%0 Journal Article
%T Addressing WomenĄŻs Unmet Health Care Needs in a Canadian Remand Center:  Catalyst for Improved Health?
%A Cybele Angel
%A Diane Pyne
%A Jonathan D. Besney
%A Louanne Keenan
%A Rabia Ahmed
%A Rebecca Martell
%J Journal of Correctional Health Care
%@ 1940-5200
%D 2018
%R 10.1177/1078345818780731
%X Incarcerated women have a disproportionate burden of infectious and chronic disease, substance disorders, and mental illness. This study explored incarcerated womenĄŻs health and whether a WomenĄŻs Health Clinic improved care within this vulnerable population. Retrospective chart reviews and focus groups were conducted. Poor access to care in the community due to competing social needs was described. Barriers to care during incarceration included lack of comprehensive gender-specific services, mistrust of providers, and fragmentation. Of 109 women, high rates of mental illness, partner violence, substance use, sexually transmitted infection (STI), and irregular Pap testing were observed. Pap (15% to 54%, p < .001) and STI (17% to 89%, p < .001) testing rates increased. Fragmentation of care remained at transition points, and further work is needed to improve continuity within corrections and the community
%K womenĄŻs health
%K community transition
%K health outcomes
%K health service access
%K female inmates
%U https://journals.sagepub.com/doi/full/10.1177/1078345818780731