The Kirby Institute for Infection and Immunity in Society, University of New South Wales.
Aust N Z J Public Health. 2012 Jun;36(3):274-80. doi: 10.1111/j.1753-6405.2012.00844.x. Epub 2012 Feb 23.
To estimate the overall and cause specific mortality of Aboriginal offenders in New South Wales (NSW), Australia.
The study cohort consisted of all Aboriginal men and women aged 18 years and older who had experienced full-time imprisonment in NSW between 1 January 1988 and 31 December 2002. Their data were linked probabilistically to the Australian National Death Index to obtain information on death. Standardised mortality ratios were calculated for all causes of death and adjusted for age, sex, and calendar year.
The cohort comprised 7,980 men and 1,373 women with 75,801 person years of observation. During a median follow-up period of 8.3 years, 485 men and 73 women died, giving an overall mortality rate of 733 and 755 deaths per 100,000 person-years. The risk of death in men was 4.8 (95% CI: 4.4-5.3) times and among women 12.6 (95% CI: 10.0-15.8) times that of the NSW residents, with a markedly elevated risk for almost all conditions. The leading cause of death was cardiovascular disease in men (112 deaths, 23%) and mental and behavioural disorders (17 deaths, 23%) in women. The risk of death was greatest following release from prison.
High mortality rates for cardiovascular disease, a preventable and treatable condition, were seen among Aboriginal offenders. Prison has an important role to play in screening marginalised populations for a range of health conditions. This is particularly true for Indigenous offenders.
评估澳大利亚新南威尔士州（NSW）原住民罪犯的总体和特定原因死亡率。
研究队列由所有在 1988 年 1 月 1 日至 2002 年 12 月 31 日期间在 NSW 经历过全职监禁的 18 岁及以上的原住民男性和女性组成。他们的数据通过概率与澳大利亚国家死亡索引相关联，以获取死亡信息。计算了所有死因的标准化死亡率，并按年龄、性别和日历年份进行了调整。
该队列包括 7980 名男性和 1373 名女性，观察了 75801 人年。在中位数为 8.3 年的随访期间，485 名男性和 73 名女性死亡，总死亡率为每 100000 人年 733 例和 755 例。男性的死亡风险是 NSW 居民的 4.8（95%CI：4.4-5.3）倍，女性的死亡风险是 NSW 居民的 12.6（95%CI：10.0-15.8）倍，几乎所有情况的风险都明显升高。男性的主要死因是心血管疾病（112 例死亡，23%），女性的主要死因是精神和行为障碍（17 例死亡，23%）。出狱后死亡风险最大。
原住民罪犯的心血管疾病死亡率很高，这是一种可预防和可治疗的疾病。监狱在为各种健康状况筛选边缘化人群方面发挥着重要作用。对于原住民罪犯来说，这一点尤其正确。
