Search Results (300)

The global elimination of hepatitis C virus (HCV) has been prioritized by the World Health Organization (WHO) as a key public health target, with a deadline set for 2030. This initiative aims to significantly reduce both new infection rates and HCV-associated mortality. A major breakthrough in achieving this goal has been the development of direct-acting antiviral agents (DAAs), which offer cure rates exceeding 95%, along with excellent safety and tolerability. Nevertheless, transmission via parenteral routes continues to be the dominant pathway, particularly among high-risk groups, such as individuals who inject drugs, incarcerated populations, those exposed to unsafe medical practices, and healthcare professionals. Identifying, monitoring, and delivering tailored interventions to these groups is crucial to interrupt ongoing transmission and to reduce the burden of chronic liver disease. On a global scale, several nations have demonstrated measurable progress toward HCV elimination, with some nearing the targets set by WHO. These achievements have largely resulted from context-adapted policies that enhanced diagnostic and therapeutic access while emphasizing outreach to vulnerable communities. This review synthesizes current advancements in HCV prevention and control and proposes strategic frameworks to expedite global elimination efforts. Full article

Famed lawyer Clarence Darrow (1857–1938) argued strongly for an early-life public health approach to crime prevention, one that focused on education, poverty reduction, and equity of resources. Due to his defense of marginalized persons and his positions that were often at odds with his legal colleagues and public opinion, he was known as the Big Minority Man. He argued that the assumption of free will—humans as free moral agents—justifies systems of inequity, retributive punishment, and “unadulterated brutality.” Here, the authors revisit Darrow’s views and expand upon them via contemporary research. We examine increasingly louder argumentation—from scholars across multiple disciplines—contending that prescientific notions of willpower, free will, blameworthiness, and moral responsibility, are contributing to social harms. We draw from biopsychosocial perspectives and recent scientific consensus papers calling for the dismantling of folk psychology ideas of willpower and blameworthiness in obesity. We scrutinize how the status quo of the legal system is justified and argue that outdated notions of ‘moral fiber’ need to be addressed at the root. The authors examine recent arguments for one of Darrow’s ideas—a public health quarantine model of public safety and carceral care that considers the ‘causes of the causes’ and risk assessments through a public health lens. In our view, public health needs to vigorously scrutinize the prescientific “normative” underpinnings of the criminal justice system. Full article

Delirium is a common mental health condition encountered in hospitals that increases mortality, hospital length of stay, and healthcare costs. Incarcerated individuals have higher rates of known risk factors for delirium, including mental and physical illness, psychological distress, and stigmatization and may be at increased risk of developing the condition. Despite this, there is a paucity of research in this specific area of psychiatry. We identified ethical concerns, feasibility with the electronic medical record, and stigmatization as reasons why adequate research into this population is limited. Nevertheless, we call on more dedicated research into delirium within the incarcerated population to enhance better care practices and advocate for these patients. Full article

The current article seeks to understand, and critically analyze the implications of, how youth custody workers understand the relationship between sport, physical activity, and health among youth who are incarcerated. Data was collected through surveys (n = 15) and semi-structured interviews (n = 16) with youth custody workers in Ontario, Canada. We present and analyze three themes emerging from participants’ narratives: the potential for sport and physical activity to contribute, in a holistic way, to the physical, mental, and social health of youth who are incarcerated; the possibility for sport and physical activity to create space for building “therapeutic alliances” between staff and youth, which can improve the mental and social health of youth who are incarcerated; and perceptions of health deficits among youth who are incarcerated and their implications for social inequality. Through an analysis of these themes, we deepen the limited scholarly analysis of sport, physical activity, and health among young persons who are incarcerated and connect these discussions to broader considerations of social determinants of health (that is, structural and social factors that create health inequities) as a matter of social justice. Full article

