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Does Juvenile Detention Impact Health?
Titilola Balogun1, Catherine Troisi2, Michael D Swartz3
11 Graduate Programs in Public Health, University of New England, Portland, ME, USA.
Summary
Recidivist youth in juvenile detention had higher pertussis immunization rates but lower chlamydia rates. Health outcomes varied between first-time and repeat detainees, highlighting disparities in this underserved population.
Area of Science:
- Public Health
- Adolescent Health
- Juvenile Justice Health
Background:
- Youth in the juvenile justice system are a medically underserved population.
- Recidivist youth often experience poorer health outcomes than first-time detainees.
Purpose of the Study:
- To compare immunization history, substance use, mental health, and sexual behavior.
- To identify differences between recidivist and first-time detainees post-screening improvements.
Main Methods:
- Study conducted at a large, urban juvenile detention center in the Southeastern US.
- Utilized multivariable logistic regression analysis.
- Controlled for age and Black race in the analysis.
Main Results:
- Recidivist youth showed significantly higher acellular pertussis immunization rates (OR=3.3, p=.02).
- Recidivist males were less likely to test positive for chlamydia (OR=0.6, p=.03).
- No significant differences found for most other health outcomes.
Conclusions:
- Specific health disparities exist between recidivist and first-time juvenile detainees.
- Improved screening may reveal targeted health needs within this population.
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