Division of General Internal Medicine, Department of Medicine, School of Medicine, University of Colorado Medical Campus, Aurora, CO, USA; Department of Epidemiology, School of Public Health, University of Colorado Medical Campus, Aurora, CO, USA.
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Ann Epidemiol. 2024 Aug;96:1-12. doi: 10.1016/j.annepidem.2024.05.007. Epub 2024 May 23.
To understand how allostatic load - cumulative physiologic burden of stress - varies by amount and timing of arrests stratified by race/ethnicity and by sex.
Using The National Longitudinal Study of Adolescent to Adult Health, we calculated descriptive statistics and mean differences in bio-marker measured allostatic load by arrest history stratified by race/ethnicity and sex.
One-third of participants experienced at least one arrest, and most experienced arrests only as adults. Allostatic load scores were higher for those that had ever experienced an arrest compared to never (mean difference: 0.58 (0.33, 0.84)). Similar results held for men and women and across race/ethnicity, but Black non-Hispanic individuals had higher allostatic load at all levels compared to other individuals.
Experiencing both any arrest and multiple arrests were associated with higher allostatic load. The stress of arrests may contribute to physiological maladaptations and poor health. The public health and law enforcement fields must recognize the detrimental consequences of arrests on physiological stress and search for non-carceral solutions.
了解应激的累积生理负担——身体压力负荷,如何因种族/民族和性别的逮捕次数和时间的不同而有所差异。
利用全国青少年至成年健康纵向研究,我们根据逮捕史,计算了生物标志物测量的身体压力负荷的描述性统计数据和平均值差异,按种族/民族和性别分层。
三分之一的参与者至少经历过一次逮捕,而且大多数人只是在成年后才经历过逮捕。与从未被捕的人相比,有过被捕经历的人的身体压力负荷评分更高(平均差异:0.58(0.33,0.84))。男性和女性以及不同种族/民族的结果相似,但与其他个体相比,黑人非西班牙裔个体在所有水平上的身体压力负荷都更高。
经历任何逮捕和多次逮捕都与更高的身体压力负荷有关。逮捕带来的压力可能导致生理适应不良和健康状况不佳。公共卫生和执法领域必须认识到逮捕对生理压力的不利后果,并寻找非监禁解决方案。