Sohn M, Park C Y, Cho W H, Hur Y J, Yi S W
Department of Preventive Medicine and Public Health, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 1997 Aug;38(4):220-32. doi: 10.3349/ymj.1997.38.4.220.
In this thesis, Korean prisoners' health behavior and the characteristics of their medical utilization were surveyed and analysed. Because prisoners are inclined to be mediators of communicable diseases or unhealthy behaviors between prison institution and the outside world, health care for prisoners is directly related to the national population. Data were collected through a self-administered survey of 5 Korean prisons out of a total of 38 correctional facilities and analysed in accordance with a causal model based on a path frame, by serial multiple regressions on health behavior, health status, and medical utilization, etc. According to the survey analysis, while prisoners were generally concerned with their health much more than they were before imprisonment, they perceived that their health status had deteriorated after imprisonment, and that their need for health services was increasing gradually during their time in prison. In the path analysis on the causal relations among variables related to the prisoners' health status and medical utilization, the prisoners' characteristics affected their health concern and health behavior, and subsequently affected their health status and medical utilization, respectively. To sum up these exploratory studies on prisoners' health behavior and health service utilization, some efforts to organize a health care system embracing the correctional institution and health care administration should be made on the level of establishing a health care delivery system for special social groups like prisoners.
本论文对韩国囚犯的健康行为及其医疗利用特点进行了调查与分析。由于囚犯倾向于成为监狱机构与外界之间传染病或不健康行为的传播媒介，因此对囚犯的医疗保健与国家人口直接相关。通过对韩国38所惩教设施中的5所监狱进行自填式调查收集数据，并根据基于路径框架的因果模型，对健康行为、健康状况和医疗利用等进行系列多元回归分析。根据调查分析，虽然囚犯普遍比入狱前更关注自身健康，但他们认为入狱后健康状况恶化，且在狱中对健康服务的需求逐渐增加。在对与囚犯健康状况和医疗利用相关变量之间因果关系的路径分析中，囚犯的特征影响了他们对健康的关注和健康行为，随后分别影响了他们的健康状况和医疗利用。总结这些关于囚犯健康行为和健康服务利用的探索性研究，应在为囚犯等特殊社会群体建立医疗服务提供体系的层面上，做出一些努力来构建一个涵盖惩教机构和医疗保健管理的医疗保健系统。
