Megha Ramaswamy

ORCID: 0000-0003-4167-9024
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About
Contact & Profiles
Research Areas
  • Criminal Justice and Corrections Analysis
  • Homelessness and Social Issues
  • Cervical Cancer and HPV Research
  • Adolescent Sexual and Reproductive Health
  • Global Cancer Incidence and Screening
  • Reproductive Health and Contraception
  • Vaccine Coverage and Hesitancy
  • HIV/AIDS Research and Interventions
  • Child Abuse and Trauma
  • Intimate Partner and Family Violence
  • Ethics and Legal Issues in Pediatric Healthcare
  • HIV, Drug Use, Sexual Risk
  • Sex work and related issues
  • Migration, Health and Trauma
  • Food Security and Health in Diverse Populations
  • Ethics in Clinical Research
  • Health Policy Implementation Science
  • Global Maternal and Child Health
  • Crime Patterns and Interventions
  • Autopsy Techniques and Outcomes
  • Sexual Assault and Victimization Studies
  • Child and Adolescent Health
  • Health Systems, Economic Evaluations, Quality of Life
  • COVID-19 Impact on Reproduction
  • Racial and Ethnic Identity Research

University of Washington
2024-2025

University of Kansas Medical Center
2015-2024

University of Kansas
2014-2023

The University of Kansas Cancer Center
2011-2023

University of Kentucky
2023

Kansas Department of Health and Environment
2021

University of Missouri–Kansas City
2012-2021

Office of the Assistant Secretary for Health
2021

Office of Diversity and Inclusion
2019

Kelly Services (United States)
2019

In many correctional facilities across the United States, COVID-19 vaccine refusal rates are as high 50%. Most women leaving jails have low SES, health literacy, and mistrust of governmental institutions, thus exacerbating existing disparities making jail vulnerable. Data from 25 interviews with recently released suggest that interventions to promote vaccines this population will address education mitigate mistrust, misinformation, conspiracy theories.

10.1111/phn.12922 article EN Public Health Nursing 2021-05-11

Our objective was to understand factors that support or undermine sexual and reproductive health care use among women released from jail. We conducted semistructured interviews with 28 (ages 20-53) on average 6 months after their release a city Social networks were the most common factor supported women's use; having medical home, reliable transportation, financial resources, neighborhood dynamics other mentioned by users. Community-based public efforts should address social context in which...

10.1080/23293691.2018.1429373 article EN Women s Reproductive Health 2018-01-02

Abstract Objective The purpose of this study was to test whether variations in substance abuse, mental health diagnoses, individual experiences violence, community and incarceration history may be reduced a single underlying syndemic factor for sample women incarcerated three M idwestern U.S. jails. Design Sample Secondary data analysis cross‐sectional medical utilization survey; initial confirmatory tested fit model; modification indexes provided fit. 290 urban Measures Demographics...

10.1111/phn.12056 article EN Public Health Nursing 2013-06-28

Jailed women are four-five times more likely to have had cervical cancer compared without criminal justice histories. Previous research has shown that an important contributor risk, and perhaps lack of follow-up, is incarcerated women's low health literacy about broader reproductive issues. Little work been done address this disparity. Thus, the objective study was test effectiveness intervention improve ultimately disparities. Using a waitlist control design, we changes in (knowledge,...

10.1016/j.pmedr.2017.04.003 article EN cc-by-nc-nd Preventive Medicine Reports 2017-04-05

Based on interviews with 75 women transitioning from incarceration, our research identifies technology access and skills barriers facing this population their underlying concerns motivations in navigating privacy online. Our results suggest precarious housing financial situations, about ex-partners, mental health issues, lack of self-efficacy pose challenges for to use digital technologies influence online perspectives. Many participants reported relying primarily cellphones various tasks...

10.1177/1461444820966993 article EN New Media & Society 2020-10-20

Much of the research on human trafficking focuses prosecution traffickers and protection survivors after crime has occurred. Less is known about social disparities that make someone vulnerable to trafficking. This project examines from a preventive focus, using data case study service providers working with at-risk populations in Kansas City, MO-KS area. The team conducted 42 in-depth interviews medical, educational, legal, services sectors 2013 2016. Participants identified risk factors...

10.1177/0886109918803648 article EN Affilia 2018-10-29

The wide availability of routine screening with Papanicolaou (Pap) tests and vaccinations against human papillomavirus has resulted in a decline rates cervical cancer. As other diseases, however, disparities incidence mortality persist. Cervical cancer, is found more often, at later stages, worse outcomes people who live rural areas, identify as Black or Hispanic, are incarcerated. Studies report 4-5 times higher cancer detained jails prisons than community-based samples. to explain...

