“No study has yet evaluated the variable of lifetime history of sex exchange among incarcerated women as a clinical marker for social and structural vulnerability within the community,” Noska and her colleagues wrote in the Journal of Health Care for the Poor and Underserved. Noska, who treats RIDOC patients and is also affiliated with the Providence Veterans Affairs Medical Center and the Miriam Hospital, said she was surprised the prevalence was so high, but there are very few other estimates in the research literature. They found that 68, or more than 1 in 4, had engaged in sex exchange. Jennifer Clarke, medical director of the Rhode Island Department of Corrections (RIDOC), asked the question of 257 women incarcerated in Rhode Island. Amanda Noska, assistant professor of medicine in the Warren Alpert Medical School of Brown University, and Dr. Even behind bars it can be a hard question to raise, but new research suggests that asking female inmates whether they have a history of exchanging sex for money or drugs can help identify whether they are at heightened risk for serious health consequences.
Gloria McDonald Awaiting Trial and Medium Security Facility of the Rhode Island Department of Corrections, RIDOC
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