{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T15:44:13Z","timestamp":1774021453590,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,9,12]],"date-time":"2018-09-12T00:00:00Z","timestamp":1536710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"General Practice and Education Limited"},{"name":"Justice Health & Forensic Mental Health Network and Corrections NSW for Facilitating the Research"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Women in prison have complex medical needs and poorer health status than the general population. Culturally and linguistically diverse (<jats:styled-content style=\"fixed-case\">CALD<\/jats:styled-content>) women in prison, particularly those with limited English proficiency (<jats:styled-content style=\"fixed-case\">LEP<\/jats:styled-content>), have distinct needs and risk additional isolation, discrimination and marginalization when they are in prison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>We sought to examine how cultural and linguistic diversity, particularly<jats:styled-content style=\"fixed-case\">LEP<\/jats:styled-content>, affects the health\u2010care experiences of women in prison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design, Setting and Participants<\/jats:title><jats:p>We conducted focus groups and semi\u2010structured qualitative interviews with<jats:styled-content style=\"fixed-case\">CALD<\/jats:styled-content>women and frontline nursing staff in the three female Correctional Centres in New South Wales, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants comprised 30 women in prison and nine nurses. Both women and staff reported communication difficulties as a significant and additional barrier to accessing and receiving health care. For some women with<jats:styled-content style=\"fixed-case\">LEP<\/jats:styled-content>, barriers to care were perceived as discrimination. Fellow prisoners were often utilized as support persons and informal interpreters (\u201cpeer interpreters\u201d) in place of formally trained interpreters. While peer interpreters were perceived as useful, potential challenges to their use were vulnerability to coercion, loss of confidentiality, untrained health advice and errors of interpretation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The persistent use of peer interpreters in prison is complicated by the lack of clearly defined roles, which can include informal peer support roles and lay health advice. These are highly complex roles for which they are unlikely to be adequately trained or supported, despite perceived benefits to their use. Improved understanding and facilitation of health\u2010related communication could enhance equity of access for<jats:styled-content style=\"fixed-case\">CALD<\/jats:styled-content>women in prison.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.12820","type":"journal-article","created":{"date-parts":[[2018,9,13]],"date-time":"2018-09-13T05:53:27Z","timestamp":1536818007000},"page":"1159-1170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["\u201cImagine if I'm not here, what they're going to do?\u201d\u2014Health\u2010care access and culturally and linguistically diverse women in prison"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5969-4540","authenticated-orcid":false,"given":"Kelly","family":"Watt","sequence":"first","affiliation":[{"name":"School of Medicine University of Western Sydney Penrith NSW 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