增加黑人监禁和住院人员的死亡率:单一国家队列分析
Zahna Bigham1, Okechi Boms2,3, Rubeen Guardado4,5
1Tufts University Graduate School of Biomedical Sciences, 35 Kneeland Street, 8Th Floor , Boston, MA, USA. zahna.bigham@tufts.edu.
Journal of racial and ethnic health disparities
|September 6, 2023
概括
与白人相比,在监禁期间住院的黑人面临的死亡风险要高得多. 这项研究强调了监禁人口的医疗保健结果中的严重种族差异,需要进一步的研究和干预.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在一般人群中,获得医疗保健和医疗保健结果的种族差异得到了充分记录.
- 有限的研究存在于死亡率和住院后的结果,特别是对于被监禁的个人,特别是关于种族差异.
研究的目的:
- 量化在监禁期间住院的个人中死亡率和住院后结果的种族差异.
- 为了确定与增加死亡风险相关的因素,在这个人群中.
主要方法:
- 使用马萨诸塞州监狱和监狱 (2011-2018) 的行政和医院数据进行了回顾性队列研究.
- 包括4260名被监禁的个人与完整的种族/种族数据.
- 主要结局:死亡时间,根据年龄,并发症和医疗保健利用情况进行调整分析.
主要成果:
- 与白人相比,黑人种族与死亡风险增加了3.01倍.
- 增加年龄,更高的Elixhauser并发症得分和多次住院也与增加的死亡率有关.
- 在西班牙裔种族或监狱监禁和死亡率之间没有发现显著的关联.
结论:
- 在监禁期间住院治疗的个体中,死亡率存在显著的种族差异,黑人个体的死亡率更高.
- 这些发现挑战了在惩戒设施内平等获得医疗保健的假设.
- 进一步的研究对于识别和解决这些差异的根本原因至关重要.
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