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Access to Reproductive Health Care in Juvenile Justice Facilities.

Abstract

STUDY OBJECTIVE

The juvenile justice system houses adolescents with unique and unmet reproductive needs, including family planning. The purpose of this study was to identify access to contraceptive counseling and methods for females in the juvenile justice system.

DESIGN

We administered a cross sectional survey that examined services related to reproductive health care, including contraceptive counseling, and ability to initiate or continue contraceptive methods in custody.

SETTING

Juvenile justice systems in the United States.

PARTICIPANTS

State level health care administrators in juvenile justice systems.

INTERVENTIONS AND MAIN OUTCOME MEASURES

We analyzed responses to determine ability of females in custody to continue or initiate specific contraceptive methods, in addition to other measures of reproductive health access.

RESULTS

Twenty-one respondents representing systems in 20 US states were included in analysis. All participating sites provided contraceptive counseling and all allowed at least one form of pre-incarceration contraception to be continued. Eighty-one percent of systems enabled females to initiate contraception while in custody, with the most common method available on site being birth control pills. Twenty percent of sites provided long active reversible contraceptive methods.

CONCLUSION

This survey demonstrates that it is feasible to provide contraception in this setting. However, there exists considerable variability in availability in methods across the US. Continued work is needed in increasing access to contraception and standardization of care in juvenile justice system.

Authors+Show Affiliations

Department of Gynecology and Obstetrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. Electronic address: sunitha.suresh@uchospitals.edu.Johns Hopkins University, Baltimore, Maryland, USA.Department of Gynecology and Obstetrics, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31715369

Citation

Suresh, Sunitha C., et al. "Access to Reproductive Health Care in Juvenile Justice Facilities." Journal of Pediatric and Adolescent Gynecology, 2019.
Suresh SC, Questell L, Sufrin C. Access to Reproductive Health Care in Juvenile Justice Facilities. J Pediatr Adolesc Gynecol. 2019.
Suresh, S. C., Questell, L., & Sufrin, C. (2019). Access to Reproductive Health Care in Juvenile Justice Facilities. Journal of Pediatric and Adolescent Gynecology, doi:10.1016/j.jpag.2019.11.005.
Suresh SC, Questell L, Sufrin C. Access to Reproductive Health Care in Juvenile Justice Facilities. J Pediatr Adolesc Gynecol. 2019 Nov 9; PubMed PMID: 31715369.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Access to Reproductive Health Care in Juvenile Justice Facilities. AU - Suresh,Sunitha C, AU - Questell,Lauren, AU - Sufrin,Carolyn, Y1 - 2019/11/09/ PY - 2019/07/28/received PY - 2019/10/08/revised PY - 2019/11/04/accepted PY - 2019/11/13/entrez PY - 2019/11/13/pubmed PY - 2019/11/13/medline KW - adolescent contraception KW - juvenile justice KW - reproductive health JF - Journal of pediatric and adolescent gynecology JO - J Pediatr Adolesc Gynecol N2 - STUDY OBJECTIVE: The juvenile justice system houses adolescents with unique and unmet reproductive needs, including family planning. The purpose of this study was to identify access to contraceptive counseling and methods for females in the juvenile justice system. DESIGN: We administered a cross sectional survey that examined services related to reproductive health care, including contraceptive counseling, and ability to initiate or continue contraceptive methods in custody. SETTING: Juvenile justice systems in the United States. PARTICIPANTS: State level health care administrators in juvenile justice systems. INTERVENTIONS AND MAIN OUTCOME MEASURES: We analyzed responses to determine ability of females in custody to continue or initiate specific contraceptive methods, in addition to other measures of reproductive health access. RESULTS: Twenty-one respondents representing systems in 20 US states were included in analysis. All participating sites provided contraceptive counseling and all allowed at least one form of pre-incarceration contraception to be continued. Eighty-one percent of systems enabled females to initiate contraception while in custody, with the most common method available on site being birth control pills. Twenty percent of sites provided long active reversible contraceptive methods. CONCLUSION: This survey demonstrates that it is feasible to provide contraception in this setting. However, there exists considerable variability in availability in methods across the US. Continued work is needed in increasing access to contraception and standardization of care in juvenile justice system. SN - 1873-4332 UR - https://www.unboundmedicine.com/medline/citation/31715369/Access_to_Reproductive_Health_Care_in_Juvenile_Justice_Facilities L2 - https://linkinghub.elsevier.com/retrieve/pii/S1083-3188(19)30356-0 DB - PRIME DP - Unbound Medicine ER -