Incarceration, Community Health, and Racial Disparities
Incarceration, Community Health, and Racial Disparities
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DOI：
10.1353/hpu.2013.0000
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发表时间：
2013-02-01
影响因子：
1.4
通讯作者：
Rich, Josiah D.
中科院分区：
文献类型：
--
作者：
Dumont, Dora M.;Allen, Scott A.;Rich, Josiah D.
最近的几项研究表明，美国监狱死亡率的种族差异几乎消失了。我们回顾了最近监禁流行的社会决定因素，特别是对毒品的战争，并描述了美国健康差距背景下的囚犯发病率和死亡率。监禁提供了一个重要的公共卫生机会，通过接触高需求、医疗服务不足、主要是非白人人口来解决健康差距问题，但它也与不良的长期健康结果有关。从社区健康和社区生活的角度来看，囚犯之间更公平的死亡率与其说是监禁有益效果的证据，不如说是对整个社区差异的控诉。由于有色人种被监禁的频率远高于白人，这种经历最终可能会加剧而不是减轻健康差距。
Several recent studies have shown that the racial disparities in U.S. mortality nearly disappear in prisons. We review the social determinants of the recent epidemic of incarceration, especially the war on drugs, and describe inmate morbidity and mortality within the context of U.S. health disparities. Incarceration provides an important public health opportunity to address health disparities by accessing a high-need, medically-underserved, largely non-White population, but it has also been associated with poor long-term health outcomes. Viewing incarceration within the context of community health and community life shows that the more equitable mortality rates among inmates are not evidence of the beneficial effects of incarceration so much as an indictment of disparities in the community at large. Because people of color are incarcerated far more frequently than Whites, the experience may ultimately exacerbate rather than mitigate health disparities.