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极端的高温和自杀在被监禁的男性中观察事件
David H Cloud1,2, Brie Williams2, Regine Haardörfer1
1Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, Georgia.
JAMA network open
|August 11, 2023
概括
极端的高温显著增加了监狱中的自杀观察事件. 这项研究发现,较高的温度与监禁男性中自杀行为率的增加之间存在剂量反应关联.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 犯罪学 犯罪学
背景情况:
- 极端高温对被监禁的人群构成重大健康风险,这些人往往有更高的行为健康状况.
- 自杀是美国监狱死亡的主要原因,强调需要了解导致的因素.
研究的目的:
- 调查极端高温,单独监禁和囚犯男性自杀行为指标之间的关系.
- 分析来自美国深南地区的监狱系统的数据,该监狱以高温和空调缺乏的诉讼而闻名.
主要方法:
- 一个纵向的案例系列小组研究分析了路易斯安那州监狱 (2015-2017) 中成年男性的设施日.
- 数据包括每日最大热量指数,自杀观察事件,精神疾病率,单独监禁率和设施人口.
- 使用有条件固定效应的负二项式回归模型来评估关联.
主要成果:
- 在极端高温和每日自杀观察事件之间观察到剂量反应的关联.
- 与60-69°F相比,自杀事件的发生率在80-89°F时增加了29%,在90-103°F时增加了36%.
- 极端炎热的日子与每日自杀观察事件的30%增加有显著的关联.
结论:
- 研究结果表明,监禁人口中极端高温和自杀指标之间存在联系.
- 这项研究有助于了解气候事件对监狱健康结果的影响.
- 结果可以为法律干预和宣传提供信息,旨在减少监狱环境中的与热有关的伤害.
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