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被遗忘的少数群体的发病和死亡风险:为何司法系统中的女孩健康状况如此糟糕?

Morbidity and mortality risk among the "forgotten few": why are girls in the justice system in such poor health?

机构信息

Department of Psychology and Social Behavior, University of California, Irvine, 4312 Social and Behavioral Sciences Gateway, Irvine, CA 92697, USA.

出版信息

Law Hum Behav. 2010 Dec;34(6):429-44. doi: 10.1007/s10979-009-9199-3.

DOI:10.1007/s10979-009-9199-3
PMID:19847634
Abstract

The present study assessed the physical health of a population of girls sentenced to custody in a large US State via medical examinations and clinical assessments in adolescence and young adulthood. Findings indicated that injuries, obesity, and sexually transmitted diseases were the norm, with over 50% of the population meeting criteria for each of these health problems. A dose-response relationship was documented between childhood victimization and injuries and injury risk in adolescence and self-harm, HIV risk, physical health symptoms, and hospitalizations in young adulthood. The relationship between childhood victimization and poor adult physical health was fully mediated by health-risk behaviors in adolescence. Clinical and policy implications of the high mortality and morbidity risk among female juvenile offenders are discussed.

摘要

本研究通过医疗检查和临床评估,评估了美国一大型州内被监禁女孩的身体健康状况。研究结果表明,受伤、肥胖和性传播疾病是常态,超过 50%的人群符合这些健康问题的标准。研究还记录了童年期受虐与青少年期受伤和受伤风险、青少年期自伤、HIV 风险、身体健康症状和成年早期住院之间的剂量反应关系。童年期受虐与成年后身体健康状况不佳之间的关系完全由青少年时期的健康风险行为介导。文章还讨论了女性青少年罪犯的高死亡率和发病率所带来的临床和政策影响。

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