Women behind bars: Health needs of inmates in a county jail
Women behind bars: Health needs of inmates in a county jail
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DOI：
10.1016/s0033-3549(04)50033-x
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发表时间：
2001-05-01
影响因子：
3.3
通讯作者：
Becker, T
中科院分区：
文献类型：
--
作者：
Fickenscher, A;Lapidus, J;Becker, T
目标.本研究旨在评估俄勒冈州一所县监狱中被监禁妇女的行为危险因素的患病率和自我报告的健康状况不佳的相关因素。作者收集了最近在县监狱被监禁的妇女的自我报告数据，重点关注高危健康行为的流行率，医疗保健使用史，身体和性虐待史以及医疗保健覆盖率。作者使用逻辑回归技术评估了与自我报告的健康状况不佳相关的因素。超过一半的参与者报告有静脉注射毒品的历史，67%的人报告有性虐待的历史，79%的人报告有身体虐待的历史，43%的人表示他们有性交易的历史。两个因素与自我报告的健康状况不佳相关：身体攻击史（比值比[OR] = 2.7; 95%置信区间[CI] 1.4，5.2）和被捕前一个月内使用海洛因（OR = 2.9; 95% CI 1.3，6.6）。囚犯中健康风险行为的高流行率表明了一些干预领域。这些调查结果也可用于指导新囚犯的入学面试期间解决的主题，并帮助确定需要额外的医疗或社会服务的囚犯。
Objectives. This study was performed to assess the prevalence of behavioral risk factors and correlates of poor self-reported health among incarcerated women in a county jail in Oregon.Methods. The authors collected self-reported data from recently incarcerated women at a county jail, focusing on prevalence of high-risk health behaviors, history of health care use, history of physical and sexual abuse, and health care coverage. The authors assessed factors associated with poor self-reported health using logistic regression techniques.Results. More than half of the participants reported a history of intravenous drug use, 67% reported a history of sexual abuse, 79% reported a history of physical abuse, and 43% stated that they had a history of trading sex for money or drugs. Two factors were associated with poor self-reported health: history of physical assault (odds ratio [OR] = 2.7; 95% confidence interval [CI] 1.4, 5.2) and use of heroin during the month prior to arrest (OR = 2.9; 95% Cl 1.3, 6.6).Conclusions. The high prevalence of health risk behaviors among the inmates suggests a number of areas for intervention. These findings may also be used to guide topics addressed during intake interviews of new inmates, and to help identify inmates that require additional medical or social services.