The 21st Century Cures Act Implications for the Reduction of Racial Health Disparities in the US Criminal Justice System: a Public Health Approach.
The 21st Century Cures Act Implications for the Reduction of Racial Health Disparities in the US Criminal Justice System: a Public Health Approach.
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DOI：
10.1007/s40615-017-0435-0
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发表时间：
2018-08
影响因子：
3.9
通讯作者：
Guthrie BJ
中科院分区：
文献类型：
--
作者：
Cole DM;Thomas DM;Field K;Wool A;Lipiner T;Massenberg N;Guthrie BJ
过去的毒品流行病不成比例地将非裔美国人的吸毒定为犯罪，导致不同的健康结果、艾滋病毒/艾滋病发病率上升和大规模监禁。相反，美国目前的阿片类药物成瘾危机主要集中在白色社区，并作为公共卫生问题加以解决。《21世纪世纪治愈法》有可能通过该法对成瘾和精神健康问题的公共卫生办法，减少刑事司法系统中的种族健康差距。《21世纪世纪治愈法》是朝着正确方向迈出的一步;然而，考虑到种族隔离的历史背景和非洲裔美国人对吸毒成瘾的刑事定罪，健康公平的目标有可能受到损害。本文讨论了这一具有里程碑意义的立法的影响及其减少种族健康差距的潜力，强调了确保获得治疗和监禁替代措施必须包括有色人种社区的重要性。在本文中，作者解释了21世纪世纪治愈法案的关键组成部分，这些法案是专门针对刑事司法改革的，包括一个关键目标，即治疗超过监禁。我们认为，如果不适当关注如何以及在哪里分配资金机制，21世纪世纪治愈法有可能增加种族健康差距，而不是减轻他们。
Past drug epidemics have disproportionately criminalized drug addiction among African Americans, leading to disparate health outcomes, increased rates of HIV/AIDS, and mass incarceration. Conversely, the current opioid addiction crisis in the USA focuses primarily on white communities and is being addressed as a public health problem. The 21st Century Cures Act has the potential to reduce racial health disparities in the criminal justice system through the Act’s public health approach to addiction and mental health issues. The 21st Century Cures Act is a progressive step in the right direction; however, given the historical context of segregation and the criminalization of drug addiction among African Americans, the goals of health equity are at risk of being compromised. This paper discusses the implications of this landmark legislation and its potential to decrease racial health disparities, highlighting the importance of ensuring that access to treatment and alternatives to incarceration must include communities of color. In this paper, the authors explain the key components of the 21st Century Cures Act that are specific to criminal justice reform, including a key objective, which is treatment over incarceration. We suggest that without proper attention to how, and where, funding mechanisms are distributed, the 21st Century Cures Act has the potential to increase racial health disparities rather than alleviate them.
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DOI：
10.1111/1552-6909.12481
发表时间：
2014-09-01
影响因子：
1.8
作者：
Brawner, Bridgette M.
通讯作者：
Brawner, Bridgette M.
影响因子：
12.7
作者：
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影响因子：
2.1
作者：
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影响因子：
1.6
作者：
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通讯作者：
Cheng, Kevin Kwok-Yin
影响因子：
16.4
作者：
Latkin, Carl A.;German, Danielle;Vlahov, David;Galea, Sandro
通讯作者：
Galea, Sandro