Novick L F, Penna R D, Schwartz M S, Remmlinger E, Loewenstein R
Med Care. 1977 Mar;15(3):205-16. doi: 10.1097/00005650-197703000-00002.
During a two-week period in June 1975, all 1,420 prisoners admitted to New York City Correctional Facilities were studied to determine the prevalence of current and past health conditions. Information was obtained from a standard admission health examination. Almost three-quarters of the male and female prisoners were 30 years or less. Of the study population, 57 per cent were black, 24 per cent were Hispanic and 17 per cent were white. Forty-one per cent reported a history of illicit drug use. More than one-quarter of the prisoners reported a present illness and three-fifths received at least one diagnosis. Commonly diagnosed conditions included drug abuse, psychiatric disorder, trauma, and alcohol abuse. Seven per cent of male prisoners had a previous psychiatric hospitalization. On examination, new trauma was noted in 10 per cent of the male population. In addition to these findings, a history of seizure disorder was reported in 4 per cent of the male population. Health services within prisons must be able to manage the most pressing problems in this population-substance abuse and psychiatric disorder and provide care for the range of conditions that is similar to that found in the general population for this age group.
1975年6月的两周时间里，对纽约市惩教设施收治的所有1420名囚犯进行了研究，以确定当前和既往健康状况的患病率。信息来自标准的入院健康检查。近四分之三的男性和女性囚犯年龄在30岁及以下。在研究人群中，57%为黑人，24%为西班牙裔，17%为白人。41%的人报告有非法药物使用史。超过四分之一的囚犯报告患有现患疾病，五分之三的人至少有一项诊断。常见的诊断疾病包括药物滥用、精神障碍、创伤和酒精滥用。7%的男性囚犯曾有过精神科住院治疗史。检查发现，10%的男性有新的创伤。除这些发现外，4%的男性报告有癫痫发作病史。监狱内的卫生服务必须能够处理该人群中最紧迫的问题——药物滥用和精神障碍，并为与该年龄组普通人群相似的一系列疾病提供护理。
