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确定研究重点,改善被监禁人群的健康状况:澳大利亚监狱公民陪审团的结果。

Identifying research priorities to improve the health of incarcerated populations: results of citizens' juries in Australian prisons.

机构信息

School of Population Health, University of New South Wales (UNSW Sydney), Sydney, NSW, Australia.

Research School of Population Health, The Australian National University, Canberra, ACT, Australia.

出版信息

Lancet Public Health. 2021 Oct;6(10):e771-e779. doi: 10.1016/S2468-2667(21)00050-5. Epub 2021 Jun 9.

Abstract

Health disparities in incarcerated populations should guide investment in the health care and research of these communities. Although users of health-care services are important in providing input into decisions about research, the voices of people in prison are absent regarding research into their health. In this Health Policy paper, we present priorities for research into the health of people in prison according to people in prison themselves. By use of a deliberative research approach, citizens' juries were conducted in six prisons (three men's and three women's prisons) in Australia. Participants were selected following submissions of expression of interest forms that were distributed within the prisons. Prerecorded information by experts in the health of incarcerated people was shown to participants. Participants deliberated for up to 4 h before agreeing on five research priorities. All citizens' juries endorsed mental health as a number one research priority. Prison health-care services, alcohol and other drug use, education, and infectious diseases were identified as research priorities by most citizens' juries. Focal points within priorities included serious mental illness; grief and trauma; medication management; health-care service access, quality, and resources; drug withdrawal and peer support; prison-based needle and syringe programmes; and health and life skills education. If endeavours in research priority setting are to consider health equity goals, the views of our most health affected citizens need to be included.

摘要

囚犯群体中的健康差异应该指导对这些群体的医疗保健和研究的投资。尽管医疗服务使用者在决定研究时提供意见很重要,但关于他们健康的研究却没有囚犯的声音。在这篇卫生政策文件中,我们根据囚犯自身的情况,提出了囚犯健康研究的优先事项。我们使用了一种审议性研究方法,在澳大利亚的六所监狱(三所男子监狱和三所女子监狱)进行了公民陪审团。在监狱内分发了表达兴趣的表格后,根据参与者的提交情况进行了选择。向参与者展示了囚犯健康专家事先录制的信息。参与者在达成五项研究重点之前进行了长达 4 小时的审议。所有公民陪审团都将心理健康作为首要研究重点。监狱医疗保健服务、酒精和其他药物使用、教育以及传染病是大多数公民陪审团确定的研究重点。优先事项中的重点领域包括严重精神疾病、悲伤和创伤、药物管理、医疗保健服务的获取、质量和资源、药物戒断和同伴支持、监狱内的针和注射器计划以及健康和生活技能教育。如果在研究重点设定方面努力实现健康公平目标,那么我们最受健康影响的公民的意见就需要包括在内。

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