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Can J Nurs Res. 2021 Jan 28;844562120985988. doi: 10.1177/0844562120985988. Epub 2021 Jan 28.

Sexual and Reproductive Health Outcomes among Incarcerated Women in Canada: A Scoping Review.

The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres

Martha Paynter, Clare Heggie, Shelley McKibbon, Ruth Martin-Misener, Adelina Iftene, Gail Tomblin Murphy

Affiliations

  1. School of Nursing, Dalhousie University, Halifax, NS, Canada.
  2. School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada.
  3. Dalhousie University Libraries, Halifax, NS, Canada.
  4. Health Law Institute, Schulich School of Law, Halifax, NS, Canada.
  5. Nova Scotia Health, Halifax, NS, Canada.

PMID: 33508956 DOI: 10.1177/0844562120985988

Abstract

BACKGROUND: Women are the fastest growing population in Canadian prisons. Incarceration can limit access to essential health services, increase health risks and disrupt treatment and supports. Despite legal requirements to provide care at professionally accepted standards, evidence suggests imprisonment undermines sexual and reproductive health. This scoping review asks, "What is known about the sexual and reproductive health of people incarcerated in prisons for women in Canada?"

METHODS: We use the Joanna Briggs Institute methodology for systematic scoping reviews. Databases searched include MEDLINE, CINAHL, PsycINFO, Gender Studies Abstracts, Google Scholar and Proquest Dissertations and grey literature. The search yielded 1424 titles and abstracts of which 15 met the criteria for inclusion.

RESULTS: Conducted from 1994-2020, in provincial facilities in Ontario, British Columbia, Alberta and Quebec as well as federal prisons, the 15 studies included qualitative, quantitative and mixed methods. The most common outcomes of interest were related to HIV. Other outcomes studied included Papanicolaou (Pap) and sexually transmitted infection (STI) testing, contraception, pregnancy, birth/neonatal outcomes, and sexual assault.

CONCLUSION: Incarceration results in lack of access to basic services including contraception and prenatal care. Legal obligations to provide sexual and reproductive health services at professionally acceptable standards appear unmet. Incarceration impedes rights of incarcerated people to sexual and reproductive health.

Keywords: Prison; reproductive health; scoping review; sexual health

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