Rosenberg Alana, Keene Danya E, Schlesinger Penelope, Groves Allison K, Blankenship Kim M
Department of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, 60 College Street, New Haven, CT, 06520, USA.
Department of Social and Behavioral Sciences, Yale School of Public Health, Yale University, 60 College Street, New Haven, CT, 06520, USA.
Soc Sci Med. 2021 Mar;272:113734. doi: 10.1016/j.socscimed.2021.113734. Epub 2021 Jan 30.
Housing is central to health equity, and mass incarceration is an important but understudied aspect of housing vulnerability and health inequity. One way in which housing can be linked to health and health inequity is through ontological security. Ontological security, or a sense of feeling at home, is comprised of constancy, daily routines, privacy, and a basic security that enables the development of one's identity. It has been theorized as a mechanism by which people reap the health benefits of housing. Based on two waves of interviews in 2017-2018 with a sample of 27 people returning from incarceration in a northeast U.S. city, we describe participants' residential experiences during the first two years after release. Participants lived in residential group settings, with friends, partners and family, or were homeless. They experienced impermanence, punitive place rules, surveillance, and a lack of control. In contrast, participants spoke about their idea of home, imagined from the past or for the future, as a place of privacy, control, and wellbeing. This analysis expands the study of ontological security by detailing its absence among people returning from incarceration. The concept of ontological security holds promise in delineating the ways in which housing provides health benefits, and is particularly useful for understanding the needs and experiences of those returning from prison and seeking to restart their lives in the community. Relatedly, participant narratives point to the expansion of the carceral state beyond prison, including into residential space, with implications for the intersection of housing and health equity.
住房对于健康公平至关重要,而大规模监禁是住房脆弱性和健康不公平现象中一个重要但未得到充分研究的方面。住房与健康及健康不公平现象相联系的一种方式是通过本体安全。本体安全,即一种归属感,由恒常性、日常惯例、隐私以及有助于个人身份认同发展的基本安全感组成。它被理论化为一种人们从住房中获得健康益处的机制。基于2017年至2018年对美国东北部一个城市27名刑满释放人员进行的两轮访谈,我们描述了参与者在获释后头两年的居住经历。参与者居住在集体住宅环境中、与朋友、伴侣或家人住在一起,或者无家可归。他们经历了无常、惩罚性的居住规定、监视以及缺乏控制权。相比之下,参与者谈到他们过去或未来所想象的家是一个私密、能掌控且幸福的地方。这项分析通过详细阐述本体安全在刑满释放人员中的缺失,扩展了对本体安全的研究。本体安全这一概念在描绘住房提供健康益处的方式方面具有前景,对于理解那些刑满释放并试图在社区重新开始生活的人的需求和经历尤其有用。相关地,参与者的叙述指出监禁状态已从监狱扩展到包括居住空间在内的其他地方,这对住房与健康公平的交叉领域产生了影响。