This community-based participatory research (CBPR) study explored, using a Photovoice methodology, the lived expeiences of northeastern Black and/or African American youth and mothers who were currently experiencing the incarceration of their fathers and husbands. Grounded in critical theories of dual consciousness and comparative conflict, the findings provide valuable insights into how this population navigates the intersections of family, school, and community within the context of the criminal legal system, and, in the process, underscore the relevance of Abolitionist practice in capturing their theoretically lived experiences. Participants documented through photography and narrative reflections the multifaceted impacts of incarceration on fathers and husbands, including disrupted family dynamics, social stigma, and barriers to community resources. A focus group with the mothers of these youth highlighted the profound impact of incarceration on their family structure, revealing significant emotional burdens for caregivers as well as personal changes to parenting styles as a result of this project. A central theme that emerged was the development of a “double” or “dual consciousness”—an ability to see humanity and injustice in their circumstances, fueling a desire for systemic change. Overall, this CBPR project amplifies the voices of marginalized youth and mothers, illuminating how the criminal legal system perpetuates cycles of trauma, stigma, and disempowerment. The implications call for a radical reimagining of the role of social work in creating more equitable, restorative, and healing-centered communities, including an immediate embrace of Abolitionist practice concepts and interventions. Full article

Poverty is a multifaceted phenomenon impacting millions globally, defined by a deficiency in both material and immaterial resources, which consequently restricts access to satisfactory living conditions. Comprehensive poverty analysis can be accomplished through the application of mathematical and modeling techniques, which are useful in understanding and predicting poverty trends. These models, which often incorporate principles from economics, stochastic processes, and dynamic systems, enable the assessment of the factors influencing poverty and the effectiveness of public policies in alleviating it. This paper introduces a mathematical compartmental model to investigate poverty within a population ($\psi \left(t\right)$), considering the effects of immigration, crime, and incarceration. The model aims to elucidate the interconnections between these factors and their combined impact on poverty levels. We begin the study by ensuring the mathematical validity of the model by demonstrating the uniqueness of a positive solution. Next, it is shown that under specific conditions, the probability of poverty persistence approaches certainty. Conversely, conditions leading to an exponential reduction in poverty are identified. Additionally, the semigroup associated with our model is proven to possess the Feller property, and its distribution has a unique invariant measure. To confirm and validate these theoretical results, interesting numerical simulations are performed. Full article

Sexual minority women (SMW) are a resilient yet vulnerable population who may experience poor psychosocial outcomes due to minority stress associated with their marginalized status and traumatic experiences resulting from interpersonal and structural violence. When SMW are incarcerated, the trauma of this experience can exacerbate existing mental health challenges. Self-concept is a key measure of mental health that is associated with increased self-efficacy and positive psychosocial outcomes. This analysis explores the ways in which incarceration impacts the self-concept of SMW. Secondary data analysis of three qualitative interviews with formerly incarcerated SMW was conducted. Specifically, Gilligan’s Listening Guide was used to create “I poems” that articulate the participants’ narratives and contrapuntal voices. These poems were then analyzed to build knowledge about participants’ self-concept. This analysis informs our understandings of self-concept among SMW, violence against women, the vulnerability of binary constructs, and the ways in which people negotiate past, present and future selves. The findings can inform interventions that seek to mitigate the psychosocial risks faced by SMW and formerly incarcerated people and improve outcomes for these populations. Full article

Planetary health is a transdisciplinary concept that erases the dividing lines between individual and community health, and the natural systems that support the wellbeing of humankind. Despite planetary health’s broad emphasis on justice, the promotion of science-based policies, and stated commitments to fairness, equity, and harm reduction, the criminal justice system has largely escaped scrutiny. This seems to be a major oversight, especially because the criminalization of mental illness is commonplace, and the system continues to be oriented around a prescientific compass of retribution and folk beliefs in willpower, moral fiber, and blameworthiness. Justice-involved juveniles and adults are funneled into landscapes of mass incarceration with ingrained prescientific assumptions. In non-criminal realms, such as obesity, there is a growing consensus that folk psychology ideas must be addressed at the root and branch. With this background, the Nova Institute for Health convened a transdisciplinary roundtable to explore the need for a ‘Copernican Revolution’ in the application of biopsychosocial sciences in law and criminal justice. This included discussions of scientific advances in neurobiology and omics technologies (e.g., the identification of metabolites and other biological molecules involved in behavior), the need for science education, ethical considerations, and the public health quarantine model of safety that abandons retribution. Full article

