德克萨斯州监狱的精神疾病流行病学从2016年到2023年
Rocksheng Zhong1, Myrna Serna2, Jeffrey Farroni3
1Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch, Galveston, TX, USA.
Epidemiology and psychiatric sciences
|October 14, 2025
概括
从2016年到2023年,德克萨斯州监狱系统中精神疾病的患病率显著增加. 这些趋势凸显了监狱内迫切需要加强心理健康服务的需求.
科学领域:
- 校正医疗卫生的纠正卫生.
- 精神病学流行病学精神病学流行病学
- 公共卫生 公共卫生
背景情况:
- 在惩戒人口中精神疾病的流行病学仍然不太了解.
- 之前没有任何研究检查过单一惩戒系统内精神疾病患病率的时间趋势.
- 美国监禁近200万个人,需要在这些环境中了解心理健康.
研究的目的:
- 评估德克萨斯州刑事司法部 (TDCJ) 内精神疾病患病率的时间趋势.
- 检查抑郁症,双相情绪和精神分裂症谱系障碍的流行率的变化.
- 在TDCJ人口中按年龄,种族和性别分层趋势.
主要方法:
- 使用TDCJ电子病历数据从2016-2023年进行的回顾性队列研究.
- 国际疾病分类 (ICD-10) 代码用于诊断.
- 考克兰-阿米塔奇测试和通用估计方程被用来分析时间趋势和相互作用.
主要成果:
- 总体而言,精神疾病的患病率在2016年至2023年之间增加.
- 在西班牙裔个人和男性中,抑郁症的发病率显著增加.
- 双极性和精神分裂症频谱障碍也在各种人口学子组中显著增加,包括妇女和年轻年龄组.
结论:
- 在德克萨斯州的监狱系统中,主要精神疾病的患病率有所上升.
- 特定疾病在不同的人口分组内以不同的速度增加.
- 扩大心理健康治疗选择和资源对于惩戒机构至关重要.
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