健康不平等：青少年参与法律体系是否与成年期获得和使用医疗服务的机会减少有关？

IF 3.2 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Preventive medicine Pub Date : 2025-09-13 DOI:10.1016/j.ypmed.2025.108413

Ian A. Silver , Jamie Newsome , Tova Cohen

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引用次数: 0

摘要

目的：本研究考察了18岁之前参与刑事法律体系与成年后获得医疗保险/护理之间的关系。方法：分析了1997年全国青年纵向调查（NLSY-97）出生队列的数据——一个从1997年到2021年收集的基于美国的样本——以估计在18岁之前不同参与刑事法律体系的四组人中获得医疗保险或获得医疗保健的可能性的差异。结果：18岁之前的逮捕与健康保险签注减少8. %（2003-2021年）、常规检查签注减少3. %（2003-2021年）和生病看医生增加4. %（2003-2008年）相关。在少管所的监禁与三个因变量分别降低29% %、16% %和21% %相关。18岁之前在成人设施的监禁与三个因变量（分别）相关，分别减少36% %，减少15% %和增加7% %。结论：在18岁之前被逮捕、被关押在少年犯管教所或被关押在成人管教所可能与成年期间获得医疗保险和医疗服务的机会减少有关。

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Health inequalities: Is adolescent involvement in the legal system associated with reduced health care access and usage during adulthood?

Objective

This study examined the association between being involved in the criminal legal system prior to age 18 and access to medical coverage/care in adulthood.

Methods

Data from the National Longitudinal Survey of Youth-1997 (NLSY-97) birth cohort – a United States based sample collected from 1997 to 2021 – was analyzed to estimate differences in the probability of having health coverage or accessing medical care across four groups with varying involvement in the criminal legal system prior to age 18.

Results

Arrests before 18 was associated with a 8.9 % reduction in health insurance endorsement (2003−2021), a 3 % reduction in routine check-up endorsement (2003–2021), and a 4 % increase in visiting a doctor when sick (2003–2008). Incarceration in juvenile facilities was associated with a 29 % decrease, a 16 % decrease, and a 21 % decrease in the three dependent variables (respectively). Incarceration in adult facilities before 18 was associated with a 36 % decrease, a 15 % decrease, and a 7 % increase in the three dependent variables (respectively).

Conclusions

Being arrested, incarcerated in a facility for juveniles, or incarcerated in an adult facility before 18 may be linked to reduced access to medical insurance and medical care during adulthood.

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来源期刊

Preventive medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.70

自引率

3.90%

发文量

审稿时长

42 days

期刊介绍： Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.