Adverse childhood experiences (ACEs) are linked to a higher risk of criminal behaviour, while positive childhood experiences (PCEs) may offer a protective effect by mitigating the negative impact of ACEs. Both ACEs and PCEs play a significant role in shaping emotional regulation. However, research on the influence of PCEs within incarcerated populations remains limited. This study aimed to examine the associations between ACEs, PCEs, and emotional regulation difficulties in a prison sample, and to explore whether PCEs moderate the relationship between ACEs and emotional regulation difficulties in adulthood. The analysis considered both the overall emotional regulation difficulties score and its specific dimensions—strategies, non-acceptance, impulse, goals, awareness, and clarity. The study included 283 men, with a mean age of 40.03 (SD = 11.64), ranging from 19 to 84 years, who were incarcerated in seven prisons in northern Portugal. Data were collected using the Adverse Childhood Experiences Scale, the Benevolent Childhood Experiences Scale, and the Difficulties in Emotional Regulation Scale—Short Form. The results revealed statistically significant positive correlations between ACEs and overall emotional regulation difficulties, as well as with nearly all subscales (strategies, impulse, goals, awareness, and clarity). Conversely, PCEs were significantly negatively correlated with overall emotional regulation difficulties and most subscales (impulse, goals, awareness, and clarity). However, PCEs did not moderate the relationship between ACEs and emotional regulation difficulties. These findings may be influenced by the characteristics of the sample, highlighting the need for further research—preferably longitudinal studies—to better assess the potential moderating role of PCEs. Such research could enhance the effectiveness of prevention and intervention strategies for incarcerated populations. Full article

This paper examines the dynamic relationship between economic indicators, law enforcement mechanisms, and property-related crimes in Mongolia using a time-series econometric approach. Relying on the theoretical frameworks of Becker’s economic model of crime and Cantor and Land’s motivation–opportunity hypothesis, the study explores the effects of unemployment, detection probability, and incarceration rates on four crime categories: total crime, theft, robbery, and fraud. An error correction model (ECM) is employed to capture both short-run fluctuations and long-run equilibrium relationships over the period 1992–2022. The empirical findings reveal that detection rates exert a statistically significant deterrent effect on robbery in the short term, while incarceration rates are effective in reducing theft. Unemployment shows a positive and significant long-run effect on theft prior to 2009 but weakens thereafter due to methodological changes in labor statistics. Fraud demonstrates a distinct response pattern, exhibiting negative associations with both incarceration and unemployment, and showing no sensitivity to detection probability. Diagnostic tests support the model’s robustness, with heteroskedasticity in the theft model addressed using robust standard errors. This study contributes to the literature by providing the first country-specific empirical evidence on crime determinants in Mongolia. It highlights the heterogeneous impact of economic and institutional factors on different crime types in a transition economy. The findings underscore the need for integrated policy responses that combine improvements in law enforcement with inclusive economic and social development strategies. Full article

Sex workers and formerly incarcerated people with a cervix face significant structural, interpersonal, and emotional barriers to cervical cancer screening, despite being at elevated risk for HPV infection. HPV self-sampling (HPV-SS) is a validated, user-directed method that has the potential to address these barriers, yet it remains excluded from Ontario’s organized screening program. This qualitative study explored the lived experiences of structurally marginalized individuals with a cervix who were offered HPV-SS as part of a mixed-methods pilot in the Greater Toronto Area. Five virtual focus groups were conducted with 34 participants, including both those who used the HPV-SS kit and those who declined it. Using inductive thematic analysis, we identified barriers to traditional screening including fear, stigma, mistrust of healthcare providers, logistical constraints, and a lack of accessible information. HPV-SS was widely described as more acceptable, empowering, and emotionally manageable, offering participants autonomy, privacy, and control over their care. Concerns included swab design, uncertainty about correct use, and unclear follow-up after positive results. Participants offered concrete, community-informed recommendations to improve HPV-SS implementation, including opt-in distribution models, gender-affirming language, and trauma-informed educational materials. The findings highlight the urgent need to integrate HPV-SS into organized screening programs to advance equitable access to cervical cancer prevention for marginalized populations. Full article

