Robert Wood Johnson Clinical Scholars Program, University of California Los Angeles, 911 Broxton Avenue 3rd floor, Los Angeles, CA 90024, USA.
J Community Health. 2010 Jun;35(3):268-74. doi: 10.1007/s10900-010-9234-9.
Despite the disproportionate prevalence of incarceration in communities of color, few studies have examined its contribution to health disparities. We examined whether a lifetime history of incarceration is associated with recent access to medical and dental care. We performed a secondary data analysis of the 2007 Los Angeles County Health Survey, a population-based random-digit-dialing telephone survey of county households. Any history of incarceration in a prison/jail/detention center as an adult was assessed for a random subsample. Bivariate and multivariate logistic regression analyses examined whether incarceration history was associated with access to care, controlling for other characteristics. Ten percent of our study population reported a history of incarceration. While persons with an incarceration history were similar to their peers with regard to health and insurance status, their access to medical and dental care was worse. Incarceration history was independently associated with disparities in access to care. Interventions to improve the health of communities affected by high rates of incarceration could include efforts that enable access to care for formerly incarcerated adults.
尽管在有色人种社区中监禁的比例不成比例，但很少有研究探讨其对健康差距的贡献。我们研究了一生中是否有入狱经历是否与最近获得医疗和牙科保健有关。我们对 2007 年洛杉矶县健康调查的二次数据分析进行了研究，这是一项针对县内家庭的基于人群的随机数字拨号电话调查。对一个随机子样本评估了成年人在监狱/监狱/拘留中心的任何入狱经历。使用双变量和多变量逻辑回归分析，在控制其他特征的情况下，研究了入狱史是否与获得医疗保健有关。我们研究人群中有 10％的人报告有入狱经历。尽管有入狱史的人与同龄人在健康和保险状况方面相似，但他们获得医疗和牙科保健的机会较差。入狱史与获得医疗保健的机会存在差异有关。为了改善受高监禁率影响的社区的健康，可以采取一些干预措施，使以前被监禁的成年人能够获得医疗保健。
