A survey of health disparities, social determinants of health, and converging morbidities in a county jail: A cultural-ecological assessment of health conditions in jail populations

Robert T. Trotter, Monica R. Lininger, Ricky Camplain, Viacheslav Y. Fofanov, Carolyn Camplain, Julie A. Baldwin

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

The environmental health status of jail populations in the United States constitutes a significant public health threat for prisoners and the general population. The ecology of jails creates a dynamic condition in relation to general population health due to the concentrated potential exposure to infectious diseases, difficult access to treatment for chronic health conditions, interruption in continuity of care for serious behavioral health conditions, as well as on-going issues for the prevention and treatment of substance abuse disorders. This paper reports on elements of a cross-sectional survey embedded in a parent project, “Health Disparities in Jail Populations.” The overall project includes a comprehensive secondary data analysis of the health status of county jail populations, along with primary data collection that includes a cross-sectional health and health care services survey of incarcerated individuals, coupled with collection of biological samples to investigate infectious disease characteristics of a county jail population. This paper reports on the primary results of the survey data collection that indicate that this is a population with complex and interacting co-morbidities, as well as significant health disparities compared to the general population.

Original languageEnglish (US)
Article number2500
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number11
DOIs
StatePublished - Nov 8 2018

Keywords

  • Co-morbidities
  • Health disparities
  • Health policy
  • Incarceration and health
  • Jail populations

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Pollution
  • Health, Toxicology and Mutagenesis

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