The use of medications by incarcerated women: an exploratory study
Main Article Content
Abstract
Objective: To investigate the use of medicines by women deprived of their liberty in a municipality in the east of Minas Gerais. Method: The research was conducted in three stages: (I) documentary investigation, (II) analysis of medical records, and (III) application of semi-structured questionnaires. Women deprived of liberty who were part of the prison system evaluated participated in the study. The research was carried out between June 2020 and June 2021. Result: Seventeen women deprived of their liberty participated in the study, most of them black and brown (88.24%), between 30 and 49 years old (n = 9; 52.9%), and who used a total of 56 different medications, with the psychotropic class being the most prevalent (n = 28; 50%), followed by cardiovascular system drugs (n = 15; 26.8%). Conclusion: The medications most used by study participants belonged to the class of antidepressants and antiepileptics. Furthermore, the women’s medical records lacked crucial information regarding medication use. These data, combined with difficulties in access, highlight the importance of complying with public policies in favor of comprehensive health care for women deprived of their liberty, especially the right to access and rational use of medicines.
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References
Watson R, Stimpson A, Hostick T. Prison health care: a review of the literature. Int J Nurs Stud 2004;41(2):119-28. http://doi. org/10.1016/S0020-7489(03)00128-7. PMid:14725776. DOI: https://doi.org/10.1016/S0020-7489(03)00128-7
WPB: World Prison Brief [Internet]. Brazil. London: World Prison Brief; 2022 [cited 2022 Nov 26]. Available from: https:// www.prisonstudies.org/country/brazil.
Jaramillo NM. Uso Racional de medicamentos: fundamentação em condutas terapêuticas e nos macroprocessos da Assistência farmacêutica. Revista Organização Pan-americana da Saúde. 2015:1-4.
Ofori-Asenso R, Agyeman A. Irrational use of medicines—a summary of key concepts. Pharmacy (Basel) 2016;4(4):35. http://doi.org/10.3390/pharmacy4040035. PMid:28970408. DOI: https://doi.org/10.3390/pharmacy4040035
Job F No, Miranda RB, Coelho RDA, Gonçalves CP, Zandonade E, Miranda AE. Health morbidity in Brazilian prisons: a time trends study from national databases. BMJ Open 2019;9(5):1-8. http://doi.org/10.1136/bmjopen-2018-026853. PMid:31061044. DOI: https://doi.org/10.1136/bmjopen-2018-026853
Cardins KKB, Freitas CHS M, Simões MO S, Costa GMC. Acesso e uso racional de medicamentos no sistema prisional da Paraíba. Esc Anna Nery 2019;23(2):1-9. DOI: https://doi.org/10.1590/2177-9465-ean-2018-0317
Curran J, Saloner B, Winkelman NA, Alexander GC. Estimated use of prescription medications among individuals incarcerated in jails and state prisons in the US. JAMA Health Forum 2023;4(4):e230482. http://doi.org/10.1001/ jamahealthforum.2023.0482. PMid:37058293. DOI: https://doi.org/10.1001/jamahealthforum.2023.0482
Hawks L, Wang E. Medication Access in Prisons and Jails—Some Answers, More Questions. JAMA Health Forum 2023;4(4):e230167. http://doi.org/10.1001/ jamahealthforum.2023.0167. PMid:37058295. DOI: https://doi.org/10.1001/jamahealthforum.2023.0167
de Araújo PF, Kerr LRFS, Kendall C, Rutherford GW, Seal DW, da Justa Pires R No, et al. Behind bars: the burden of being a woman in Brazilian prisons. BMC Int Health Hum Rights 2020;20(1):1-9. http://doi.org/10.1186/s12914-020-00247-7. PMid:31924210. DOI: https://doi.org/10.1186/s12914-020-00247-7
Al-Rousan T, Rubenstein L, Sieleni B, Deol H, Wallace RB. Inside the nation’s largest mental health institution: A prevalence study in a state prison system. BMC Public Health 2017;17(1):1-9. http://doi.org/10.1186/s12889-017-4257-0. PMid:28427371. DOI: https://doi.org/10.1186/s12889-017-4257-0
Van Hout MC, Mhlanga-Gunda R. Contemporary women prisoners health experiences, unique prison health care needs and health outcomes in Sub Sahara Africa. BMC Int Health Hum Rights 2018;18:31. https://doi.org/10.1186/s12914-018-0170-6. DOI: https://doi.org/10.1186/s12914-018-0170-6
Malta M, Cardoso LO, Bastos FI, Magnanini MMF, da Silva CMFP. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Rev Saude Publica 2010;44(3):559-65. http:// doi.org/10.1590/S0034-89102010000300021. PMid:20549022. DOI: https://doi.org/10.1590/S0034-89102010000300021
de Aquino LCD, de Souza BG, Laurindo CR, Leite ICG, da Cruz DT. Autoavaliação ruim do estado de saúde: prevalência e fatores associados em mulheres privadas de liberdade. Esc Anna Nery 2022;26:1-12. http://doi.org/10.1590/2177-9465- ean-2021-0275. DOI: https://doi.org/10.1590/2177-9465-ean-2021-0275
