在离开监狱后获得社区医疗服务的种族和种族差异
Joseph A Schwartz1, Young-An Kim2, Tyra Dark3
1College of Criminology and Criminal Justice, Florida State University, Tallahassee, Florida, USA jaschwartz@fsu.edu.
Journal of epidemiology and community health
|June 6, 2023
概括
佛罗里达州以前被监禁的人经常回到医疗服务不足的社区,特别是在黑人和西班牙裔人比例较高的地区. 这加剧了健康差距,并挑战了社区的重新进入.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 犯罪学 犯罪学
背景情况:
- 监禁人口面临着重大的健康挑战和重新入境障碍.
- 种族和民族少数群体不成比例地经历了这些挑战.
- 对于返回公民的社区医疗服务可用性,数据有限.
研究的目的:
- 调查佛罗里达州社区的监狱返回和医疗服务不足的指定之间的关系.
- 确定是否有较高比例的种族和少数民族回归的社区更有可能在医疗方面受到服务不足.
主要方法:
- 对2008-2017年佛罗里达州监狱回报的分析.
- 检查返回卫生资源和服务管理局指定的医疗服务不足地区的几率.
- 评估少数民族回归比例与医疗服务不足指定的相关性.
主要成果:
- 社区返回率的标准偏差增加与医疗服务不足率增加20%相关.
- 与白人回报相比,黑人和西班牙裔回报的比例更高与医疗服务不足指定的几率增加显著相关.
结论:
- 佛罗里达州以前被监禁的人更有可能回到医疗服务有限的社区.
- 这些发现突出了返回公民的医疗保健基础设施的关键缺口,特别是少数群体.
- 这种情况可能会使健康状况恶化,并加剧现有的种族和民族健康差异.
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