Racial, Ethnic, Sex, and Age Differences in COVID-19 Cases, Hospitalizations, and Deaths Among Incarcerated People and Staff in Correctional Facilities in Six Jurisdictions, United States, March-July 2020.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2024-10-01 Epub Date: 2023-08-23 DOI:10.1007/s40615-023-01746-8

Ashley S D'Inverno, Ranell L Myles, Calla R Jamison, Samantha P Williams, Liesl M Hagan, Senad Handanagic, Lauren A Lambert, Kristie E N Clarke, Jeffery Allen, Olivia Beard, Charles Dusseau, Rachel Feldman, Rebecca Huebsch, Justine Hutchinson, Denise Kall, Jessica King-Mohr, Michael Long, Elizabeth S McClure, Paul Meddaugh, Pam Pontones, Jacqueline Rose, Megan Sredl, Brittany VonBank, Jennifer Zipprich

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引用次数: 0

Abstract

Objectives: To examine disparities by sex, age group, and race and ethnicity in COVID-19 confirmed cases, hospitalizations, and deaths among incarcerated people and staff in correctional facilities.

Methods: Six U.S. jurisdictions reported data on COVID-19 confirmed cases, hospitalizations, and deaths stratified by sex, age group, and race and ethnicity for incarcerated people and staff in correctional facilities during March 1- July 31, 2020. We calculated incidence rates and rate ratios (RR) and absolute rate differences (RD) by sex, age group, and race and ethnicity, and made comparisons to the U.S. general population.

Results: Compared with the U.S. general population, incarcerated people and staff had higher COVID-19 case incidence (RR = 14.1, 95% CI = 13.9-14.3; RD = 6,692.2, CI = 6,598.8-6,785.5; RR = 6.0, CI = 5.7-6.3; RD = 2523.0, CI = 2368.1-2677.9, respectively); incarcerated people also had higher rates of COVID-19-related deaths (RR = 1.6, CI = 1.4-1.9; RD = 23.6, CI = 14.9-32.2). Rates of COVID-19 cases, hospitalizations, and deaths among incarcerated people and corrections staff differed by sex, age group, and race and ethnicity. The COVID-19 hospitalization (RR = 0.9, CI = 0.8-1.0; RD = -48.0, CI = -79.1- -16.8) and death rates (RR = 0.8, CI = 0.6-1.0; RD = -11.8, CI = -23.5- -0.1) for Black incarcerated people were lower than those for Black people in the general population. COVID-19 case incidence, hospitalizations, and deaths were higher among older incarcerated people, but not among staff.

Conclusions: With a few exceptions, living or working in a correctional setting was associated with higher risk of COVID-19 infection and resulted in worse health outcomes compared with the general population; however, Black incarcerated people fared better than their U.S. general population counterparts.

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2020 年 3 月至 7 月美国六个辖区惩教机构中被监禁者和工作人员 COVID-19 病例、住院和死亡的种族、民族、性别和年龄差异。

目的研究按性别、年龄组、种族和族裔划分的 COVID-19 确诊病例、住院治疗人数以及惩教机构中被监禁人员和工作人员死亡人数的差异：美国 6 个司法管辖区报告了 2020 年 3 月 1 日至 7 月 31 日期间按性别、年龄组、种族和民族分列的惩教机构中被监禁人员和工作人员的 COVID-19 确诊病例、住院和死亡数据。我们按性别、年龄组、种族和民族计算了发病率、比率比（RR）和绝对比率差（RD），并与美国普通人群进行了比较：与美国普通人群相比，被监禁者和工作人员的 COVID-19 病例发生率更高（RR = 14.1，95% CI = 13.9-14.3；RD = 6,692.2，CI = 6,598.8-6,785.5；RR = 6.0，CI=5.7-6.3；RD=2523.0，CI=2368.1-2677.9）；被监禁者的COVID-19相关死亡率也较高（RR=1.6，CI=1.4-1.9；RD=23.6，CI=14.9-32.2）。不同性别、年龄组、种族和民族的被监禁者和惩教人员的 COVID-19 病例、住院率和死亡率各不相同。黑人囚犯的 COVID-19 住院率（RR = 0.9，CI = 0.8-1.0；RD = -48.0，CI = -79.1--16.8）和死亡率（RR = 0.8，CI = 0.6-1.0；RD = -11.8，CI = -23.5--0.1）均低于普通人群中的黑人。年龄较大的被监禁者的 COVID-19 病例发生率、住院率和死亡率较高，但工作人员的情况并非如此：除少数例外情况外，与普通人群相比，在惩教环境中生活或工作与较高的 COVID-19 感染风险相关，并导致较差的健康结果；不过，黑人囚犯的情况要好于美国普通人群中的黑人囚犯。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.