University of California, Irvine, CA 92697-5100, USA.
J Health Soc Behav. 2012;53(4):465-81. doi: 10.1177/0022146512462400. Epub 2012 Oct 25.
Dramatic increases in the American imprisonment rate since the mid-1970s have important implications for the life chances of minority men with low educational attainment, including for their health. Although a large literature has considered the collateral consequences of incarceration for a variety of outcomes, studies concerned with health have several limitations: Most focus exclusively on physical health; those concerned with mental health only consider current incarceration or previous incarceration, but never both; some are cross-sectional; many fail to consider mechanisms; and virtually all neglect the role of family processes, thereby overlooking the social roles current and former prisoners inhabit. In this article, we use stress process theory to extend this research by first considering the association between incarceration and major depression and then considering potential mechanisms that explain this association. Results from the Fragile Families and Child Wellbeing Study (N = 3,107) show current and recent incarceration are substantially associated with the risk of major depression, suggesting both immediate and short-term implications. In addition, consistent with stress proliferation theory, the results show the well-known consequences of incarceration for socioeconomic status and family functioning partly explain these associations, suggesting the link between incarceration and depression depends heavily on the consequences of incarceration for economic and social reintegration, not only the direct psychological consequences of confinement.
自 20 世纪 70 年代中期以来,美国监禁率的急剧上升,对教育程度低的少数族裔男性的生活机会产生了重要影响,包括对他们的健康的影响。尽管大量文献已经考虑了监禁对各种结果的附带后果,但与健康有关的研究存在几个局限性:大多数研究仅关注身体健康;那些关注心理健康的研究只考虑当前监禁或以前监禁,但从未同时考虑过;一些是横断面研究;许多研究未能考虑机制;几乎所有研究都忽视了家庭过程的作用,从而忽略了当前和以前囚犯所扮演的社会角色。在本文中,我们使用压力过程理论,首先考虑监禁与重度抑郁症之间的关联,然后考虑解释这种关联的潜在机制,来扩展这一研究。脆弱家庭和儿童福利研究(N=3107)的结果表明,当前和最近的监禁与重度抑郁症的风险有很大关联,这表明既有直接影响也有短期影响。此外,与压力扩散理论一致,研究结果表明,监禁对社会经济地位和家庭功能的众所周知的后果部分解释了这些关联,这表明监禁与抑郁之间的联系在很大程度上取决于监禁对经济和社会重新融入的后果,而不仅仅是监禁的直接心理后果。