监禁作为强迫性迁移：对选定社区健康结果的影响。
Incarceration as forced migration: effects on selected community health outcomes.
作者信息
Thomas James C, Torrone Elizabeth
机构信息
Department of Epidemiology, University of North Carolina, Chapel Hill, NC 27599-7435, USA.
出版信息
Am J Public Health. 2006 Oct;96(10):1762-5. doi: 10.2105/AJPH.2005.081760.
OBJECTIVES
We estimated the effects of high incarceration rates on rates of sexually transmitted infections and teenage pregnancies.
METHODS
We calculated correlations between rates of incarceration in state prisons and county jails and rates of sexually transmitted infections and teenage pregnancies for each of the 100 counties in North Carolina during 1995 to 2002. We also estimated increases in negative health outcomes associated with increases in incarceration rates using negative binomial regression analyses.
RESULTS
Rates of sexually transmitted infections and teenage pregnancies, adjusted for age, race, and poverty distributions by county, consistently increased with increasing incarceration rates. In the most extreme case, teenage pregnancies exhibited an increase of 71.61 per 100000 population (95% confidence interval [CI]=41.88, 101.35) in 1996 after an increase in the prison population rate from 223.31 to 468.58 per 100000 population in 1995.
CONCLUSIONS
High rates of incarceration can have the unintended consequence of destabilizing communities and contributing to adverse health outcomes.
目的
我们评估了高监禁率对性传播感染率和青少年怀孕率的影响。
方法
我们计算了1995年至2002年北卡罗来纳州100个县中每个县的州立监狱和县级监狱监禁率与性传播感染率及青少年怀孕率之间的相关性。我们还使用负二项回归分析评估了与监禁率上升相关的负面健康结果的增加情况。
结果
在根据各县年龄、种族和贫困分布进行调整后，性传播感染率和青少年怀孕率随监禁率上升而持续增加。在最极端的情况下，1995年监狱人口率从每10万人223.31人增至468.58人后，1996年青少年怀孕率出现每10万人增加71.61例（95%置信区间[CI]=41.88，101.35）。
结论
高监禁率可能会产生破坏社区稳定并导致不良健康结果的意外后果。
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