Wolff Nancy, Shi Jing, Fabrikant Nicole, Schumann Brooke E
Center for Behavioral Health Services & Criminal Justice Research, Rutgers, The State University of New Jersey, New Brunswick, NJ 08901, USA.
J Correct Health Care. 2012 Jul;18(3):219-32. doi: 10.1177/1078345812445270. Epub 2012 May 7.
This study examined weight and weight-related medical conditions of soon-to-be released inmates with and without a mental disorder. The sample included 4,204 males and females aged 18 or older residing in 11 state prisons. Three quarters or more of the inmates were overweight or obese. Mental health status was not found to be a significant factor in the presence or absence of overweight or obesity. Male inmates with mental disorders had higher rates of breathing, walking, and intense pain problems compared to those without mental disorders. Obese male inmates with schizophrenia or bipolar were more likely than those without a mental disorder to report medication treatment for diabetes, cardiovascular problems, arthritis, and intense pain. Evidence-based interventions are needed to monitor weight and obesity during incarceration and to teach weight management skills as part of an integrated psychiatric and medical program.
本研究调查了即将获释的有精神障碍和无精神障碍囚犯的体重及与体重相关的医疗状况。样本包括居住在11所州立监狱的4204名18岁及以上的男性和女性。四分之三或更多的囚犯超重或肥胖。心理健康状况并未被发现是超重或肥胖存在与否的重要因素。与无精神障碍的男性囚犯相比，有精神障碍的男性囚犯出现呼吸、行走和剧痛问题的比率更高。患有精神分裂症或双相情感障碍的肥胖男性囚犯比无精神障碍的男性囚犯更有可能报告接受糖尿病、心血管问题、关节炎和剧痛的药物治疗。需要基于证据的干预措施，以便在监禁期间监测体重和肥胖情况，并将体重管理技能作为综合精神科和医疗项目的一部分进行传授。
