Ethical Approaches to Vaccine Allocation and Administration in Carceral Settings, With a Focus on Youth.

Ethical Approaches to Vaccine Allocation and Administration in Carceral Settings, With a Focus on Youth.
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监狱环境中疫苗分配和管理的道德方法,重点关注青少年。

DOI:
10.1089/jchc.21.05.0041
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发表时间:
2022
期刊:
Journal of correctional health care : the official journal of the National Commission on Correctional Health Care
影响因子:
--
通讯作者:
Aalsma,MatthewC
Aalsma,MatthewC
中科院分区:
--
文献类型:
--
作者:
Enujioke,SharonC;Knopf,AmeliaS;Aalsma,MatthewC

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COVID-19对监狱环境和安全设施中的美国人的影响不成比例。被限制在拘留环境和安全设施中的人数不成比例的人是种族、族裔和社会经济群体的成员,他们承受着COVID-19发病率和死亡率的沉重负担。少数族裔和被拘留的成年人口所经历的与大流行相关的差异得到了全国的关注,但在这些全国性的对话中,参与司法的青年所面临的COVID-19风险负担在很大程度上是缺席的。有4万多名青少年生活在监狱环境中,他们的COVID-19风险和预防需求值得特别考虑,特别是在疫苗分发计划扩大的情况下。在大多数州的疫苗分配计划中,青少年的优先地位较低,但与同龄人相比,青少年在监狱环境中的风险更高,这就提出了如何在道德上分配和管理疫苗的重要问题。在本文中,我们研究了监狱环境中未成年人医疗保健中出现的伦理问题,并确定了一个可用于重新考虑COVID-19疫苗分配的伦理模型。
COVID-19 has disproportionately impacted Americans in carceral settings and secure facilities. A disproportionate number of persons who are confined to carceral settings and secure facilities are members of racial, ethnic, and socioeconomic groups who experience a significant burden of COVID-19 morbidity and mortality. The pandemic-related disparities experienced by minoritized and detained adult populations have received national attention, but the burden of COVID-19 risk among justice-involved youth has been largely absent from these national conversations. With more than 40,000 youth in carceral settings, their COVID-19 risks and prevention needs warrant specific consideration, especially as vaccine distribution programs expand. Youth have been assigned a lower priority status in most state vaccine allocation plans, but youth in carceral settings are at increased risk compared with their peers, raising important questions about how to ethically allocate and administer vaccines to them. In this article we examine ethical issues that arise in the health care of minors in carceral settings and identify an ethical model that could be used to reconsider the allocation of COVID-19 vaccines.
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DOI: --
发表时间: 2020
期刊:
影响因子: --
作者:
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通讯作者: Abby Rhynehart
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DOI: --
发表时间: 2020
期刊: Leisure Sciences
影响因子: 4
作者:
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通讯作者: Mora Greer