Sexual Health Empowerment for Jail-Involved Women's Health Literacy and Prevention

监狱妇女健康素养和预防的性健康赋权

• 批准号: 10524082
• 负责人: Megha Ramaswamy
• 金额: $ 18.4万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-04-23 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10524082
• 关键词: Address; Age; Behavior; Belief; Breast Cancer Detection; Car Phone; Cervical; Cervical Cancer Screening; Communications Media; Communities; Discharge Plannings; Drug usage; Effectiveness; Electronic Mail; Evidence based intervention; Face; Facebook; Fibrinogen; General Population; Health; Health Educators; Health Promotion; Health behavior; Health education; Human; Imprisonment; Internet; Intervention; Interview; Jail; Justice; Knowledge; Lead; Left; Literacy Programs; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Mental Health; Modality; Modeling; Modification; Multimedia; Nature; Outcome; Pamphlets; Participant; Perception; Prevention; Prevention program; Preventive; Prisons; Productivity; Publications; Randomized; Randomized Controlled Trials; Recording of previous events; Reduce health disparities; Research; Risk; Risk Factors; Risk Reduction; Role; STI prevention; Screening for cancer; Self Efficacy; Sexual Health; Sexually Transmitted Diseases; Surveys; Testing; Text; Text Messaging; Time; Touch sensation; Trauma; Vulnerable Populations; Woman; Women' s Health; Work; arm; base; behavior change; birth control; cancer health disparity; cancer risk; cervical cancer prevention; effectiveness evaluation; effectiveness outcome; effectiveness testing; experience; falls; follow-up; health disparity; health empowerment; health literacy; high risk population; implementation facilitators; improved; intervention delivery; literacy; malignant breast neoplasm; pilot test; post intervention; pregnant; recruit; screening; social media; standard of care; unintended pregnancy; uptake; women of color

ABSTRACT Over the last 35 years, there has been a 700% increase in the number of women in prisons and jails. These women, mostly women of color, have pervasive trauma histories, mental health problems, and drug use, all of which compromise their ability to engage in preventive health behaviors. For the last eight years, our research team has studied women leaving jail and why they are 4-5 times more likely to develop cervical cancer, a disparity that has remained unchanged for over 50 years. The original objective of the Sexual Health Empowerment (SHE) for Cervical Health Literacy and Prevention program (R01 CA181047) was to assess the effectiveness of a jail-based intervention to increase cervical health literacy and screening. SHE increased jailed women’s cervical health literacy and rates of cancer screening after the women left jail. While delivering SHE, we observed: 1) the cross-cutting nature of women’s health risk factors, i.e. the risks that jailed women faced for cervical cancer also could lead to other women’s health problems; and 2) opportunity for taking an evidence-based intervention, with a rich theoretical framing, to expand to other women’s health issues faced by this group, around, not only cervical cancer prevention, but also breast cancer, unintended pregnancy, and STI prevention. While following women after release from jail (85% follow-up rate after 3 years), we also identified strategies for reaching this high-risk population through electronic communication. SHE participants were high users of mobile phones (88%), text (76%), Web (79%), and Facebook (70%). This renewal application presents an opportunity to holistically address health disparities experienced by women leaving jail and test new modalities for intervention delivery given their use of electronic communication and social media. In our first aim, we will assess the feasibility and pilot effectiveness of ‘SHE-Women’, an electronic women’s health literacy intervention, with women leaving jail. The second aim uses an RCT to test the effectiveness of SHE-Women with women leaving jail on increasing women’s health literacy, screening, and risk reduction practices (for cervical, breast cancer, unintended pregnancy, and STIs) against a standard of care. Our third aim will be to understand the role and impact of human interaction in electronic interventions by tracking participants and interviewing key stakeholders. Knowledge gained from this study will lead to an understanding of: 1) how a comprehensive women’s health literacy intervention can narrow health disparities among justice-involved women and 2) the role of human interaction in successful electronic interventions, thereby creating a sustainable model for dissemination of health promotion interventions.

抽象的 在过去的35年中，监狱和监狱中的妇女人数增加了700％。 这些妇女，主要是有色女性，有普遍的创伤历史，心理健康问题和吸毒， 所有这些都损害了他们从事预防健康行为的能力。在过去的八年中，我们 研究小组有研究妇女离开监狱，为什么出现宫颈的可能性要高4-5倍 癌症，这种差异一直保持不变，已有50多年的历史了。性健康的最初目标 宫颈健康素养和预防计划（R01 CA181047）的赋权（SHE）是为了评估 基于监狱的干预措施提高宫颈健康素养和筛查的有效性。她增加了 妇女离开监狱后，监禁的妇女宫颈健康素养和癌症筛查率。 在交付她时，我们观察到：1）妇女健康风险因素的横切性质，即风险 那些因宫颈癌而面对的妇女也可能导致其他妇女的健康问题。和2） 进行基于证据的干预的机会，并具有丰富的理论框架，以扩展到其他 该群体面临的妇女健康问题，不仅是宫颈癌预防，而且是乳腺癌， 意外怀孕和预防性传播感染。从监狱释放后关注妇女（85％的随访率 3年后），我们还确定了通过电子的策略来达到这一高风险人群 沟通。她的参与者是手机（88％），文字（76％），Web（79％）和 Facebook（70％）。此续签应用程序提供了整体解决健康分配的机会 妇女出狱并测试新方式进行干预，鉴于她们使用电子 沟通和社交媒体。 在我们的第一个目标中，我们将评估电子“ She-Women”的可行性和飞行效果 妇女的健康素养干预，妇女离开监狱。第二个目标使用RCT测试 妇女与妇女的有效性在增加妇女的健康素养，筛查和 降低风险习惯（用于宫颈癌，乳腺癌，意外怀孕和性传播感染） 关心。我们的第三个目标是了解人类互动在电子干预中的作用和影响 跟踪参与者并采访主要利益相关者。从这项研究中获得的知识将导致 理解：1）全面的妇女健康素养干预如何缩小健康差异 在涉及正义的妇女和2）人类互动在成功的电子干预中的作用， 从而创建一个可持续的模型来传播健康促进干预措施。