Incarceration and screen-detectable cancer diagnosis among adults in Connecticut.
Incarceration and screen-detectable cancer diagnosis among adults in Connecticut.
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康涅狄格州成年人的监禁和可筛查癌症诊断。
DOI：
10.1093/jnci/djad242
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Gross,CaryP
中科院分区：
文献类型：
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作者：
Richman,IlanaB;Soulos,PamelaR;Lin,Hsiu-Ju;Aminawung,JeneriusA;Oladeru,OluwadamiloaT;Puglisi,LisaB;Wang,EmilyA;Gross,CaryP
虽然被监禁的成年人死于癌症的风险较高，但人们对监狱环境中的癌症筛查知之甚少。这项研究比较了在监禁和最近释放的人与一般人群中筛查可检测的癌症的特定阶段发病率，作为筛查实践的反映。我们计算了2005年至2016年间，与康涅狄格州普通人群相比，被监禁和最近获释的成年人早期和晚期癌症的年龄和性别标准化发病率（SIR）。我们的样本包括143名在押人员中的癌症病例，406名最近获释的人员，以及201360名普通人群。早期筛查检测到的癌症的SIR在监禁（SIR = 0.28, 95% CI = 0.17至0.43）和最近释放（SIR = 0.69, 95% CI = 0.51至0.88）的个体中低于一般人群。在监禁期间，晚期筛查可检测癌症的发病率较低（SIR = 0.51, 95% CI = 0.27至0.88），但释放后的发病率较低（SIR = 1.32, 95% CI = 0.93至1.82）。研究结果表明，癌症筛查不足和检测不足可能发生在癌症环境中。
Although incarcerated adults are at elevated risk of dying from cancer, little is known about cancer screening in carceral settings. This study compared stage-specific incidence of screen-detectable cancers among incarcerated and recently released people with the general population, as a reflection of screening practices. We calculated the age- and sex-standardized incidence ratios (SIR) for early- and late-stage cancers for incarcerated and recently released adults compared to the general Connecticut population between 2005 and 2016. Our sample included 143 cancer cases among those incarcerated, 406 among those recently released, and 201 360 in the general population. The SIR for early-stage screen-detectable cancers was lower among incarcerated (SIR = 0.28, 95% CI = 0.17 to 0.43) and recently released (SIR = 0.69, 95% CI = 0.51 to 0.88) individuals than the general population. Incidence of late-stage screen-detectable cancer was lower during incarceration (SIR = 0.51, 95% CI = 0.27 to 0.88) but not after release (SIR = 1.32, 95% CI = 0.93 to 1.82). Findings suggest that underscreening and underdetection of cancer may occur in carceral settings.