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探索监禁后债务与健康之间的关系:一项调查研究。

Exploring the Relationship between Debt and Health after Incarceration: a Survey Study.

机构信息

Yale School of Medicine, 330 Cedar Street, New Haven, CT, 06520-8056, USA.

SEICHE Center for Health and Justice, 300 George Street G05, New Haven, CT, 06520, USA.

出版信息

J Urban Health. 2023 Feb;100(1):181-189. doi: 10.1007/s11524-022-00707-6. Epub 2023 Jan 17.

DOI:10.1007/s11524-022-00707-6
PMID:36650355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9918653/
Abstract

Financial debt and incarceration are both independently associated with poor health, but there is limited research on the association between debt and health for those leaving incarceration. This exploratory study surveyed 75 people with a chronic health condition and recent incarceration to examine debt burden, financial well-being, and possible associations with self-reported health. Eighty-four percent of participants owed at least one debt, with non-legal debt being more common than legal debt. High financial stress was associated with poor self-reported health and the number of debts owed. Owing specific forms of debt was associated with poor health or high financial stress. Non-legal financial debt is common after incarceration, and related stress is associated with poor self-reported health. Future research is needed in larger populations in different geographical areas to further investigate the relationship and the impact debt may have on post-release poor health outcomes. Policy initiatives to address debt in the post-release population may improve health.

摘要

财务债务和监禁都与健康状况不佳有关,但对于那些刚出狱的人来说,关于债务和健康之间的关系的研究有限。本探索性研究调查了 75 名患有慢性健康状况和最近被监禁的人,以检查债务负担、财务状况以及与自我报告健康状况的可能关联。84%的参与者至少欠有一笔债务,非法律债务比法律债务更为常见。高财务压力与较差的自我报告健康状况和负债数量有关。欠特定类型的债务与健康状况不佳或财务压力高有关。非法律金融债务在监禁后很常见,相关压力与较差的自我报告健康状况有关。未来需要在不同地理区域的更大人群中进行研究,以进一步调查这种关系以及债务可能对出狱后健康结果的影响。解决出狱人群中债务问题的政策举措可能会改善健康状况。

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本文引用的文献

1
Debt, Incarceration, and Re-entry: a Scoping Review.债务、监禁与重新融入社会:一项范围综述
Am J Crim Justice. 2021;46(2):250-278. doi: 10.1007/s12103-020-09559-9. Epub 2020 Aug 11.
2
Linkages Between Incarceration and Health.监禁与健康的关联。
Public Health Rep. 2019 May/Jun;134(1_suppl):8S-14S. doi: 10.1177/0033354919826563.
3
Reducing debt improves psychological functioning and changes decision-making in the poor.减少债务可改善贫困人口的心理机能和决策能力。
Proc Natl Acad Sci U S A. 2019 Apr 9;116(15):7244-7249. doi: 10.1073/pnas.1810901116. Epub 2019 Mar 25.
4
Medical Bankruptcy: Still Common Despite the Affordable Care Act.医疗破产:尽管有《平价医疗法案》,但仍然常见。
Am J Public Health. 2019 Mar;109(3):431-433. doi: 10.2105/AJPH.2018.304901.
5
Incarceration and Health.监禁与健康。
Annu Rev Sociol. 2015 Aug;41:291-310. doi: 10.1146/annurev-soc-073014-112326.
6
Children's and Parents' Well-Being in Joint Physical Custody: A Literature Review.儿童和父母在共同身体监护下的幸福感:文献综述。
Fam Process. 2019 Jun;58(2):353-369. doi: 10.1111/famp.12372. Epub 2018 Jul 2.
7
Health Literacy Among a Formerly Incarcerated Population Using Data from the Transitions Clinic Network.利用转化诊所网络的数据评估曾被监禁人群的健康素养。
J Urban Health. 2018 Aug;95(4):547-555. doi: 10.1007/s11524-018-0276-0.
8
Short-term lending: Payday loans as risk factors for anxiety, inflammation and poor health.短期借贷:发薪日贷款作为焦虑、炎症和健康不佳的风险因素。
SSM Popul Health. 2018 Jun 7;5:114-121. doi: 10.1016/j.ssmph.2018.05.009. eCollection 2018 Aug.
9
"Prison Ain't Free Like Everyone Thinks": Financial Stressors Faced by Incarcerated Women.“监狱并非如众人所想那般自由”:被监禁女性面临的经济压力源
Qual Health Res. 2017 Apr;27(5):688-699. doi: 10.1177/1049732316664460. Epub 2016 Aug 20.
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The impact of diminished housing wealth on health in the United States: evidence from the Great Recession.美国住房财富减少对健康的影响:来自大衰退的证据。
Soc Sci Med. 2015 Apr;130:234-41. doi: 10.1016/j.socscimed.2015.02.028. Epub 2015 Feb 19.