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- Title
Reproductive Health Concerns among Substance-Using Women in Community Corrections in New York City: Understanding the Role of Environmental Influences.
- Authors
Dasgupta, Anindita; Davis, Alissa; Gilbert, Louisa; Goddard-Eckrich, Dawn; El-Bassel, Nabila
- Abstract
Women living in urban settings who are engaged in the criminal justice system are disproportionately affected by HIV and also contend with poor sexual and reproductive health (SRH). While studies have examined environmental influences of HIV, few have examined how these influences relate to poor SRH among this population. We used baseline data from an HIV-risk reduction study among substance-using women with a pregnancy history in community corrections in New York City (N = 299). We examined risk environment factors typically associated with HIV, and SRH outcomes of abortion, and miscarriage. We used logistic regression models to examine associations between risk environment factors with SRH outcomes. Most women identified as black and ranged in age from 18 to 62. Approximately half had miscarriages and/or abortions in their lifetime. Few women used birth control despite not wanting children in the future. While most women faced high rates of environmental influences of HIV risk, only intimate partner violence (IPV) was associated with SRH outcomes. Women experiencing IPV were significantly more likely to report both miscarriage and abortion. Community corrections present a unique opportunity for intervention around HIV risk reduction and SRH outcomes, given that effective programming for each often requires multiple and formal contacts with health providers.
- Subjects
NEW York (State); SUBSTANCE abuse in pregnancy; HIV infections; REPRODUCTIVE health; CRIMINAL justice system; INTIMATE partner violence; PRISONERS; PRISON psychology; RESEARCH funding; WOMEN'S health; DRUG abusers; PSYCHOLOGY of drug abusers
- Publication
Journal of Urban Health, 2018, Vol 95, Issue 4, p594
- ISSN
1099-3460
- Publication type
journal article
- DOI
10.1007/s11524-017-0184-8