10.1186/s40352-024-00262-z article EN cc-by Health & Justice 2024-02-26

Objectives: We examined the relationship between substance use and sexual HIV-risk behaviors among young men who have been incarcerated, in order to understand how HIV risks develop for this vulnerable population. Methods: A sample of 552 a New York City jail was interviewed at time incarceration. Bivariate analyses were performed examine demographic behavior differences with without recent alcohol marijuana use. Logistic regression used associations 90 days prior Results: Respondents...

10.1080/00952990802342923 article EN The American Journal of Drug and Alcohol Abuse 2009-01-01

In this exploratory study the authors investigated characteristics, including reported experiences of violence, related to incarcerated women's self-report cervical cancer screening and history treatment. During a four month period in 2010, 204 women Kansas City jails were surveyed. Multiple logistic regression models used examine relations socio-demographic community characteristics violence among their screening, diagnosis, treatment histories. Forty percent current sample abnormal Pap...

10.1080/03630242.2011.590875 article EN Women & Health 2011-07-22

The objective of this study was to understand factors associated with women’s ability engage in cervical cancer prevention and follow-up care given ongoing criminal justice involvement. We conducted four focus groups 45 incarcerated women assess barriers health promotion, used a grounded theory method analyze data. administered the Short Test Functional Health Literacy Adults general literacy as standalone factor related promotion. Ninety-one percent participants had adequate scores....

10.1353/hpu.2015.0130 article EN Journal of Health Care for the Poor and Underserved 2015-11-01

To describe the health priorities of women recently released from jail.We open-coded semi-structured interview transcripts collected 28 within 6 months after their release jail to identify themes associated with prioritization health.Five out listed as top post-release priority. However, many had competing release, including housing, employment, and children. We found that described several reasons why was not a priority; however, participants reported regular use healthcare system upon...

10.5993/ajhb.39.2.9 article EN American Journal of Health Behavior 2014-12-29

Abstract The cancer disparities between people with incarceration histories compared those who do not have are vast. Opportunities for bolstering equity among impacted by mass exist in criminal legal system policy; carceral, community, and public health linkages; better prevention, screening, treatment services carceral settings; expansion of insurance; education professionals; use sites promotion transition to community care. Clinicians, researchers, persons a history incarceration,...

10.1093/jnci/djad087 article EN cc-by-nc JNCI Journal of the National Cancer Institute 2023-05-23

Menstrual equity, that is, access to menstrual products and safe menstruating environments, is a basic human right not available many vulnerable populations.

10.1089/jwh.2023.0085 article EN Journal of Women s Health 2023-08-03

The primary objective of this article was to describe the development and pilot implementation a brief jail-based cervical health promotion intervention. intervention guided by preliminary study incarcerated women's knowledge, awareness, literacy, as well social feminist approach development. We developed conducted Sexual Health Empowerment Project increase reduce barriers related beliefs about cancer, improve self-efficacy confidence in navigating systems. This offers framework for how...

10.1177/1524839914541658 article EN Health Promotion Practice 2014-07-25

Women with a history of incarceration bear disproportionate burden cervical disease and have special characteristics that affect their intent and/or ability to adhere screening follow-up recommendations. The goal this study was identify factors associated cancer outcomes among incarcerated women.We applied framework predisposing factors, enabling population-specific could impact behaviors for population. We used bivariate chi-square tests Wilcoxon signed-rank analyze data previously...

10.1371/journal.pone.0199220 article EN cc-by PLoS ONE 2018-06-26

This article describes the life circumstances and risk behaviors of 552 adolescent males returning home from jail. Most young men reported several sources support in their lives many had more tolerant views toward women intimate relationships than portrayed mainstream media. They also high levels marijuana alcohol use, risky sexual behavior, prior arrests. Investigators designed Returning Educated African American Latino Men to Enriched Neighborhoods (REAL MEN) program, a jail community...

10.1177/1524839909331910 article EN Health Promotion Practice 2009-04-03

We examined factors associated with women's use of highly effective birth control before and after incarceration, since women ongoing criminal justice involvement bear a disproportionate burden sexual reproductive health problems, including high rates unintended pregnancy inconsistent contraceptive use.Using longitudinal study design, we conducted surveys 102 in an urban midwestern jail then followed up 66 them 6 months incarceration. used stepwise logistic regression to assess individual,...

10.1089/jwh.2014.4942 article EN Journal of Women s Health 2015-01-02

Abstract Purpose Latino youth experience significant disparities in rates of teen pregnancy, and reproductive health needs rural are not well understood. The purpose this study was to describe knowledge, beliefs, attitudes about contraception among adolescents young adults (Latino youth). Methods Eighty‐four youth, aged 15–24 years from Kansas communities participated 15 focus groups (FG) completed an individual survey. survey assessed demographics acculturation. FG participants discussed...

10.1111/jrh.12390 article EN The Journal of Rural Health 2019-08-20
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