All-Cause and Cause-Specific Mortality Among Men Released From State Prison, 1980-2005
All-Cause and Cause-Specific Mortality Among Men Released From State Prison, 1980-2005
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DOI：
10.2105/ajph.2007.121855
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发表时间：
2008-12-01
影响因子：
12.7
通讯作者：
Wohl, David A.
中科院分区：
文献类型：
--
作者：
Rosen, David L.;Schoenbach, Victor J.;Wohl, David A.
目标.我们比较了前囚犯和其他州居民的死亡率，以确定前囚犯中未满足的医疗保健需求。我们将北卡罗来纳州的监狱记录与1980年至2005年的州死亡记录联系起来，以估计20至69岁男性刑满释放人员的总体死亡人数和特定原因死亡人数，并使用标准化死亡率（SMR）将这些观察到的死亡人数与预期死亡人数进行比较，假设他们与其他州的居民经历了相同的年龄、种族和特定原因死亡率。白色（SMR =2.08; 95%置信区间[CI] 2.04，2.13）和黑人（SMR=1.03; 95% CI=1.01，1.05）前囚犯的全因死亡率高于其他男性NC居民。前囚犯死于杀人、事故、药物使用、艾滋病毒、肝病和肝癌的人数高于使用其他北卡罗来纳州居民死亡率估计的预期死亡人数。死于心血管疾病、肺癌、呼吸系统疾病和糖尿病的人数比白色前囚犯的预期人数至少多30%，但比黑人前囚犯的预期人数少。前囚犯的死亡人数超过了北卡罗来纳州其他居民的预期。监狱人口常见的伤害和医疗条件造成的死亡人数过多，突出表明了刑满释放人员的医疗脆弱性，以及改善惩教和社区预防保健服务的必要性。(Am J公共卫生。2008;98：2278-2284. doi：10.2105/AJPH.2007.121855）
Objectives. We compared mortality of ex-prisoners and other state residents to identify unmet health care needs among former prisoners.Methods. We linked North Carolina prison records with state death records for 1980 to 2005 to estimate the number of overall and cause-specific deaths among male ex-prisoners aged 20 to 69 years and used standardized mortality ratios (SMRs) to compare these observed deaths with the number of expected deaths had they experienced the same age-, race-, and cause-specific death rates as other state residents.Results. All-cause mortality among White (SMR =2.08; 95% confidence interval [CI] 2.04, 2.13) and Black (SMR=1.03; 95% CI=1.01, 1.05) ex-prisoners was greater than for other male NC residents. Ex-prisoners' deaths from homicide, accidents, substance use, HIV, liver disease, and liver cancer were greater than the expected number of deaths estimated using death rates among other NC residents. Deaths from cardiovascular disease, lung cancer, respiratory diseases, and diabetes were at least 30% greater than expected for White ex-prisoners, but less than expected for Black ex-prisoners.Conclusions. Ex-prisoners experienced more deaths than would have been expected among other NC residents. Excess deaths from injuries and medical conditions common to prison Populations highlight ex-prisoners' medical vulnerability and the need to improve correctional and community preventive health services. (Am J Public Health. 2008;98:2278-2284. doi:10.2105/AJPH.2007.121855)