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October 2005, Vol 95, No. 10 | American Journal of Public Health 1712-1717
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2005.063677

PUBLIC HEALTH CONSEQUENCES OF IMPRISONMENT

Preventive Care for Women in Prison: A Qualitative Community Health Assessment of the Papanicolaou Test and Follow-Up Treatment at a California State Women’s Prison

Catherine G. Magee, BA, Jen R. Hult, BA, Ruby Turalba, BA and Shelby McMillan, BA

Catherine G. Magee, Jen R. Hult, Ruby Turalba, and Shelby McMillan are in the Master of Public Health program in the Department of Health Education at San Francisco State University.

Correspondence: Requests for reprints should be sent to Jen R. Hult, University of California, San Francisco, Osher Center for Integrative Medicine, PO Box 1726, San Francisco, CA 94143–1726 (e-mail: hultj{at}ocim.ucsf.edu).

Growing evidence indicates that women in prison are particularly vulnerable to many negative health outcomes, including cervical cancer. The Papanicolaou (Pap) test is an effective tool to screen for this disease. To determine what is and is not working with the Pap test and follow-up treatment, we performed qualitative interviews with women prisoners and key informants at a California state women’s prison. Our assessment revealed that the process of administering Pap tests at this institution was not meeting the health care needs of the women interviewed.

Women reported having negative experiences during the test and with their health care providers. Additionally the prison’s culture and infrastructure create obstacles that hinder prisoners from receiving quality care and providers from delivering that care. In response, women prisoners use self-and community advocacy to meet their health care needs and cope with these challenges.




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J. F. Linder and F. J. Meyers
Palliative Care for Prison Inmates: "Don't Let Me Die in Prison"
JAMA, August 22, 2007; 298(8): 894 - 901.
[Abstract] [Full Text] [PDF]


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