Social Distancing and Incarceration: Policy and Management Strategies to Reduce COVID-19 Transmission and Promote Health Equity Through Decarceration
Social Distancing and Incarceration: Policy and Management Strategies to Reduce COVID-19 Transmission and Promote Health Equity Through Decarceration
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DOI：
10.1177/1090198120927318
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发表时间：
2020-05-10
影响因子：
4.2
通讯作者：
Henry, Brandy F.
中科院分区：
文献类型：
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作者：
Henry, Brandy F.
被监禁的人感染COVID-19的风险极高。监狱是COVID-19传播的中心，包括社区。高比例的预先存在的健康状况，有限的获得高质量的医疗保健，以及无法社交距离，使其不可能减少COVID-19在监狱中的影响。由于复杂的社会决定因素的历史，被监禁的人口不成比例地由有色人种和患有污名化行为健康障碍的人组成。需要迅速解除监禁，以促进卫生公平。历史上的大规模解除监禁事件证明了在维护公共安全的同时迅速释放大批人员的可行性。伊朗和爱尔兰释放了相当一部分囚犯，将他们转为家庭监禁。在美国和乌干达，一些司法管辖区通过减少逮捕的政策减少了新的监禁。这些政策必须在全球范围内推广，以遏制这一流行病及其潜在的健康后果，同时解决卫生公平问题。
Incarcerated people are at disproportionately high risk of contracting COVID-19. Prisons are epicenters for COVID-19 transmission, including to the community. High rates of preexisting health conditions, limited access to quality health care, and inability to social distance make it impossible to reduce the impact of COVID-19 in prisons. Due to a history of compounded social determinants, incarcerated populations are disproportionately composed of people of color and people with stigmatized behavioral health disorders. Rapid decarceration is needed to promote health equity. Historical mass decarceration events demonstrate feasibility to rapidly release large groups of people while maintaining public safety. Iran and Ireland have released substantial portions of their prison populations by transitioning people to home confinement. In the United States and Uganda, some jurisdictions have reduced new incarcerations through policies that decrease arrests. These policies must be globally expanded to contain the epidemic, and its potential health consequences, while addressing health equity.