilization of highly effective birth control after release from jail. CONCLUSIONS: Clinicians and public health practitioners can use findings from this study to develop clinical and intervention efforts aimed at improving unintended-pregnancy prevention among incarcerated women both during their confinement and during the tumultuous period after their release from jail.
Authors: Flynn Larochelle; Cynthia Castro; Joe Goldenson; Jacqueline P Tulsky; Deborah L Cohan; Paul D Blumenthal; Carolyn B Sufrin Journal: J Correct Health Care Date: 2012-03-14
Authors: Sonya Borrero; Cara Nikolajski; Keri L Rodriguez; Mitchell D Creinin; Robert M Arnold; Said A Ibrahim Journal: J Gen Intern Med Date: 2008-12-19 Impact factor: 5.128
Authors: Jenifer E Allsworth; Gina M Secura; Qiuhong Zhao; Tessa Madden; Jeffrey F Peipert Journal: Am J Public Health Date: 2013-08-15 Impact factor: 9.308
Authors: Emily Hoff; Zoe M Adams; Alyssa Grimshaw; Dawn A Goddard-Eckrich; Anindita Dasgupta; Sangini S Sheth; Jaimie P Meyer Journal: J Womens Health (Larchmt) Date: 2020-06-23 Impact factor: 2.681
Authors: Britton Gibson; Emily Hoff; Alissa Haas; Zoe M Adams; Carolina R Price; Dawn Goddard-Eckrich; Sangini S Sheth; Anindita Dasgupta; Jaimie P Meyer Journal: Womens Health (Lond) Date: 2022 Jan-Dec
Authors: Chelsea Salyer; Ashlyn Lipnicky; Meredith Bagwell-Gray; Jennifer Lorvick; Karen Cropsey; Megha Ramaswamy Journal: Int J Environ Res Public Health Date: 2021-06-18 Impact factor: 3.390