Prisons and Drugs: A global review of incarceration, drug use and drug services. Report 12

Prisons play an important role in drug policy. They are used to punish people who break drug laws and they also hold a large number of people who have experience of drug use and drug problems. They therefore have an important part to play in attempts to reduce the harm caused by drugs. Imprisonment itself can be seen as one type of harm, as it causes problems for prisoners and their families and creates a large financial burden for taxpayers. Theseharms and costs are difficult to calculate, but there is little evidence that large scale imprisonment of drug offenders has had the desired results in deterring drug use or reducing drug problems (Bewley- Taylor, Trace, & Stevens, 2005). In this paper, we examine the international prevalence of drug users, drug use and related problems in prisons and we report on the problems that are related to the issue of drugs in prison. We go on to examine the international guidelines and effective responses that have been developed in this area in the last decade. The paper is a review of the literature, based on a search of bibliographic databases, including Medline, PubMed, ISI as well as EMBASE and contacts with researchers and practitioners in the field up to January 2007

Gaining comprehensive data about sexual knowledge through surveys

Background: Delivery of sexual health services rely on rigorous facts extracted from surveys, but often those facts cannot be available due to the lack of culturally-sensitive questionnaires. Objective: our aim was to show the validity and reliability of the Persian version of the Acquisition of Sexual Information Test (ASIT), a measure selected due to its assemblages with Iranian culture. Materials and Methods: Forward-backward procedure was applied to translate the questionnaire. Cross-sectional study was carried out and psychometric properties of the Iranian version were tested in a thirty sample of reproductive-age women. Face validity was assessed by qualitative and quantitative methods. Content validity was also assessed by calculating two quantitative indicators as content validity index (CVI) and content validity ratio (CVR). Reliability was assessed by test-retest analyses. Results: Impact score was 1.5, the majority of participants (83.3%) stated that the overall level of questionnaire was high but some of the questions were irrelevant to sexual knowledge. Many questions (90%) gained a CVR less than 0.56, and all of them gained CVIs lower than 0.7. Correlation in test-retest reliability was 0.85

Concepts of sexuality and health among Iranian women in Australia

Background: Like other immigrants, Iranians face difficulties using sexual and reproductive health services in Australia. Expectations may be affected by experiences of population control services in Iran. Methods: Fifty-one Iranian women in Sydney (New South Wales) participated in individual interviews and focus groups in 2003-2004. Recorded interviews were transcribed and translated into English and subjected to thematic and narrative analysis. Results: Concepts of sexual health among respondents centred on reproductive gynaecology: pregnancy, contraception and menopause. Issues around relationships or sexual pleasure or pain were not thought of as being issues of 'sexual health'. Discussion: Communication with sexual health caregivers is hampered by the euphemistic, vague and symbolically loaded terminology used by the women in their own language, and their lack of knowledge of English and medical terms. They are reluctant to use interpreters and lack faith in their right to confidentiality. Practical suggestions for providing appropriate clinical care include the use of communication aids, approaching the topic obliquely and interviewing the woman's husband where appropriate

Sharing beliefs: What sexuality means to Muslim Iranian women living in Australia

In Iran, women's sexual self-understandings are strongly determined by religious teaching. This study explores the meanings generated through the lived experience of sexuality of women residing in Australia that may challenge certain received Islamic notions of sexuality. Interviews and focus group discussions were conducted with 51 Iranian women in Sydney alongside 10 semi-structured interviews with Shi'ite clergy in Iran. Findings suggest that the concept of sexual obedience within marriage is regarded as symbolic of an idealised Muslim femininity. Sexual obedience demonstrates women's high level of religious commitment but is also an indicator of modesty and self-respect. While some participants felt that it was a woman's duty to satisfy her husband on any sexual occasion, they did not utilize notions of subordination in their sexual lives. For other informants, however, concepts of subordination were more salient and tied to conservative religious leaders' interpretations of Quranic concepts and Iranian women's understandings of these same interpretations. Religion is an important factor influencing Iranian women's sexual self-understandings, being relevant both to sexual education and public health. Recognition of this issue will facilitate understanding of the cultural foundations of sexuality among Muslims and assist health providers in suggesting more culturally compatible forms of healthcare