Zhao Jingxuan, Kajeepeta Sandhya, Manz Christopher R, Han Xuesong, Nogueira Leticia M, Zheng Zhiyuan, Fan Qinjin, Shi Kewei Sylvia, Chino Fumiko, Yabroff K Robin
Surveillance and Health Equity Science Department, American Cancer Society, Atlanta, GA, USA.
Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
J Natl Cancer Inst. 2025 Jan 1;117(1):157-162. doi: 10.1093/jnci/djae189.
This study examined the association of county-level jail and state-level prison incarceration rates and cancer mortality rates in the United States. Incarceration rates (1995-2018) were sourced from national data and categorized into quartiles. County- and state-level mortality rates (2000-2019) with invasive cancer as the underlying cause of death were obtained from the National Vital Statistics System. Compared with the first quartile (lowest incarceration rate), the second, third, and fourth quartiles (highest incarceration rate) of county-level jail incarceration rate were associated with 1.3%, 2.3%, and 3.9% higher county-level cancer mortality rates, respectively, in adjusted analyses. Compared with the first quartile, the second, third, and fourth quartiles of state-level prison incarceration rate were associated with 1.7%, 2.5%, and 3.9% higher state-level cancer mortality rates, respectively. Associations were more pronounced for liver and lung cancers. Addressing adverse effects of mass incarceration may potentially improve cancer outcomes in affected communities.
本研究调查了美国县级监狱和州级监狱的监禁率与癌症死亡率之间的关联。监禁率（1995 - 2018年）来源于国家数据，并分为四分位数。以浸润性癌症为根本死因的县级和州级死亡率（2000 - 2019年）来自国家生命统计系统。在调整分析中，与第一四分位数（最低监禁率）相比，县级监狱监禁率的第二、第三和第四四分位数（最高监禁率）分别与县级癌症死亡率高出1.3%、2.3%和3.9%相关。与第一四分位数相比，州级监狱监禁率的第二、第三和第四四分位数分别与州级癌症死亡率高出1.7%、2.5%和3.9%相关。这种关联在肝癌和肺癌中更为明显。解决大规模监禁的不利影响可能会改善受影响社区的癌症治疗结果。
