美国州和私人监狱中与感冒相关的死亡率:一个案例交叉分析
Julianne Skarha1, Keith Spangler2, David Dosa3,4
1From the Department of Epidemiology, School of Public Health, Brown University, Providence, RI.
Epidemiology (Cambridge, Mass.)
|December 31, 2024
概括
寒冷的监狱温度增加了死亡风险,尤其是自杀. 较老的南方或西部设施和医疗单位显示风险更高,突出显示监狱环境对囚犯健康的影响.
科学领域:
- 环境健康 环境健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 低温与较高的心血管和呼吸道疾病死亡率有关.
- 监狱的温度调节不佳,增加了被监禁人口的脆弱性.
研究的目的:
- 调查美国监狱中低温与死亡率之间的关联.
- 检查暴露于寒冷对总死亡率,心血管疾病,呼吸系统疾病和自杀死亡的影响.
主要方法:
- 对2001年至2019年美国监狱死亡率数据的分析.
- 案例交叉研究设计,以评估寒冷温度下降与死亡风险之间的关联.
- 根据个人,设施和区域特征对效果修改的评估.
主要成果:
- 温度下降10°F与总死亡率增加5.1%有关.
- 极度寒冷的日子显示,总死亡率增加了11%,自杀率增加了55%.
- 较旧的监狱 (1980年以前) 中,南部/西部地区以及专门的医疗设施中,死亡率增加的风险最高.
结论:
- 寒冷的温度显著增加了监狱中的死亡风险,自杀率显著增加.
- 惩戒设施的物理环境对被监禁人员的健康结果产生了重大影响.
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