This article explores identity-based prison worklines, described as the organisation of prison labour around prisoners’ identities such as race, sex, disability, and age. These worklines often impact prisoners’ pay, working conditions, and post-release opportunities. By examining this phenomenon primarily in the United Kingdom, as well as across Europe and the US, the article discusses the co-constitutive relationship between prison labour and the identity of prisoner-labourers. To analyse this relationship, the article develops a theoretical model of Incarcerated Working Identities (IWI), drawing insights from six distinct theoretical fields: prison studies, labour studies, identity studies, and their intersecting sub-fields. Placing identity-based prison worklines within the IWI theoretical framework exposes two tiers of harm: (1) discrimination and (2) identity re/construction. Together, these harms illustrate how identity-based prison worklines infringe on prisoners’ right to equality while also constraining their identity in ways that clash with their rights to liberty, autonomy, and dignity. These harms, this article concludes, violate human rights law. Incarcerated individuals could therefore utilise the IWI framework to challenge their current work assignments and conditions. Full article

Background: Gun-related homicide remains a persistent public health crisis in the United States, with over 48,000 firearm-related deaths reported in 2022, including 19,651 homicides and 27,032 suicides. Despite frequent calls for tighter gun control, firearm access alone does not explain the complexity of violence. Objective: This commentary aims to unpack the socioeconomic, psychological, and biological drivers of gun-related homicide and propose integrative, evidence-based solutions that extend beyond legislative reform. Methods: We synthesized data from peer-reviewed literature, national crime and health databases (e.g., Centers for Disease Control and Prevention and Federal Bureau of Investigation), and international reports. We examined patterns related to poverty, trauma, male aggression, neurobiology, and firearm acquisition, as well as cross-national comparisons with countries like Switzerland and Mexico. Findings: Young males, particularly those aged 10–29, accounted for 50% of homicide offenders in 2022. African Americans experienced homicide rates of 23.1 per 100,000, ten times the rate among Whites. Up to 56% of incarcerated men report childhood physical trauma, and over 40% of those in prison exhibit symptoms of serious mental illness. While firearm legislation varies widely, analysis reveals that over 90% of crime guns are acquired illegally or through informal sources. International comparisons show that poverty and weak rule of law, more than gun laws alone, correlate with elevated homicide rates. Conclusions: Reducing gun violence sustainably requires a multifaceted approach. Authors advocate for investments in trauma-informed mental health care, focused deterrence programs, early childhood interventions, and improved enforcement against illegal gun trafficking. A public health strategy that integrates social reform with targeted regulation holds the greatest promise for long-term change. Full article

The article seeks to read the contribution of religious practices in prison education within the broader framework of spirituality as a search for meaning in life. It argues that religious engagement can foster cognitive and emotional development, providing inmates with a sense of purpose, community, and resilience that supports their reintegration into society. In light of an exceptional and extremely significant experience with APAC in Brazil’s police-free prison model, the authors aim to highlight the nexus between spirituality and re-education in contexts of deprivation and restriction of personal liberty. Indeed, the APAC (Association for the Protection and Assistance of the Convicted) model, central to this study, emphasizes nonviolent coexistence, responsibility, and spiritual care as part of its rehabilitative framework, with a significant reduction in recidivism rates and costs compared to traditional prisons. The model’s approach, grounded in a collective sense of responsibility and spirituality, aligns with Viktor Frankl’s and Paulo Freire’s theories on meaning and liberation, illustrating how spirituality can transform prison environments and promote social justice. The study concludes that spirituality in prisons not only aids individual redemption but also calls for structural changes to support reintegration, marking a shift towards a more human-centered penitentiary system. Full article

In this article, I explore Merle Collins’ reworking of poems from the Nelson’s Royal Readers. Focusing on Part V of Ocean Stirrings, I explore Collins’ use of poetic form to represent the mental unravelling and restitching of Louise Langdon Norton Little, the mother of Malcolm X. Louise Litte—a Grenadian migrant woman—is depicted as unmoored by the travails of racism in early twentieth century USA. Louise’s ensuing psychological cataclysm is refracted through the prism of the memories of her grandmother’s Creole voice—an oral text which discursively radicalizes the colonial agenda that was core to the Royal Readers. I argue that Collins is intentional in her use of a decolonized poetic versification to represent Louise Little’s imaginative maneuvering into self-reclamation. Transposing her grief and loss onto the poems learnt when she was a child, Louise is depicted as poetically and creatively harnessing her grandmother’s grassroot wisdom on the value of strategic resilience. This retelling allows Louise to survive the trauma of her incarceration in a U.S. mental hospital and returns her to her Caribbean self: Oseyan. Full article