Cancer and Chronic Disease Comorbidity in Incarcerated Individuals in the United States, Survey of Prison Inmates 2016

IF 3 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Annals of Epidemiology Pub Date : 2025-05-01 Epub Date: 2025-02-11 DOI:10.1016/j.annepidem.2025.02.002

Alyssa Watson , Mary Beth Terry

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Abstract

Purpose

There are limited studies examining the cancer and chronic disease comorbidity in individuals who are incarcerated in the United States.

Methods

We used the weighted analysis of 20,064 individuals from the 2016 Survey of Prison Inmates in state correctional facilities across 50 states, to examine cancers and other reported comorbid chronic conditions or diseases.

Results

45 % of 20,064 individuals reported living with at least one chronic disease. The proportion of individuals currently having cancer was 1.23 % while 4.82 % reported ever being diagnosed with cancer by a medical professional. Incarcerated individuals with any chronic condition or diseases reported a higher risk of currently having cancer after adjusting for smoking, time incarcerated and age (OR, 2.18; 95 % CI, 1.43–3.31) compared to individuals not reporting having any chronic diseases.

Conclusions

There is a high burden of chronic diseases in individuals who are incarcerated, and these common chronic conditions are associated with currently having cancer even after adjusting for key risk factors for cancer like prior smoking and age. Efforts to reduce the high prevalence of chronic disease and improve cancer screening policies are necessary to improve the health of individuals who are incarcerated.

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美国在押人员的癌症和慢性病共病，2016年监狱囚犯调查。

目的：有有限的研究检查癌症和慢性疾病合并症的个人被监禁在美国。方法：我们对来自50个州州惩教机构2016年监狱囚犯调查的20,064人进行了加权分析，以检查癌症和其他报告的共病慢性疾病或疾病。结果：20,064人中有45%报告患有至少一种慢性疾病。目前患有癌症的个人比例为1.23%，而4.82%的人报告曾被医疗专业人员诊断患有癌症。在对吸烟、监禁时间和年龄进行调整后，患有任何慢性病或疾病的在押人员报告目前患癌症的风险较高(or, 2.18；95% CI, 1.43-3.31)，与未报告患有任何慢性疾病的个体相比。结论：在押人员的慢性疾病负担较高，这些常见的慢性疾病与目前患癌症有关，即使在调整了癌症的关键风险因素（如既往吸烟和年龄）后也是如此。必须努力降低慢性病的高流行率并改进癌症筛查政策，以改善被监禁者的健康。

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来源期刊

Annals of Epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.40

自引率

1.80%

发文量

207

审稿时长

59 days

期刊介绍： The journal emphasizes the application of epidemiologic methods to issues that affect the distribution and determinants of human illness in diverse contexts. Its primary focus is on chronic and acute conditions of diverse etiologies and of major importance to clinical medicine, public health, and health care delivery.