Department of Psychiatry, University of Oxford, UK.
Lancet. 2011 Mar 12;377(9769):956-65. doi: 10.1016/S0140-6736(10)61053-7. Epub 2010 Nov 18.
More than 10 million people are incarcerated worldwide; this number has increased by about a million in the past decade. Mental disorders and infectious diseases are more common in prisoners than in the general population. High rates of suicide within prison and increased mortality from all causes on release have been documented in many countries. The contribution of prisons to illness is unknown, although shortcomings in treatment and aftercare provision contribute to adverse outcomes. Research has highlighted that women, prisoners aged 55 years and older, and juveniles present with higher rates of many disorders than do other prisoners. The contribution of initiatives to improve the health of prisoners by reducing the burden of infectious and chronic diseases, suicide, other causes of premature mortality and violence, and counteracting the cycle of reoffending should be further examined.
全球有超过 1000 万人被监禁;在过去十年中,这个数字增加了约 100 万。与普通人群相比,囚犯中更常见的是精神障碍和传染病。许多国家都有记录表明,监狱内自杀率高,囚犯获释后所有原因导致的死亡率上升。监狱对疾病的影响尚不清楚,尽管治疗和后续护理的不足导致了不良后果。研究强调,与其他囚犯相比,女性、55 岁及以上的囚犯和青少年的许多疾病发病率更高。通过减少传染病和慢性病、自杀、其他原因导致的过早死亡和暴力的负担以及遏制再犯罪的循环来改善囚犯健康的举措的贡献,应该进一步研究。