Prevalence of chronic medical conditions among jail and prison inmates in the USA compared with the general population
Prevalence of chronic medical conditions among jail and prison inmates in the USA compared with the general population
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DOI：
10.1136/jech.2009.090662
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发表时间：
2009-11-01
影响因子：
6.3
通讯作者：
Steiner, J. F.
中科院分区：
文献类型：
--
作者：
Binswanger, I. A.;Krueger, P. M.;Steiner, J. F.
背景资料：尽管美国的囚犯人数不断增加，但囚犯被排除在大多数国家健康调查之外，而且很少有人知道囚犯和非机构化人口之间慢性病的患病率是否不同。来自2002年地方监狱囚犯调查的全国代表性横截面数据，使用了2004年州和联邦教养机构囚犯调查和2002-4年国家健康访谈调查18-65岁个体的成人档案样本。二进制和多项逻辑回归被用来比较自我报告的慢性疾病的患病率监狱（n = 6582）和监狱（n = 14373）囚犯和非机构化（n = 76597）成年人调整后的年龄，性别，种族，教育，就业，美国作为出生地，婚姻状况和饮酒。结果：与普通人群相比，监狱和监狱服刑人员患高血压（OR（监狱）1.19; 95% CI 1.08 ~ 1.31; OR（监狱）1.17; 95% CI 1.09 ~ 1.27）、哮喘（OR（监狱）1.41; 95% CI 1.28 - 1.56; OR（监狱）1.34; 95% CI 1.22 - 1.46）、关节炎（OR（监狱）1.65; 95% CI 1.47 - 1.84; OR（监狱）1.66; 95% CI 1.54 - 1.80）、宫颈癌（OR（监狱）4.16; 95% CI 3.13 - 5.53; OR（监狱）4.82; 95%CI 3.74 - 6.22）和肝炎（OR（监狱）2.57; 95%CI 2.20 - 3.00; OR（监狱）4.23; 95%CI 3.71 - 4.82），但糖尿病、心绞痛或心肌梗死的几率没有增加，肥胖的几率较低。即使调整了重要的社会人口差异和饮酒量，监狱和监狱囚犯的大多数慢性疾病负担也高于一般人群。
Background: Despite growing inmate populations in the USA, inmates are excluded from most national health surveys and little is known about whether the prevalence of chronic disease differs between inmates and the non-institutionalised population.Methods: Nationally representative, cross-sectional data from the 2002 Survey of Inmates in Local Jails, 2004 Survey of Inmates in State and Federal Correctional Facilities and 2002-4 National Health Interview Survey Sample Adult Files on individuals aged 18-65 were used. Binary and multinomial logistic regression were used to compare the prevalence of self-reported chronic medical conditions among jail (n = 6582) and prison (n = 14 373) inmates and non-institutionalised (n = 76 597) adults after adjusting for age, sex, race, education, employment, the USA as birthplace, marital status and alcohol consumption. Prevalence and adjusted ORs with 95% CIs were calculated for nine important chronic conditions.Results: Compared with the general population, jail and prison inmates had higher odds of hypertension (OR(jail) 1.19; 95% CI 1.08 to 1.31; OR(prison) 1.17; 95% CI 1.09 to 1.27), asthma (OR(jail) 1.41; 95% CI 1.28 to 1.56; OR(prison) 1.34; 95% CI 1.22 to 1.46), arthritis (OR(jail) 1.65; 95% CI 1.47 to 1.84; OR(prison) 1.66; 95% CI 1.54 to 1.80), cervical cancer (OR(jail) 4.16; 95% CI 3.13 to 5.53; OR(prison) 4.82; 95% CI 3.74 to 6.22), and hepatitis (OR(jail) 2.57; 95% CI 2.20 to 3.00; OR(prison) 4.23; 95% CI 3.71 to 4.82), but no increased odds of diabetes, angina or myocardial infarction, and lower odds of obesity.Conclusions: Jail and prison inmates had a higher burden of most chronic medical conditions than the general population even with adjustment for important sociodemographic differences and alcohol consumption.