Division of Injury Prevention, National Center for Injury Prevention and Control, CDC.
MMWR Morb Mortal Wkly Rep. 2023 Mar 17;72(11):278-282. doi: 10.15585/mmwr.mm7211a2.
During 2010-2019, U.S. correctional authorities held 1.4-1.6 million persons in state and federal prisons annually, and 10.3-12.9 million persons were admitted to local jails each year (1,2). Incarcerated persons experience a disproportionate burden of negative health outcomes, including unintentional and violence-related injuries (3,4). No national studies on injury-related emergency department (ED) visits by incarcerated persons have been conducted, but a previous study demonstrated a high rate of such visits among a Seattle, Washington jail population (5). To examine nonfatal injury-related ED visits among incarcerated adults, CDC analyzed 2010-2019 National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) data. During 2010-2019, an estimated 733,547 ED visits by incarcerated adults occurred in the United States. The proportion of ED visits resulting from assault* and self-harm among incarcerated adults was five times as high as those among nonincarcerated adults. Among incarcerated adults, men and adult persons aged <65 years had the highest proportion of assault-related ED visits. Falls accounted for the most ED visits among incarcerated adults aged ≥65 years. A higher proportion of ED visits by incarcerated women than incarcerated men were for overdose or poisoning. These findings suggest that injuries among incarcerated adults differ from those among nonincarcerated adults and might require development and implementation of age- and sex-specific prevention strategies for this population.
在 2010 年至 2019 年期间，美国惩教当局每年在州立和联邦监狱中关押 140 万至 160 万人，每年有 1030 万至 1290 万人被送进地方监狱（1，2）。被监禁者经历了不成比例的负面健康后果，包括意外伤害和与暴力有关的伤害（3，4）。美国尚未对被监禁者与伤害有关的急诊就诊情况进行过全国性研究，但之前的一项研究表明，华盛顿州西雅图市监狱人口中这种就诊率很高（5）。为了研究被监禁成年人的非致命性与伤害有关的急诊就诊情况，CDC 分析了 2010 年至 2019 年国家电子伤害监测系统-所有伤害程序（NEISS-AIP）的数据。在 2010 年至 2019 年期间，美国估计有 733547 名被监禁成年人因伤前往急诊。被监禁成年人中因袭击*和自残导致的急诊就诊比例是未被监禁成年人的五倍。在被监禁成年人中，男性和年龄<65 岁的成年人因袭击导致的急诊就诊比例最高。65 岁及以上的被监禁成年人中，因跌倒导致的急诊就诊比例最高。被监禁妇女因药物过量或中毒导致的急诊就诊比例高于被监禁男子。这些发现表明，被监禁成年人的伤害情况与未被监禁成年人不同，可能需要为该人群制定和实施特定于年龄和性别的预防策略。
