Nowotny Kathryn M
Department of Sociology and Population Program, University of Colorado Boulder, Boulder, CO, USA
J Correct Health Care. 2016 Apr;22(2):129-38. doi: 10.1177/1078345816633701.
This study examines the demographic and social factors related to health care utilization in prisons using the 2004 Survey of Inmates in State Correctional Facilities. The findings show that education and employment, strong predictors of health care in the community, are not associated with health care in prisons. Although female inmates have a higher disease burden than male inmates, there are no sex differences in health care usage. The factors associated with health care, however, vary for women and men. Notably, Black men are significantly more likely to utilize health care compared to White and Latino men. The findings suggest that, given the constitutionally mandated health care for inmates, prisons can potentially minimize racial disparities in care and that prisons, in general, are an important context for health care delivery in the United States.
本研究利用2004年州立惩教机构在押人员调查，考察了与监狱医疗保健利用相关的人口统计学和社会因素。研究结果表明，教育和就业作为社区医疗保健的有力预测因素，与监狱医疗保健并无关联。尽管女性囚犯的疾病负担高于男性囚犯，但在医疗保健使用方面不存在性别差异。然而，与医疗保健相关的因素在女性和男性中有所不同。值得注意的是，与白人和拉丁裔男性相比，黑人男性使用医疗保健的可能性显著更高。研究结果表明，鉴于宪法规定要为囚犯提供医疗保健，监狱有可能最大限度地减少医疗保健方面的种族差异，而且总体而言，监狱是美国医疗保健提供的一个重要背景。
