最近的刑事法律参与与美国成年糖尿病患者的功能状态之间的关联:2015-2019年
Laura C Hawks1,2, Rebekah J Walker3,4, Leonard E Egede3,4
1Division of General Internal Medicine, Medical College of Wisconsin, Watertown Plank Rd, Milwaukee, WI, 8701, USA. Lhawks@mcw.edu.
概括
最近的刑事法律参与,特别是去年被捕,与美国糖尿病成年人的功能障碍增加有关. 这突出了这群脆弱人群健康状况较差的潜在途径.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 慢性疾病管理 慢性疾病管理
背景情况:
- 糖尿病是一个主要的公共卫生问题,具有重大的健康公平影响.
- 功能障碍可能会阻碍糖尿病管理,并可能与刑事法律参与和慢性疾病不良结果有关.
- 糖尿病患者的刑事法律参与和功能障碍之间的关系仍未得到充分研究.
研究的目的:
- 调查最近的刑事法律参与与美国糖尿病成年人的全国样本中的功能障碍之间的关联.
- 了解不同形式的刑事法律参与 (逮捕,缓刑,假释) 与残疾水平的关系.
主要方法:
- 来自国家药物使用和健康调查 (2015-2019) 数据的分析.
- 包括被诊断为糖尿病的成年受访者.
- 多变量线性回归模型根据社会人口统计和临床混因素进行调整,使用世界卫生组织残疾评估得分2.0来衡量功能残疾.
主要成果:
- 过去一年的逮捕与功能障碍得分增加2.7个点有显著的关联.
- 过去一年的试用期显示,功能残疾的较小,非显著的增加为1.2个点.
- 过去一年的假释在功能残疾方面增加了最小的,不显著的0.4个点.
结论:
- 最近的刑事法律参与,特别是去年被捕,与糖尿病成年人的更大的功能障碍有关.
- 功能性残疾可能会调解刑事法律参与与该人口的不良健康结果之间的联系.
- 未来的研究应该探索这一途径,并制定干预措施,以改善糖尿病患者和最近的刑事法律参与的人的功能障碍和血糖控制.
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