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公共卫生与弱势群体:2001年至2005年纽约市监狱曾被监禁者的发病率和死亡率

Public Health and Vulnerable Populations: Morbidity and Mortality Among People Ever Incarcerated in New York City Jails, 2001 to 2005.

作者信息

Levanon Seligson Amber, Parvez Farah M, Lim Sungwoo, Singh Tejinder, Mavinkurve Maushumi, Harris Tiffany G, Kerker Bonnie D

机构信息

1 New York City Department of Health and Mental Hygiene, Bureau of Epidemiology Services, Long Island City, NY, USA.

2 New York City Department of Health and Mental Hygiene, Office of Correctional Public Health, Bureau of Correctional Health Services, Long Island City, NY, USA.

出版信息

J Correct Health Care. 2017 Oct;23(4):421-436. doi: 10.1177/1078345817727527. Epub 2017 Oct 5.

Abstract

The health of people ever incarcerated in New York City (NYC) jails during 2001 to 2005 was characterized by matching jail, shelter, mortality, sexually transmitted infection, HIV, and tuberculosis (TB) data from the NYC Departments of Health and Mental Hygiene, Correction, and Homeless Services. Compared with nonincarcerated people and those living in the lowest income NYC neighborhoods, those ever incarcerated had higher HIV prevalence and HIV case rates. Ever-incarcerated females also had higher rates of gonorrhea and syphilis than nonincarcerated females. Ever-incarcerated people who used the single adult homeless shelter system had higher HIV, gonorrhea, and TB case rates and all-cause mortality rates than ever-incarcerated people without shelter use, when adjusting for other variables. People ever incarcerated in NYC jails are at risk for conditions of public health importance. Sex-specific jail- and community-based interventions are needed.

摘要

通过匹配纽约市卫生和精神卫生、惩教及无家可归者服务部门的监狱、收容所、死亡率、性传播感染、艾滋病毒和结核病(TB)数据,对2001年至2005年期间曾被关押在纽约市监狱的人员的健康状况进行了描述。与未被监禁者和生活在纽约市最低收入社区的人相比,曾被监禁者的艾滋病毒流行率和艾滋病毒发病率更高。曾被监禁的女性淋病和梅毒发病率也高于未被监禁的女性。在对其他变量进行调整后,使用单一成人无家可归者收容所系统的曾被监禁者的艾滋病毒、淋病和结核病发病率以及全因死亡率均高于未使用收容所的曾被监禁者。曾被关押在纽约市监狱的人员面临着具有公共卫生重要性的疾病风险。需要针对不同性别的基于监狱和社区的干预措施。

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