加拿大囚犯的健康状况：叙述性综述。
Health status of prisoners in Canada: Narrative review.
作者信息
Kouyoumdjian Fiona, Schuler Andrée, Matheson Flora I, Hwang Stephen W
出版信息
Can Fam Physician. 2016 Mar;62(3):215-22.
OBJECTIVE
To review the literature for quantitative research on the health status of persons in custody in provincial, territorial, and federal correctional facilities in Canada, and summarize recent evidence.
QUALITY OF EVIDENCE
A search was performed in research databases and the websites of relevant Canadian governmental and non-governmental organizations for quantitative studies of health conducted between 1993 and 2014. Studies were included that provided quantitative data on health status for youth or adults who had been detained or incarcerated in a jail or prison in Canada.
MAIN MESSAGE
The health status of this population is poor compared with the general Canadian population, as indicated by data on social determinants of health, mortality in custody, mental health, substance use, communicable diseases, and sexual and reproductive health. Little is known about mortality after release, chronic diseases, injury, reproductive health, and health care access and quality.
CONCLUSION
Health status data should be used to improve health care and to intervene to improve health for persons while in custody and after release, with potential benefits for all Canadians.
目的
回顾关于加拿大省级、地区级和联邦惩教机构中被拘留者健康状况的定量研究文献，并总结近期证据。
证据质量
在研究数据库以及加拿大相关政府和非政府组织的网站上进行搜索，查找1993年至2014年间开展的关于健康的定量研究。纳入的研究需提供加拿大监狱或看守所中被拘留或监禁的青少年或成年人健康状况的定量数据。
主要信息
从健康的社会决定因素、羁押期间死亡率、心理健康、物质使用、传染病以及性健康和生殖健康等数据来看，这一人群的健康状况比加拿大普通人群差。对于释放后的死亡率、慢性病、伤害、生殖健康以及医疗保健的可及性和质量了解甚少。
结论
健康状况数据应用于改善医疗保健，并在被拘留者羁押期间及释放后进行干预以改善其健康，这可能会使所有加拿大人受益。
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