All-Cause and Cause-Specific Mortality Among Black and White North Carolina State Prisoners, 1995-2005
All-Cause and Cause-Specific Mortality Among Black and White North Carolina State Prisoners, 1995-2005
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DOI：
10.1016/j.annepidem.2011.04.007
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发表时间：
2011-10-01
影响因子：
5.6
通讯作者：
Schoenbach, Victor J.
中科院分区：
文献类型：
--
作者：
Rosen, David L.;Wohl, David A.;Schoenbach, Victor J.
目得：我们比较了州囚犯和其他州居民的死亡率，以确定囚犯的医疗保健需求。我们将北卡罗来纳州监狱记录与1995-2005年的州死亡记录联系起来，以估计20-79岁黑人和白色男性囚犯的全因和特定原因死亡率，并使用标准化死亡率（SMR）比较这些观察到的死亡人数与基于州居民死亡率的预期人数。黑人囚犯的全因SMR为0.52（95%置信区间，0.48-0.57），事故、凶杀、心血管疾病和癌症的死亡人数低于预期。白色囚犯的全因SMR为1.12（95%置信区间，1.01-1.25），死亡人数比预期的事故，但更多的死亡比预期的病毒性肝炎，肝病，癌症，慢性下呼吸道疾病，和HIV。结论：黑人囚犯的死亡率低于黑人州居民的创伤和慢性死亡原因。白色囚犯的死亡率低于白色州居民的事故死亡率，但几种慢性死亡原因的死亡率更高。今后的研究应调查囚犯监禁前和监狱内发病率、监狱环境和监狱保健对囚犯死亡率模式的影响。Ann Epidemiol 2011;21：719-726. (C)2011 Elsevier Inc. All rights reserved.
PURPOSE: We compared mortality rates among state prisoners and other state residents to identify prisoners' health care needs.METHODS: We linked North Carolina prison records with state death records for 1995-2005 to estimate all-cause and cause-specific death rates among black and white male prisoners ages 20-79 years and used standardized mortality ratios (SMRs) to compare these observed deaths with the expected number on the basis of death rates among state residents.RESULTS: The all-cause SMR of black prisoners was 0.52 (95% confidence interval, 0.48-0.57), with fewer deaths than expected from accidents, homicides, cardiovascular disease, and cancer. The all-cause SMR of white prisoners was 1.12 (95% confidence interval, 1.01-1.25) with fewer deaths than expected for accidents but more deaths than expected from viral hepatitis, liver disease, cancer, chronic lower respiratory disease, and HIV.CONCLUSIONS: The mortality of black prisoners was lower than that of black state residents for both traumatic and chronic causes of death. The mortality of white prisoners was lower than that of white state residents for accidents but greater for several chronic causes of death. Future studies should investigate the effect of prisoners' preincarceration and in-prison morbidity, the prison environment, and prison health care on prisoners' patterns of mortality. Ann Epidemiol 2011;21:719-726. (C) 2011 Elsevier Inc. All rights reserved.