ウェールズの刑務所における薬物乱用:横断的な分析
Benjamin J Gray1, Christie Craddock1, Zoe Couzens1
1Communicable Disease Inclusion Health Programme, Health Protection, Public Health Wales, Cardiff, UK.
Lancet (London, England)
|November 24, 2023
まとめ
精神状態が悪く 長い懲役刑を宣告された若い囚人は 薬物使用を続ける可能性が高くなります 標的を絞った害の軽減の介入は,矯正施設における薬物関連死亡を減らすことができます.
科学分野:
- 犯罪学
- 公衆衛生
- 精神科
背景:
- 麻薬関連の死亡率は一般人よりも 刑務所にいる人の方が多いのです
- オピオイドや精神活性物質は 刑務所の死亡証明書に頻繁に記載されています
- 刑務所内での薬物使用を継続している個人を特定することは,標的を絞った介入にとって極めて重要です.
研究 の 目的:
- 投獄中の薬物使用者の特徴を特定する
- 囚人が一般的に使用する物質の種類を調査する.
- 刑務所の環境における 害の軽減戦略の情報提供
主な方法:
- イギリスの刑務所の 男性囚人299人を元に戻した 横断分析です
- 薬物使用歴,精神的状態,収監期間に関するデータ
- 特徴と刑務所での薬物使用との関連を分析するために使用されるバイナリロジスティック回帰.
主要な成果:
- 刑務所での薬物使用は16%でした.
- 年齢の低さ (≤39歳),精神的な健康状態の低下,刑務所での長期滞在 (>2.5年) は薬物使用の継続と関連していた.
- メタドーン,スパイス,大麻は 刑務所の囚人が使った薬物の 一部でした
結論:
- 精神的な健康状態が悪く 刑期が長くなる若い囚人は 薬物使用を継続するリスクが高くなります
- これらの特徴に合わせた害の軽減戦略は,刑務所における薬物関連死亡率を減少させる可能性があります.
- 発見は単一の場所からであり,より広範な英国刑務所人口を代表しない可能性があります.
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