The complicated nature of the healthcare system and lack of gender-specific health education in jails have exacerbated many of the existing social and economic disadvantages experienced by…

This federal Project Grant award from the National Institute of Justice (CFDA 16.560) provides $144,891 to Virginia Commonwealth University (VCU) to conduct a mixed-methods study examining the impact of a sexual health education program for justice-involved women and assessing the knowledge and potential biases of VCU medical students regarding sexual and reproductive healthcare for this population.

The key objectives of the 3-year project are to: 1) Measure the impact of the "Women Leading Healthy Change" program on participants' sexual health knowledge, beliefs about cervical cancer, and self-efficacy for screening; 2) Assess the relationship between demographics, medical mistrust, incarceration history, and future health-seeking behaviors among justice-involved women, with a focus on sexual risk perception and health literacy; and 3) Examine whether VCU medical students' beliefs about justice-involved individuals' identities are associated with differences in sexual health treatment recommendations. The project aims to address gaps in gender-specific health education and reduce barriers to achieving health equity for incarcerated women.

The complicated nature of the healthcare system and lack of gender-specific health education in jails have exacerbated many of the existing social and economic disadvantages experienced by justice-involved women. The proposed project, project thrive (transformative health and reproductive information for incarcerated women's empowerment), aims to address the challenges faced by incarcerated women in the united states, who often lack adequate healthcare knowledge, leading to overuse of emergency services, increased government spending, and higher recidivism rates. Sexual and reproductive healthcare is considered an anchoring health service for women due to the vulnerable nature of exams (i.e., pelvic screening) and perceptions of these providers as knowledgeable, safe, and easy to talk to. However, their health outcomes are often compromised by a lack of knowledge, implicit bias among healthcare providers, communication barriers, and medical mistrust. Thus, investing in sexual and reproductive education for justice-involved women and their future providers provides a unique opportunity to reduce stigmatization, discrimination, and other individual- and system-level barriers to achieving health equity. IT first seeks to measure the impact of women leading healthy change, an existing impact virginia-funded CO-learning-based sexual health education program for justice-involved women in chesterfield county jail, on the participants sexual health knowledge. Second, this project aims to assess the current level of knowledge and identify potential bias regarding sexual and reproductive health care for justice-involved women among the virginia commonwealth university medical student population. To achieve these goals, we propose a mixed method study to (1) use a modified version of kirkpatricks framework for evaluation to measure women leading healthy changes impact on justice-involved womens sexual health knowledge, beliefs about cervical cancer, and self-efficacy for screening; (2) assess the relationship between demographics, medical mistrust, incarceration history, and future health-seeking behaviors, with a specific focus on sexual risk perception and sexual health literacy (3) examine whether medical students beliefs about justice-involved individuals different identities are associated with differences in sexual health treatment recommendations. CA/NCF