澳大利亚监狱释放后急性卫生服务接触的性别差异:数据链接研究
E Janca1, C Keen2, M Willoughby3
1School of Population Health, Curtin University, Perth, Western Australia, Australia; Justice Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, Australia.
Public health
|September 9, 2023
概括
从监狱释放的女性与男性有不同的急性卫生服务接触模式. 身体健康状况不佳显著增加了妇女在释放后使用救护车和/或急诊室的风险.
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
- 犯罪学 犯罪学
背景情况:
- 与男性相比,从监狱释放的女性面临着更差的健康结果.
- 了解急性卫生服务接触 (AHSC) 中的性别差异对于有针对性的干预至关重要.
研究的目的:
- 检查监狱释放后AHSC模式,特征和预测因素中的性别差异.
- 确定影响以前被监禁人员使用AHSC的因素.
主要方法:
- 一项数据链接研究,涉及1307名从昆士兰监狱释放的成年人 (2008-2010).
- 将基线调查数据与全州救护车,急救部门,惩戒,心理健康和死亡记录联系起来.
- 使用安德森-吉尔模型分析AHSC预测器中的性别差异.
主要成果:
- 原始AHSC率为女性每人年1.4%,男性为1.1%.
- 感知身体健康和AHSC之间的关联因性别而改变.
- 认为身体健康不佳的女性在释放后患上AHSC的风险增加了2.4倍.
结论:
- 在监狱释放后的AHSC利用中存在性别特异性差异,受感知到的身体健康的影响.
- 过渡支持政策必须考虑妇女和男性的独特需求,以改善健康结果.
- 需要量身定制的策略来解决在自我认为健康状况不佳的妇女中较高的AHSC风险.
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