A Heavy Burden: The Cardiovascular Health Consequences of Having a Family Member Incarcerated
A Heavy Burden: The Cardiovascular Health Consequences of Having a Family Member Incarcerated
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DOI：
10.2105/ajph.2013.301504
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发表时间：
2014-03-01
影响因子：
12.7
通讯作者：
Jackson, James S.
中科院分区：
文献类型：
--
作者：
Lee, Hedwig;Wildeman, Christopher;Jackson, James S.
目标。我们调查了家庭成员监禁与心血管危险因素和疾病之间的关系。我们使用了美国生活调查中5470名年龄在18岁及以上的成年人的样本，这是一项2001-2003年间对居住在美国的黑人和白人进行的具有全国代表性的横断面调查，以检查5种自我报告的健康状况(糖尿病、高血压、心脏病发作或中风、肥胖、健康状况一般或较差)。家庭成员被监禁与女性在所有5种情况下健康状况不佳的可能性增加有关，但与男性无关。在调整后的模型中，家庭成员现已被监禁的女性患肥胖症、心脏病发作或中风、健康状况一般或较差的风险分别为1.44(95%可信区间=1.03，2.00)、2.53(95%可信区间=1.80，3.55)和1.93(95%可信区间=1.45，2.58)倍。家庭成员被监禁对妇女的心血管健康有着深远的影响，应被视为造成健康方面种族差异的独特风险因素。
Objectives. We examined the association of family member incarceration with cardiovascular risk factors and disease by gender.Methods. We used a sample of 5470 adults aged 18 years and older in the National Survey of American Life, a 2001-2003 nationally representative cross-sectional survey of Blacks and Whites living in the United States, to examine 5 self-reported health conditions (diabetes, hypertension, heart attack or stroke, obesity, and fair or poor health).Results. Family member incarceration was associated with increased likelihood of poor health across all 5 conditions for women but not for men. In adjusted models, women with family members who were currently incarcerated had 1.44 (95% confidence interval [CI] = 1.03, 2.00), 2.53 (95% CI = 1.80, 3.55), and 1.93 (95% CI = 1.45, 2.58) times the odds of being obese, having had a heart attack or stroke, and being in fair or poor health, respectively.Conclusions. Family member incarceration has profound implications for women's cardiovascular health and should be considered a unique risk factor that contributes to racial disparities in health.