Racial and Ethnic Health Disparities in Incarcerated Populations.

Meghan E Borysova, Ojmarrh Mitchell, Dawood H Sultan, Arthur R Williams
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Abstract

Alarming disparities in population health and wellness in the United States have led to multidisciplinary research efforts to create health equity. Identifying disparities, elucidating the etiological bases of disparities, and implementing solutions to eliminate disparities are part of the U.S. national health agenda. Racial and ethnic disparities have been identified throughout the cancer control continuum, in cardiovascular disease, diabetes and a multitude of other conditions. The causes of disparities are complex, condition specific, and conjectured to result from combinations of biological and socio-behavioral factors. Racial and ethnic health disparities within the vast incarcerated communities have been excluded from most studies, yet are of significant ethical and fiscal concern to inmates, governing bodies, and non-incarcerated communities into which inmates return. Importantly, research on racial and ethnic disparities in this unique population may shed light on the relative etiologies of health disparities and solutions for creating health equity throughout the general population in the United States.

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被监禁人口的种族和民族健康差异。
美国人口在健康和保健方面存在着令人担忧的差距,这促使人们开展多学科研究,努力实现健康公平。确定差距、阐明差距的病因基础以及实施消除差距的解决方案是美国国家卫生议程的一部分。在整个癌症控制过程中,在心血管疾病、糖尿病和其他多种疾病中,都发现了种族和民族差异。造成差异的原因很复杂,具体情况具体分析,并推测是生物和社会行为因素共同作用的结果。在广大的被监禁社区中,种族和民族的健康差异被排除在大多数研究之外,但对于囚犯、管理机构以及囚犯返回的非监禁社区来说,这却是一个重大的伦理和财政问题。重要的是,对这一特殊群体中的种族和民族差异进行研究,可以揭示造成健康差异的相关病因,以及在美国普通人群中实现健康公平的解决方案。
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