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A human rights assessment of menopausal women’s access to age and gender sensitive non-discriminatory healthcare in prison.

Van Hout, MC, Srisuwan, L and Plugge, E A human rights assessment of menopausal women’s access to age and gender sensitive non-discriminatory healthcare in prison. Menopause: The Journal of the North American Menopause Society. ISSN 1072-3714 (Accepted)

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Abstract

Importance and Objective: Women represent about 6% of the global prison population of 11 million. The female prison population has increased significantly in the past decade. Where attention is devoted to women’s unique sexual and reproductive health needs in prison, this is largely focused on menstruation management and ante/post-natal care. There is no explicit guidance regarding imprisoned menopausal women’s healthcare in the United Nations (UN) normative standards of detention (Mandela Rules, Bangkok Rules). A human rights assessment of menopausal women’s access to age and gender sensitive non-discriminatory healthcare in prison since 2010 was conducted.
Methods: Arksey and O’Malley’s scoping review methodology was adhered to. A systematic search was conducted using detailed MESH terms on CINAHL, Medline, Pubmed, ProQuest Central, PsycInfo, Scopus and Web of Science. All published material in the English language in the timeframe of 2010-2022 was collated (n=268). 14 duplicates were removed. 234 were excluded after title and abstract screening, with 5 records remaining. Hand searching yielded an additional 11 records. 16 records were charted and analyzed thematically using a human-rights lens. Themes were: Environmental conditions and menopausal sequelae; gender sensitive non-discriminatory free healthcare; evidence based age/gender sensitive prison health policies; and medical insensitivity and incompetencies in menopausal care.
Discussion and Conclusion: Menopausal women have the right to the underlying environmental determinants of health in prison; and rights to non-discrimination and equivalence of care; essential medicines; medical care and treatment; preventive health services, and participation in the generation of prison policies and support initiatives. The lack of visibility regarding their health needs in policies and healthcare provisions is reflected in the realities of life in prison, with glaring gaps in the practical medical and lifestyle supports of menopause. Further research is warranted to inform evidence based prison reforms to improve quality of life of older women in prison

Item Type: Article
Uncontrolled Keywords: Obstetrics & Reproductive Medicine; 11 Medical and Health Sciences
Subjects: R Medicine > RG Gynecology and obstetrics
Divisions: Public Health Institute
Publisher: Lippincott, Williams & Wilkins
SWORD Depositor: A Symplectic
Date Deposited: 25 Jul 2022 11:09
Last Modified: 25 Jul 2022 11:09
URI: https://researchonline.ljmu.ac.uk/id/eprint/17268

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