2009-2020年,大规模监禁对儿童健康和系统的影响:一项匹配的队列研究
Samantha Boch1, Christopher Wildeman2, Judith Dexheimer3
1Department of Population Health (S Boch and J Lambert), College of Nursing, University of Cincinnati, Cincinnati, Ohio; James M Anderson Center for Health Systems Excellence (S Boch), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Academic pediatrics
|June 1, 2024
概括
参与司法系统的年轻人体验的身体和精神健康问题的比例明显更高. 这凸显了差异,以及需要更好的预防和监测策略.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国是世界上监禁率最高的国家.
- 青少年参与司法系统对健康和医疗保健利用的影响未得到充分研究.
研究的目的:
- 为了比较年轻人与司法系统参与 (个人或家庭) 的健康和医疗保健使用情况,与没有此类参与的匹配队列进行比较.
主要方法:
- 一个横截面,匹配的并行队列研究分析了2009-2020年青年 (<21岁) 的电子健康记录.
- 通过临床医生笔记中的关键词确定了司法参与.
- 评估了健康诊断 (ICD 9/10代码) 和医疗保健使用 (入院,住院日,访问).
主要成果:
- 2.2%的年轻人 (N=38,263) 有可能参与司法工作.
- 这些年轻人表现出身体和精神健康诊断的1.5-16.2倍.
- 他们占行为医疗保健的三分之二,占住院治疗日数的近四分之一.
结论:
- 在有和没有与司法系统接触的年轻人之间存在显著的健康差异.
- 增加对监测和预防这一弱势群体的投资至关重要.
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