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Jennifer G. Clarke, MD, MPH, Cynthia Rosengard, PhD, MPH, Jennifer S. Rose, PhD, Megan R. Hebert, MA, Jeffrey Peipert, MD, MPH and Michael D. Stein, MD

Jennifer G. Clarke, Cynthia Rosengard, Jennifer S. Rose, Megan R. Hebert, and Michael D. Stein are with the Substance Abuse Research Unit, Division of General Internal Medicine, Rhode Island Hospital, Providence. Jeffrey Peipert is with the Division of Research in Women’s Health, Department of Obstetrics and Gynecology, Women and Infants Hospital, Providence. Jennifer G. Clarke, Cynthia Rosengard, Jennifer S. Rose, Jeffrey Peipert, and Michael D. Stein are also with the Brown University Medical School, Providence.

Correspondence: Requests for reprints should be sent to Jennifer G. Clarke, MD, MPH, Rhode Island Hospital DGIM, MPB-1, 593 Eddy St, Providence, RI 02903 (e-mail: jclarke{at}lifespan.org).

Objectives. We examined whether incarcerated women would substantially increase birth control initiation if contraceptive services were available within the prison compared with after their release back into the community.

Methods. During phase 1 of the study, a nurse educator met with women at the Rhode Island Adult Correctional Institute and offered them referrals for contraceptive services at a community health clinic after their release. During phase 2, contraceptive services were offered to women during their incarceration.

Results. The majority of the participants (77.5%) reported a desire to initiate use of birth control methods. Within 4 weeks of their release, 4.4% of phase 1 participants initiated use of a contraceptive method, compared with 39.1% of phase 2 participants (odds ratio [OR]=14.6; 95% confidence interval [CI]=5.5, 38.8).

Conclusions. Provision of contraceptive services to women during their incarceration is feasible and greatly increases birth control initiation compared to providing services only in the community.

This article has been cited by other articles:

				J. G. Clarke, M. R. Hebert, C. Rosengard, J. S. Rose, K. M. DaSilva, and M. D. Stein Reproductive Health Care and Family Planning Needs Among Incarcerated Women Am J Public Health, May 1, 2006; 96(5): 834 - 839. [Abstract] [Full Text] [PDF]