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Int. J. Environ. Res. Public Health 2018, 15(11), 2500; https://doi.org/10.3390/ijerph15112500

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

1
Department of Anthropology, Northern Arizona University, 575 East Pine Knoll Drive, Flagstaff, AZ 86001, USA
2
Department of Physical Therapy and Athletic Training, Northern Arizona University, 212 East Pine Knoll Drive, Flagstaff, AZ 86001, USA
3
Center for Health Equity Research, Northern Arizona University, 1395 S. Knoles Drive, Suite 140, Flagstaff, AZ 86011, USA
4
School of Informatics Computing and Cyber Systems, Northern Arizona University, 1296 S Knoles Drive, Suite Rm 304, Flagstaff, AZ 96001, USA
*
Author to whom correspondence should be addressed.
Received: 20 September 2018 / Revised: 26 October 2018 / Accepted: 2 November 2018 / Published: 8 November 2018
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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. View Full-Text
Keywords: co-morbidities; jail populations; health disparities; incarceration and health; health policy co-morbidities; jail populations; health disparities; incarceration and health; health policy
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Trotter, R.T., II; Lininger, M.R.; Camplain, R.; Fofanov, V.Y.; Camplain, C.; Baldwin, J.A. 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. Int. J. Environ. Res. Public Health 2018, 15, 2500.

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