COVID-19 impacts on decarceration for Indigenous, Black, and other racialized people in Ontario, Canada: an interrupted time series study

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES
Akwasi Owusu-Bempah , Nina Lamberti , Ruth Croxford , Beverley Osei , Amanda Butler , Ruth Elwood Martin , Jessica Jurgutis , Kate McLeod , Martha Paynter , Howard Sapers , Raya Semeniuk , Fiona G. Kouyoumdjian
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引用次数: 0

Abstract

Background

The COVID-19 pandemic response in many jurisdictions included efforts to depopulate correctional facilities. In the context of the overrepresentation of Indigenous and Black people in Canadian correctional facilities, we aimed to assess COVID-19 impacts on decarceration by race and Indigenous identity in Ontario, Canada.

Methods

We accessed correctional administrative data for all people incarcerated in provincial correctional facilities in Ontario, Canada between 2015 and 2022. We categorized people using self-reported data into one of five identity groups: Indigenous, non-Indigenous Black, non-Indigenous non-Black racialized, non-Indigenous white, or missing. We conducted interrupted time series analyses, treating COVID-19 as an event on April 1, 2020, for each of admissions, releases, number of people in custody, and person-time in custody.

Findings

Of 148,937 people who experienced incarceration, 85.4% were male and 14.5% were female, the mean age was 35.2 years (SD 12.2), and 11.7% were Indigenous, 12.1% were non-Indigenous Black, 12.1% were non-Indigenous non-Black racialized, and 48.9% were non-Indigenous white. Decarceration in the spring of 2020 benefitted all four race/Indigenous identity groups, with significant decreases in all four decarceration indicators for all groups. There was a significant interaction between COVID-19 decarceration and race/Indigenous identity group for the number of people in custody (p < 0.0001) and person-time in custody (p = 0.042), with decarceration disproportionately benefitting non-Indigenous white people. Compared with the period prior to April 2020, the relative rates of being in custody and of person-time in custody, respectively, were 0.70 (95% CI 0.68–0.73) and 0.73 (95% CI 0.70–0.76) for non-Indigenous white people, lower than those for Indigenous people: 0.76 (95% CI 0.72–0.81) and 0.82 (95% CI 0.76–0.88), non-Indigenous Black people: 0.76 (95% CI 0.74–0.78) and 0.79 (95% CI 0.76–0.81), and non-Indigenous non-Black racialized people: 0.76 (95% CI 0.73–0.79) and 0.79 (95% CI 0.76–0.83).

Interpretation

Decarceration in Ontario in 2020 was inequitable, exacerbating the disproportionate exposure of people who are Indigenous and Black to time in custody and to the adverse health impacts associated with incarceration during the COVID-19 pandemic. These findings emphasize the need for targeted strategies to foster equitable health and justice outcomes, including during public health emergencies.

Funding

Department of Family Medicine, McMaster University.
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期刊介绍: The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.
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