Behavioral health and social correlates of reincarceration among Hispanic, Native American, and white rural women.

Behavioral health and social correlates of reincarceration among Hispanic, Native American, and white rural women.
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西班牙裔、美洲原住民和白人农村妇女再监禁的行为健康和社会相关性。

DOI:
10.1176/appi.ps.201200120
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发表时间:
2013
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
Lapham,SandraC
Lapham,SandraC
中科院分区:
--
文献类型:
--
作者:
Willging,CathleenElizabeth;Malcoe,LorraineHalinka;StCyr,Shilo;Zywiak,WilliamH;Lapham,SandraC

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目的通过对新墨西哥州监狱98名女性囚犯进行有目的的横断面抽样,研究精神疾病、物质依赖和其他与再监禁相关的因素,以确定社区再入监狱的需求。分析检查了物质依赖、精神疾病、终身创伤和社会人口学变量与既往监禁的关系。结果85%的人对物质依赖筛查呈阳性,50%的人目前患有精神障碍,46%的人同时筛查两者。接触创伤的情况很普遍(100%),特别是身体或性创伤(83%)。在调整后的分析中,以前的监禁与监禁前的住房不稳定(OR[OR]=2.19,p=.038)以及同时患有精神疾病和物质依赖(OR=2.68,p=.019)相关。结论支持城市地区和其他种族群体的类似研究。要让这些服务不足的妇女成功重返社会,需要注重减少伤害、住房以及治疗和支持服务的综合方案。
ObjectiveTo identify community reentry needs, this study examined mental illness, substance dependence, and other correlates of reincarceration in an ethnically diverse, rural population of women prisoners.MethodsA purposive, cross-sectional sample of 98 women in a New Mexico state prison completed structured interviews. Analyses examined associations of substance dependence, mental illness, lifetime trauma, and sociodemographic variables with previous incarceration.ResultsEighty-five percent screened positive for substance dependence, 50% for current mental disorders, and 46% for both. Exposure to trauma was pervasive (100%), especially physical or sexual trauma (83%). In adjusted analyses, previous incarceration was associated with precarious housing before imprisonment (odds ratio [OR]=2.19, p=.038) and with having co-occurring mental illness and substance dependence (OR=2.68, p=.019).ConclusionsFindings support those of similar studies in urban areas and with other ethnic groups. Wraparound programs focusing on harm reduction, housing, and treatment and support services are needed for successful reentry of these underserved women.
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