Nicolau AIO, Ribeiro SS, Lessa PRA, Monte AS, De Do Ferreira RCN, Pinheiro AKB. A picture of the socioeconomic and sexual reality of women prisoners. Acta Paul Enferm 2012;25(3):386- 92. http://doi.org/10.1590/S0103-21002012000300011. DOI: https://doi.org/10.1590/S0103-21002012000300011
Carvalho da Graça B, de Melo Mariano M, de Jesus Xavier Gusmão MA, Fernandes Cabral J, Ferreira do Nascimento V, Souza Gleriano J, et al. Dificuldades das mulheres privadas de liberdade no acesso aos serviços de saúde. Rev Bras em Promoção da Saúde 2018;31(2):1-9. http://doi.org/10.5020/18061230.2018.7374. DOI: https://doi.org/10.5020/18061230.2018.7374
Oliveira RS, Schaefer R, Hamilko HCC, dos Santos DVD, Stefanello S. A questão de gênero na percepção do processo saúde-doença de pessoas privadas de liberdade em delegacias. Interface - Comun Saúde Educ 2021;25:1-17. DOI: https://doi.org/10.1590/interface.200199
Bentley KJ, Casey RC. Incarcerated women’s experiences and beliefs about psychotropic medication: An empirical study. Psychiatr Serv 2017;68(4):384-9. http://doi.org/10.1176/appi. ps.201600078. PMid:27903143. DOI: https://doi.org/10.1176/appi.ps.201600078
Bispo JF, Pedrosa TMM, Belo FMP, Cezário LA, Mendonça AL, de França AMB, et al. Perfil de saúde física e mental de homens e mulheres privados de liberdade: um estudo comparativo. Rev Eletrônica Acervo Saúde 2021;13(9):e8532. http://doi. org/10.25248/reas.e8532.2021. DOI: https://doi.org/10.25248/reas.e8532.2021
Marega G, Shima VTB, Teston APM. O uso de psicofármacos no sistema prisional: um trabalho de revisão. Brazilian J Dev 2020;6(10):79888-905. http://doi.org/10.34117/bjdv6n10-422. DOI: https://doi.org/10.34117/bjdv6n10-422
Feitosa RMM, Vieira VVG, Cabral SAR, de Andrade DS, de Freitas LHM. Caracterização dos diagnósticos e psicotrópicos das pessoas privadas de liberdade. Rev Enferm Atual Derme 2019;87(25):1-8. http://doi.org/10.31011/reaid-2019-v.87-n.25- art.202. DOI: https://doi.org/10.31011/reaid-2019-v.87-n.25-art.202
Abreu MA, Rolim VE, Silva CRDV. Uso de psicofármacos por mulheres privadas de liberdade. Rev Pesqui Interdiscip 2017;2(2):945-8. http://doi.org/10.24219/rpi.v2i2.337. DOI: https://doi.org/10.24219/rpi.v2i2.337
Serra RM, Ribeiro LC, Ferreira JBB, dos Santos LL. Prevalência de doenças crônicas não transmissíveis no sistema prisional: um desafio para a saúde pública. Cien Saude Colet 2022;27(12):4475- 84. http://doi.org/10.1590/1413-812320222712.10072022en. PMid:36383861. DOI: https://doi.org/10.1590/1413-812320222712.10072022
Medeiros MM, Santos AAP, Oliveira KRV, Silva JKAM, Silva NAS, Anunciação BMG. Panorama of health conditions in a female prison of northeast Brazil. Rev Pesqui Cuid é Fundam Online 2021;13:1060-7. https://doi.org/10.9789/2175-5361.rpcfo. v13.9962. DOI: https://doi.org/10.9789/2175-5361.rpcfo.v13.9962
Cardins KKB, Freitas CHSM, Costa GMC. Dispensação de medica¬mentos no sistema prisional: garantia de assistência farmacêu¬tica? Medicine dispensation in the prison system: is pharma¬ceutical care assured? Cien Saude Colet 2022;27(12):4589-98. PMid:36383872. DOI: https://doi.org/10.1590/1413-812320222712.13092022en
Bhat A, Gunther M, Bungard TJ, MacLennan S, Taube K, Macek P. Clinical pharmacist services on admission to a large correctional center. J Correct Health Care 2020;26(2):105-12. http://doi. org/10.1177/1078345820921145. PMid:32390542. DOI: https://doi.org/10.1177/1078345820921145
Flora SM, Possagno GCH, Baldissera VDA, Girotto E, Adequação E. Validação de indicadores de assistência farmacêutica no sistema penitenciário. Rev Baiana Saúde Pública 2020;44(1):22-40. http://doi.org/10.22278/2318-2660.2020.v44.n1.a3192. DOI: https://doi.org/10.22278/2318-2660.2020.v44.n1.a3192
Coelho HC, Silva JDN, Abreu LC, Cespedes VM. A inserção de estudantes de medicina no espaço prisional: relato de experiência de ações de promoção em um presídio paulista. Manuscripta Medica 2020;3:53-9.
Schultz ÁLV, Dotta RM, Stock BS, Dias MTG. A precarização do trabalho no contexto da atenção primária à saúde no sistema prisional Work precarization in the prison system’ s primary health care. Cien Saude Colet 2022;27(12):4407-14. PMid:36383854. DOI: https://doi.org/10.1590/1413-812320222712.11402022en
Oliveira RS, Hamilko HCC, Schaefer R, dos Santos DVD, de Albuquerque GSC, Stefanello S. Cômodo do inferno: acesso à Atenção Básica em duas delegacias de uma grande cidade brasileira. Interface - Comun Saúde Educ 2020;24(suppl 1):1-15. DOI: https://doi.org/10.1590/interface.190524
Lôbo NMN, Portela MC, Sanchez AAMMR. Sanchez AAMMR. Análise do cuidado em saúde no sistema prisional do Pará, Brasil. Cien Saude Colet 2022;27(12):4423-4423. http://doi. org/10.1590/1413-812320222712.10212022. PMid:36383856. DOI: https://doi.org/10.1590/1413-812320222712.10212022
Cardins KKB. Assistência farmacêutica em unidades prisionais na Paraíba. Campina Grande: Universidade Estadual da Paraíba; 2017.