The HIV Prison Paradox: Agency and HIV-Positive Women's Experiences in Jail and Prison in Alabama

被引:10
作者
Sprague, Courtenay [1 ,4 ]
Scanlon, Michael L. [1 ]
Radhakrishnan, Bharathi [1 ]
Pantalone, David W. [2 ,3 ,5 ]
机构
[1] Univ Massachusetts, Boston, MA 02125 USA
[2] Univ Massachusetts, Psychol, Boston, MA 02125 USA
[3] Univ Massachusetts, Doctoral Program Clin psychol, Boston, MA 02125 USA
[4] Univ Witwatersrand, Johannesburg, South Africa
[5] Fenway Hlth, Boston, MA USA
关键词
agency; HIV; prison; women's health; stigma; health care-seeking; social construction; adherence; US South; qualitative method; interpretive research; CRIMINAL-JUSTICE SYSTEM; CORRECTIONAL FACILITIES; INCARCERATED WOMEN; UNITED-STATES; ANTIRETROVIRAL THERAPY; HEALTH DISPARITIES; SUBSTANCE-ABUSE; PUBLIC-HEALTH; HIV/AIDS; CARE;
D O I
10.1177/1049732316672640
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Incarcerated women face significant barriers to achieve continuous HIV care. We employed a descriptive, exploratory design using qualitative methods and the theoretical construct of agency to investigate participants' self-reported experiences accessing HIV services in jail, in prison, and post-release in two Alabama cities. During January 2014, we conducted in-depth interviews with 25 formerly incarcerated HIV-positive women. Two researchers completed independent coding, producing preliminary codes from transcripts using content analysis. Themes were developed iteratively, verified, and refined. They encompassed (a) special rules for HIV-positive women: isolation, segregation, insults, food rationing, and forced disclosure; (b) absence of counseling following initial HIV diagnosis; and (c) HIV treatment impediments: delays, interruption, and denial. Participants deployed agentic strategies of accommodation, resistance, and care-seeking to navigate the social world of prison and HIV services. Findings illuminate the HIV prison paradox: the chief opportunities that remain unexploited to engage and re-engage justice-involved women in the HIV care continuum.
引用
收藏
页码:1427 / 1444
页数:18
相关论文
共 100 条
  • [1] Akers, 2013, EPIDEMIOLOGICAL CRIM, P95
  • [2] Alabama Department of Health State of Alabama, 2012, 2012 HIV PREV CONTR
  • [3] Altice FL, 2001, J ACQ IMMUN DEF SYND, V28, P47, DOI 10.1097/00042560-200109010-00008
  • [4] Health Conditions Prior to Imprisonment and the Impact of Prison on Health: Views of Detained Women
    Alves, Joana
    Maia, Angela
    Teixeira, Filipa
    [J]. QUALITATIVE HEALTH RESEARCH, 2016, 26 (06) : 782 - 792
  • [5] American Civil Liberties Union, 2011, ACLU FIL LAWS AL DEP
  • [6] American Civil Liberties Union, 2012, JUDG ORD AL STOP SEG
  • [7] [Anonymous], ALABAMA STATE REPORT
  • [8] [Anonymous], 2013, STAT COUNT QUICKFACT
  • [9] [Anonymous], WOM HIV PRIS SETT
  • [10] [Anonymous], 2015, HIV in the Southern United States