"如果这是你最后一觉怎么办?对监禁创伤和睡眠的定性探索

Johanna E. Elumn, Patrick Li, Malcolm S Lytell, Marisol Garcia, Emily A. Wang, H. Yaggi
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引用次数: 0

摘要

睡眠是影响刑事法律系统涉案人员健康的一个未被充分探讨的因素。本研究通过社区参与的定性研究方法,强调了刑事法律系统参与者的声音,从而解决了关于个人、社会和物理环境因素如何影响监禁期间和监禁后睡眠健康的研究不足的问题。 我们对刚从监狱释放出来的男性进行了 20 次半结构式访谈,以研究监禁期间和释放后的创伤和医疗保健问题。我们采用反思性主题分析和批判现实主义框架对访谈进行了编码和分析。我们的研究团队包括有监禁史的人员,他们在研究过程中发挥了核心作用。 从参与者对监禁期间和监禁后睡眠情况的描述中,我们发现了三个主题:(1)对健康的担忧导致睡眠问题;(2)睡眠障碍得不到治疗导致持续的睡眠问题;以及(3)安全问题导致监禁期间和释放后的睡眠问题。 本研究确定了影响监禁期间和释放后睡眠的因素和领域。通过确定哪些人际、环境和结构性因素会影响睡眠质量,医务人员和狱政人员可以更好地改善有监禁史的人群和受刑事法律制度约束的人群在睡眠健康方面的差异。未来的研究应检查影响被监禁和新近获释人群睡眠的其他因素,并制定多层次的干预措施来改善睡眠健康。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
“What if that’s your last sleep?”: A qualitative exploration of the trauma of incarceration and sleep
Sleep is an underexplored factor in the health of people involved in the criminal legal system. This study addresses the paucity of research on how individual, social, and physical environmental factors impact sleep health during and after incarceration by highlighting the voices of people involved in the criminal legal system through a community-engaged qualitative research approach. We conducted 20 semi-structured interviews with men recently released from prison for a study on trauma and healthcare during incarceration and after release. Interviews were coded and analyzed using reflexive thematic analysis and a critical realist framework. Our research team included people with a history of incarceration who performed central roles in the research process. Three themes emerged from participants’ descriptions of sleep during and after incarceration: (1) concerns about health contributing to sleep problems, (2) lack of access to treatment for sleep disorders leading to ongoing sleep problems, and (3) issues of safety contributing to sleep problems during incarceration and after release. This study identifies factors and domains influencing sleep during and after incarceration. By identifying which interpersonal, environmental, and structural factors impact sleep quality, medical and carceral staff are better equipped to ameliorate sleep health disparities within populations with a history of incarceration and those actively bound by the criminal legal system. Future research should examine other factors impacting sleep in incarcerated and recently released populations and develop multi-level interventions to improve sleep health.
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