全球监禁成年人经历 COVID-19 大流行的健康影响：一项混合方法系统评价。
The health impacts of the COVID-19 pandemic on adults who experience imprisonment globally: A mixed methods systematic review.
机构信息
Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Faculty of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
出版信息
PLoS One. 2022 May 20;17(5):e0268866. doi: 10.1371/journal.pone.0268866. eCollection 2022.
BACKGROUND
The prison setting and health status of people who experience imprisonment increase the risks of COVID-19 infection and sequelae, and other health impacts of the COVID-19 pandemic.
OBJECTIVES
To conduct a mixed methods systematic review on the impacts of the COVID-19 pandemic on the health of people who experience imprisonment.
DATA SOURCES
We searched Medline, PsycINFO, Embase, the Cochrane Library, Social Sciences Abstracts, CINAHL, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Sociology Database, Coronavirus Research Database, ERIC, Proquest Dissertations and Theses, Web of Science, and Scopus in October 2021. We reviewed reference lists for included studies.
STUDY ELIGIBILITY CRITERIA
Original research conducted in or after December 2019 on health impacts of the COVID-19 pandemic on adults in prisons or within three months of release.
STUDY APPRAISAL AND SYNTHESIS METHODS
We used the Joanna Briggs Institute's Critical Appraisal Checklist for Qualitative Research for qualitative studies and the Joanna Briggs Institute's Critical Appraisal Checklist for Studies Reporting Prevalence Data for quantitative studies. We qualitized quantitative data and extracted qualitative data, coded data, and collated similar data into categories.
RESULTS
We identified 62 studies. People in prisons had disproportionately high rates of COVID-19 infection and COVID-19 mortality. During the pandemic, all-cause mortality worsened, access to health care and other services worsened, and there were major impacts on mental wellbeing and on relationships with family and staff. There was limited evidence regarding key primary and secondary prevention strategies.
LIMITATIONS
Our search was limited to databases. As the COVID-19 pandemic is ongoing, more evidence will emerge.
CONCLUSIONS
Prisons and people who experience imprisonment should be prioritized for COVID-19 response and recovery efforts, and an explicit focus on prisons is needed for ongoing public health work including emergency preparedness.
PROSPERO REGISTRATION NUMBER
背景
监禁环境和监禁人群的健康状况增加了 COVID-19 感染和后遗症以及 COVID-19 大流行对其他健康影响的风险。
目的
对 COVID-19 大流行对监禁人群健康的影响进行混合方法系统评价。
数据来源
我们于 2021 年 10 月在 Medline、PsycINFO、Embase、Cochrane 图书馆、社会科学文摘、CINAHL、应用社会科学索引和摘要、社会学文摘、社会学数据库、冠状病毒研究数据库、ERIC、Proquest 论文和学位论文、Web of Science 和 Scopus 中进行了检索。我们还对纳入研究的参考文献进行了回顾。
研究入选标准
2019 年 12 月后或在监禁环境中进行的关于 COVID-19 大流行对成年人的健康影响的原始研究，或在释放后三个月内进行的此类研究。
研究评价和综合方法
我们对定性研究使用了 Joanna Briggs 研究所的定性研究批判性评价清单，对定量研究使用了 Joanna Briggs 研究所的报告流行数据研究的批判性评价清单。我们对定量数据进行了定性化，提取了定性数据、编码数据，并将相似的数据整理成类别。
结果
我们确定了 62 项研究。监狱中的人 COVID-19 感染和 COVID-19 死亡率的比例过高。在大流行期间，全因死亡率恶化，获得医疗保健和其他服务的机会恶化，心理健康和与家人及工作人员的关系受到重大影响。关于主要和次要预防策略的证据有限。
局限性
我们的检索仅限于数据库。由于 COVID-19 大流行仍在继续，将会有更多的证据出现。
结论
监狱和监禁人群应优先考虑 COVID-19 应对和恢复工作，并且需要对监狱进行明确关注，将其作为包括应急准备在内的持续公共卫生工作的重点。
PROSPERO 注册号：239324。
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