Associations between ambient temperature and mortality in U.S. state prisons

项目摘要/摘要 越来越多的证据表明，室外环境温度与短期 每日死亡率增加，易受伤害人群的易感性增加。美国拥有世界上最大的 世界上的监禁率和最近的研究表明，超过一半的美国人有一个亲密的家庭 监狱或监狱中的成员。然而，缺乏关于环境温度暴露对此的影响的研究。 弱势群体。这篇F31论文项目将调查环境和环境之间的联系 美国被监禁人口的温度和死亡率。该项目涉及将来自 司法部统计(BJS)关于美国州立监狱设施中每个人的死亡率随温度的变化 从美国各地最先进的气候监测站收集的信息。女士。 布朗大学流行病学博士生朱莉·斯卡哈将进行这项二级数据分析 使用她目前可用的数据。 这些分析得出的手稿将构成斯卡哈女士博士论文的基础。 这笔F31赠款的支持将使Skarha女士能够完成这一具有高度公共卫生意义的项目， 这将为她提供必要的培训和资格证书，以追求博士后培训职位 她从布朗大学毕业后。她最终计划成为一名独立的学者 研究人员专注于环境健康和弱势群体。 Skarha女士将使用BJS关于2001年间约42,000人被监禁的死亡率的数据- 2013年确定：(目标1)美国监狱环境温度与死亡率之间的关系 人口；(目标2)相关性是否因性别、年龄或种族等健康决定因素而不同；和(目标2) 3)关联是否因设施的特性而有所不同，例如安全类型或容量以及区域 特点。 如果我们的假设得到证实，这个F31项目将提供增加易感性的第一个证据 在环境温度下对被监禁者进行保护。这将对以下方面产生重要影响： 每年通过美国监狱系统的近1000万人的健康。

PROJECT SUMMARY/ABSTRACT There is a growing body of evidence that outdoor ambient temperatures are associated with short-term increases in daily mortality, with greater susceptibility in vulnerable populations. The U.S. has the largest incarceration rate in the world and recent studies show that over half of Americans have a had a close family member in prison or jail. However, research is lacking on the effects of ambient temperature exposures on this vulnerable population. This F31 dissertation project will investigate the association between ambient temperatures and mortality in U.S. incarcerated populations. This project involves combining detailed data from the Bureau of Justice Statistics (BJS) on each mortality in U.S. state prison facilities with temperature information collected from state-of-the-art climate monitoring stations located across the United States. Ms. Julie Skarha, an epidemiology doctoral student at Brown University, will conduct this secondary data analysis using data that is currently available to her. The resultant manuscripts from these analyses will form the basis of Ms. Skarha’s doctoral dissertation. Support from this F31 grant will enable Ms. Skarha to complete this project of high public health significance, which will provide her with the necessary training and credentials to pursue a post-doctoral training position following her graduation from Brown University. She ultimately plans to become an independent academic researcher focused on environmental health and vulnerable populations. Ms. Skarha will use the BJS data on the mortality of approximately 42,000 people incarcerated between 2001 - 2013 to determine: (Aim 1) the association between ambient temperatures and mortality in U.S incarcerated populations; (Aim 2) whether associations differ by determinants of health such as sex, age, or race; and (Aim 3) whether associations differ by characteristics of the facility, such as security type or capacity, and regional characteristics. If our hypotheses are confirmed, this F31 project would provide the first evidence of the increased susceptibility of incarcerated persons to ambient temperatures. This will have important implications with regards to the health of the nearly 10 million people who pass through the U.S. incarceration system annually.