被羁押青年罪犯中创伤性脑损伤的患病率：一项系统综述。
The prevalence of traumatic brain injury among young offenders in custody: a systematic review.
作者信息
Hughes Nathan, Williams W H, Chitsabesan Prathiba, Walesby Rebecca C, Mounce Luke T A, Clasby Betony
机构信息
Centre for Adolescent Health, Murdoch Childrens Research Institute, Melbourne, Australia (Dr Hughes); University of Birmingham, Birmingham, United Kingdom (Dr Hughes); University of Melbourne, Melbourne, Victoria, Australia (Dr Hughes); University of Exeter, Exeter, United Kingdom (Drs William, Walesby, and Mounce and Ms Clasby); University of Manchester, Manchester, United Kingdom (Ms Chitsabesan); and Pennine Care NHS Foundation Trust, Manchester, United Kingdom (Dr Chitsabesan).
出版信息
J Head Trauma Rehabil. 2015 Mar-Apr;30(2):94-105. doi: 10.1097/HTR.0000000000000124.
OBJECTIVES
To examine the prevalence of traumatic brain injury (TBI) among young people in custody and to compare this with estimates within the general youth population.
DESIGN
Systematic review of research from various national contexts. Included studies were assessed for the relevance of the definition of TBI and the research population, and the quality of the study design.
RESULTS
Ten studies were identified for inclusion in the review. Four of these studies included control groups. No studies examining comorbidity of TBI and other neurodevelopmental disorders among incarcerated young people were identified.
CONCLUSION
Reported prevalence rates of brain injury among incarcerated youth range from 16.5% to 72.1%, with a rate of 100% reported among a sample of young people sentenced to death. This suggests considerable levels of need among incarcerated young people. Where control groups or directly comparable studies within the general population exist, there is strong and consistent evidence of a prevalence of TBI among incarcerated youth that is substantially greater than that in the general population. This disparity is seemingly more pronounced as the severity of the injury increases.
目的
研究被拘留青少年中创伤性脑损伤（TBI）的患病率，并与一般青年人群的估计患病率进行比较。
设计
对来自不同国家背景的研究进行系统综述。纳入的研究根据TBI定义和研究人群的相关性以及研究设计的质量进行评估。
结果
确定了10项研究纳入综述。其中4项研究包括对照组。未发现有研究调查被监禁青少年中TBI与其他神经发育障碍的共病情况。
结论
报告的被监禁青少年脑损伤患病率在16.5%至72.1%之间，在一个被判处死刑的青少年样本中报告的患病率为100%。这表明被监禁青少年中有相当大的需求。在存在对照组或一般人群中直接可比研究的情况下，有强有力且一致的证据表明，被监禁青少年中TBI的患病率大大高于一般人群。随着损伤严重程度的增加，这种差异似乎更加明显。
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