Investigating Prevention Interventions of Common Sexually Transmitted Infections in U.S. Correctional Settings within the Last Decade: A Scoping Review Open Access

Thompson, Sierra G. (Spring 2019)

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Title: Investigating Prevention Interventions of Common Sexually Transmitted Infections in U.S. Correctional Settings within the Last Decade: A Scoping Review

Background: Sexually transmitted infections (STIs) are particularly common within prisons and jails because risk factors for contraction (e.g. unprotected sex, multiple sexual partners, drug/alcohol use, engaging in commercial, survival, or coerced sex) are common among incarcerated populations; additionally, these same populations are less likely to have had proper access to medical care prior to incarceration.

Goal: The aim of this review is to provide a snapshot of the present state of affairs regarding STI prevention interventions in order to aid those in charge of the health of incarcerated individuals as well as pertinent policy makers.

Methods: A scoping review was conducted using the Preferred Reporting Items for Systematic

reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) protocol.

Results: Screening for STIs is recommended to be completed within correctional settings. Treatment and sexual education programs should be implemented with the help of community partnerships shortly after release. Both adult and juvenile correctional institutions are good venues for addressing STI risk and spread.

Conclusion: Efforts should be made to ensure that any suggested prevention interventions be cost-effective for those that would be tasked to implement them. For policy makers and other public health stakeholders, it is recommended that there be an effort to encourage improving health funding for correctional facilities, increasing the amount of ethical and evidence-based research, and advocating for collaboration between correctional facilities and the surrounding communities.

Table of Contents

Chapter 1: Introduction. 1

1.1      Rationale: Background and Significance. 1

1.2      Statement of the Problem.. 2

1.3      Statement of Purpose. 3

1.4      Objectives: Research Question and Focus 3

Chapter 2: Methods. 4

2.1      Protocol and Registration. 4

2.2      Eligibility Criteria and Source Search Strategy. 5

2.3      Data Extraction Process and Data Items. 8

2.4      Synthesis of Results 8

Chapter 3: Results. 9

3.1      Selection of Sources of Evidence. 9

3.2      Characteristics of Included Publications. 10

3.3      Synthesis of Results 10

Chapter 4: Discussion, Recommendations, and Conclusions. 19

4.1.     Summary of Evidence. 19

Screening: Where, When, and How?. 19

Treatment: Where, When, and How?. 19

Educational Interventions: Where, When, and How?. 20

Educational Interventions: Other Factors to Consider 20

4.2.     Limitations 21

4.3.     Conclusions 21

References. 23


Table 1. Review of Eligible Studies. 25

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