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APHA Scientific Session and Event Listing
4255.0: Tuesday, November 06, 2007 - 3:30 PM

Abstract #158634

Methodological challenges encountered in a study of co-payment policies and the health of women prisoners

Diane Hatton, RN, APRN, BC, DNS and Anastasia Fisher, RN, DNSc. Hahn School of Nursing and Health Science, University of San Diego, 5998 Alcala Park, San Diego, CA 92110, 619-260-7481, hattondc@aol.com

Prison bureaucracies as well as the regulatory constraints of institutional review boards increase the difficulty and complexity of conducting research with prisoners. Although they are usually intended to serve as protection for prisoners, these circumstances, ultimately, can maintain the invisibility of prisoners and their health concerns from the general public and public health professionals. This paper analyzes the methodological challenges encountered in a qualitative, community-based participatory research project (CBPR) that explored the impact of co-payment policies on the health of women prisoners. The paper addresses: a) development the study using a community advisory board (CAB); b) inclusion of formerly incarcerated women, rather than prisoners, as participants; c) strategies used to maintain confidentiality, including a Certificate of Confidentiality from the National Institutes of Health; d) issues confronted during individual interviews and focus groups; e) concerns related to the dissemination of findings; and f) recommendations for future research. The intent of this CBPR project was to generate knowledge and promote a discourse about women prisoners' health without jeopardizing their extraordinary vulnerability.

Learning Objectives:

Keywords: Prisoners Health Care, Research

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Health Care for Underserved Populations

The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA