Incarcerated Women, Parenting, and HIV Risk

被监禁的妇女、养育子女和艾滋病毒风险

• 批准号: 7230043
• 负责人: CATHERINE I, PHD, FOGEL
• 金额: $ 17.41万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-03-01 至 2009-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7230043
• 关键词: AIDS prevention; Address; Affect; Area; Attitude; Belief; Child; Class; Communities; Contracts; Crime; Data; Data Sources; Depth; Development; Effectiveness; Enrollment; Environment; Face; Family; Future; Goals; HIV; HIV Infections; Home environment; Housing; Imprisonment; Intervention; Interview; Knowledge; Left; Life; Medicine; Mental Depression; Meta-Analysis; Minor; Mother-Child Relations; Mothers; Movement; Nature; North Carolina; Numbers; Nursing Schools; Parenting behavior; Parents; Personal Satisfaction; Pharmaceutical Preparations; Prevention intervention; Primary Prevention; Prisoner; Prisons; Program Evaluation; Questionnaires; Recording of previous events; Rehabilitation therapy; Reporting; Research Personnel; Resources; Review Literature; Risk; Risk Behaviors; Risk Reduction; Role; School Nursing; Services; Sexually Transmitted Diseases; Social Work; Stress; Structure; Substance abuse problem; Surveys; Videotape; Violence; Visit; Woman; Work; base; cohort; community reentry; design; driving force; experience; family influence; offender; programs; recidivism; sex; skills; theories

DESCRIPTION (provided by applicant): More than 96,000 women are currently in state and federal prisons, and their numbers are increasing dramatically. Between 70% and 90% of these women are mothers, the majority of whom were primary caretakers of their minor children prior to incarceration. Women who become incarcerated are at high risk for contracting HIV given their histories of sex work, multiple concurrent partners, exchange of sex for drugs, and numerous sexually transmitted diseases. Of note, children may be an important motivator for an incarcerated woman, serving as reason for her to change and as a driving force behind her rehabilitation. As the average sentence for incarcerated women is approximately 6 months and recidivism is common, movement between prison and home community is frequent. Women leaving prisons face a number of challenges upon community re-entry including reunification with their children, resumption of maternal roles and duties, and a host of exigent needs such as obtaining assistance with housing and finances, and managing interpersonal issues. Finally, because released inmates generally return to their home communities, women who were incarcerated for crimes related to HIV risk behaviors often return to the environments in which they are at risk for HIV infection. Unfortunately, very few comprehensive programs are designed either to limit HIV risk upon release or to manage the intricacies of family re-unification. The proposed study will assess the needs of incarcerated women regarding parenting, family re-unification and HIV risk-reduction; evaluate community resources; and assess a parenting program for prison mothers. The study will provide the knowledge needed to develop a large scale intervention that reduces the HIV risk in women prisoners, facilitates their successful reentry into the community, and strengthens family ties. The study will follow 3 cohorts of 20 women each through the Prison Match parenting program to release from prison and re-unification with their families. Women, their children, and their children's caretakers will be assessed at entry into the program (i.e. immediately prior to the parenting classes), at the end of the classes, during the period of parent-child visits, and approximately 1 and 3 months following release from prison. In addition to assessing the needs of these incarcerated women and their families, we will also characterize the resources available in the Communities to which they return. Data sources include an in-depth, semi- structured interview, survey questionnaires, a community assessment, and videotaped mother-child observations. Data will be collected at enrollment into the study (T1), during an in-prison mother-child visit (T2), and at 1 month (T3) and 3 months (T4) after release.

描述（由申请人提供）：目前有96,000多名妇女在州和联邦监狱，其人数急剧增加。这些妇女中有70％至90％是母亲，其中大多数是被监禁之前的小儿童的主要看护人。鉴于她们的性工作历史，多个并发伴侣，毒品交换以及多种性传播疾病，被监禁的妇女患艾滋病毒的风险很高。值得注意的是，儿童可能是被监禁的女人的重要动机，这是她改变的理由，也是康复背后的推动力。由于被监禁妇女的平均刑期约为6个月，而累犯很普遍，因此监狱和家庭社区之间的运动经常。离开监狱的妇女面临着社区重入的许多挑战，包括与子女统一，恢复产妇和职责，以及许多紧急需求，例如在住房和财务方面获得协助以及管理人际关系问题。最后，由于释放的囚犯通常会返回其家庭社区，因此因与艾滋病毒风险行为有关的犯罪而被监禁的妇女通常会回到患有艾滋病毒感染风险的环境中。不幸的是，很少有综合计划被设计为限制释放时艾滋病毒的风险，或者管理家庭重新统一的复杂性。拟议的研究将评估被监禁妇女在育儿，家庭重新统一和降低艾滋病毒风险方面的需求；评估社区资源；并评估监狱母亲的育儿计划。这项研究将提供开发大规模干预所需的知识，以降低女性囚犯的艾滋病毒风险，促进其成功进入社区的艾滋病毒，并加强家庭关系。这项研究将在监狱比赛的育儿计划中进行3名妇女的3个队列，以从监狱中释放并与家人重新统一。妇女，孩子和孩子的看护人将在进入该计划时（即在育儿班之前），在班级结束时，在亲子拜访期间，以及从监狱获释后约1和3个月。除了评估这些被监禁的妇女及其家人的需求外，我们还将描述她们返回的社区中可用的资源。数据来源包括深入的，半结构化的访谈，调查问卷，社区评估和录像的母子观察。在入学期间，在释放后的母子访问（T2），1个月（T3）和3个月（T4）的研究后，将收集数据（T1）。