Perinatal Health Outcomes Among Women on Community Supervision: A Scoping Review.

Allison D Crawford, Alexander Testa, Umber Darilek, Rebecca Howe, Jacqueline M McGrath, Rebecca Shlafer
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Abstract

The purpose of this scoping review is to review the extant literature regarding perinatal health outcomes for women on community supervision in the United States. PubMed, CINAHL, Scopus, PsycINFO, and Public Health were searched for peer-reviewed articles published in the United States from January 1, 1970, to March 7, 2023. After removal of duplicates and review of 1,412 article titles and abstracts, 19 articles were retrieved for full-text review; this yielded 4 studies for inclusion. Studies range in size from 10 to 292 participants (N = 405) and only two reported geographic locations. Three studies comprised probation or parole and two studies included court-mandated treatment for substance use. All studies examined outcomes during the postpartum period, such as mood disorder or substance use severity. No studies evaluated the health of women during pregnancy and/or childbirth. To enhance health equity and reduce maternal morbidity and mortality among women on community supervision, more inclusive research that examines health outcomes during the perinatal period is needed. Furthermore, there must be interventions that address the social determinants of health, racial and systemic discrimination, socioeconomic barriers, and violence that are often experienced among women with criminal justice system involvement.

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接受社区监督的妇女的围产期健康结果:范围审查。
本范围界定综述的目的是综述有关美国接受社区监督的妇女围产期健康结果的现有文献。我们在 PubMed、CINAHL、Scopus、PsycINFO 和 Public Health 上检索了 1970 年 1 月 1 日至 2023 年 3 月 7 日期间在美国发表的同行评审文章。在删除重复文章并审查了 1,412 篇文章的标题和摘要后,检索到 19 篇文章进行了全文审查;结果有 4 项研究被纳入其中。研究的参与者人数从 10 人到 292 人不等(N = 405),只有两项研究报告了地理位置。三项研究包括缓刑或假释,两项研究包括法院授权的药物使用治疗。所有研究都检查了产后期间的结果,如情绪障碍或药物使用严重程度。没有研究对妇女怀孕和/或分娩期间的健康状况进行评估。为了提高健康公平性,降低接受社区监管妇女的孕产妇发病率和死亡率,需要开展更具包容性的研究,以检查围产期的健康结果。此外,还必须采取干预措施,解决健康的社会决定因素、种族和系统性歧视、社会经济障碍以及暴力问题,这些都是参与刑事司法系统的妇女经常经历的问题。
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