韩国 57541 名囚犯的健康不平等：与普通人群的比较。

Health inequalities of 57,541 prisoners in Korea: a comparison with the general population.

机构信息

Department of Public Health Sciences, Korea University, Seoul, Korea.

Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea.

出版信息

Epidemiol Health. 2021;43:e2021033. doi: 10.4178/epih.e2021033. Epub 2021 May 6.

DOI:10.4178/epih.e2021033

PMID:33971702

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8289480/

Abstract

OBJECTIVES

This study aimed to examine health disparities between prisoners and the general population in Korea.

METHODS

We sought to estimate the prevalence of 17 physical and mental diseases using the nationwide medication prescription dataset among the total population of prisoners (n=57,541) in Korea. Age- and sex- standardized prevalence ratios (SPRs) were estimated to compare the disease prevalence between the prisoners and the general population. The disease prevalence for the general population was calculated from the prescription dataset for a representative of the Korean population (n=926,246) from the 2013 Korean National Health Insurance Service-National Sample Cohort. Furthermore, the prevalence of these diseases was compared between prisoners and a low-income segment of the general population (n=159,781).

RESULTS

Compared to the general population, prisoners had higher prevalence of almost all physical and mental diseases, including hyperlipidemia (SPR, 20.18; 95% confidence interval [CI], 19.43 to 20.94), pulmonary tuberculosis (SPR, 9.58; 95% CI, 7.91 to 11.50), diabetes (SPR, 6.13; 95% CI, 5.96 to 6.31), cancer (SPR, 2.36; 95% CI, 2.07 to 2.68), and depression (SPR, 46.73; 95% CI, 44.14 to 49.43). When compared with the low-income population segment, higher prevalence were still found among prisoners for most diseases, including pulmonary tuberculosis (SPR, 6.39; 95% CI, 5.27 to 7.67) and depression (SPR, 34.71; 95% CI, 32.79 to 36.72).

CONCLUSIONS

We found that prisoners were more likely to be unhealthy than the general population, even in comparison with a low-income segment of the general population in Korea.

摘要

目的

本研究旨在考察韩国囚犯与普通人群之间的健康差距。

方法

我们试图使用韩国全国药物处方数据集估算囚犯（n=57541）中 17 种身心疾病的患病率。通过年龄和性别标准化患病率比（SPRs）来比较囚犯与普通人群之间的疾病患病率。普通人群的疾病患病率是从 2013 年韩国国家健康保险服务-国家样本队列中代表韩国人口的处方数据（n=926246）中计算得出的。此外，还比较了这些疾病在囚犯和一般低收入人群（n=159781）中的患病率。

结果

与普通人群相比，囚犯几乎所有身心疾病的患病率都较高，包括高血脂症（SPR，20.18；95%置信区间[CI]，19.43 至 20.94）、肺结核（SPR，9.58；95%CI，7.91 至 11.50）、糖尿病（SPR，6.13；95%CI，5.96 至 6.31）、癌症（SPR，2.36；95%CI，2.07 至 2.68）和抑郁症（SPR，46.73；95%CI，44.14 至 49.43）。与低收入人群相比，囚犯的大多数疾病患病率仍然较高，包括肺结核（SPR，6.39；95%CI，5.27 至 7.67）和抑郁症（SPR，34.71；95%CI，32.79 至 36.72）。