Exposure to physical and sexual violence prior to imprisonment predicts mental health and substance use treatments in prison populations

Exposure to physical and sexual violence prior to imprisonment predicts mental health and substance use treatments in prison populations
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DOI:
10.1016/j.jflm.2016.05.014
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发表时间:
2016-08-01
影响因子:
1.5
通讯作者:
Mundt, Adrian
Mundt, Adrian
中科院分区:
医学4区
文献类型:
--
作者:
Caravaca Sanchez, Francisco;Luna, Aurelio;Mundt, Adrian

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本研究旨在确定西班牙囚犯入狱前遭受身体或性暴力(PSV)的比率,并探讨遭受PSV的人在监禁期间是否接受心理健康治疗。在2484名男性和225名女性囚犯,社会人口变量,暴露于PSV监禁前和监禁期间的心理健康治疗的样本进行了评估。频率计算为95%置信区间(CI)的百分比值。PSV的风险比(RR)和其他社会人口变量与监禁期间的心理健康治疗建立。35.2%(95%CI:33.3-37.0)的男性和40.0%(95%CI:33.9-46.8)的女性囚犯存在PSV病史。70.7%(95%CI:67.8-73.9)的男性和76.9%(95%CI:67.7-86.0)的女性在服刑期间接受过心理健康治疗。PSV是男性(RR:2.79; 95%CI 2.44-2.92)和女性(RR:1.94; 95%CI 1.76-2.23)囚犯监禁期间心理健康治疗的显著预测因子。大多数在监禁前接触过PSV的人在监禁期间都接受过心理健康治疗。治疗可能必须更多地关注创伤经历。(C)2016爱思唯尔有限公司和法医和法律的医学学院。All rights reserved.
The present study aimed to establish rates of exposure to physical or sexual violence (PSV) prior to imprisonment for prisoners in Spain and to explore whether people exposed to PSV access mental health treatment during imprisonment. In a sample of 2484 male and 225 female prisoners, socio-demographic variables, exposure to PSV prior to imprisonment and mental health treatments during imprisonment were assessed. Frequencies were calculated as per cent values with 95% confidence intervals (CI). The Risk Ratio (RR) of PSV and other socio-demographic variables to associate with mental health treatment during imprisonment was established. History of PSV was present in 35.2% (95% CI: 33.3-37.0) of the male and 40.0% (95% CI: 33.9-46.8) of the female prisoners. 70.7% (95% CI: 67.8-73.9) of the male and 76.9% (95% CI: 67.7-86.0) of the female prisoners with prior exposure to PSV were in mental health treatment during imprisonment. PSV was a significant predictor of mental health treatment during imprisonment in male (RR: 2.79; 95% CI 2.44-2.92) and female (RR: 1.94; 95% CI 1.76-2.23) prisoners. Most people with exposure to PSV prior to imprisonment access mental health treatment during imprisonment. Treatments may have to focus more on traumatic experiences. (C) 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.