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1.
Artigo em Inglês | MEDLINE | ID: mdl-39005646

RESUMO

Intimate partner violence (IPV) impacts more than 40% of people in the U.S. Since the 1980s, the U.S. has maintained a police-centric response to IPV, which relies on arrest-via policies like mandatory arrest laws-as its primary intervention. There is mixed evidence on whether IPV policing decreases subsequent IPV at the individual level, but less is known about IPV policing's broader collateral consequences. This systematic scoping review is the first to synthesize existing evidence for the generalized consequences of IPV policing in the U.S. We searched Web of Science, ProQuest, and EBSCO Host, and identified 36 relevant articles. Survivor criminalization was the most studied generalized consequence of IPV policing and existing studies have documented positive associations between mandatory arrest laws and risk of survivor arrest. We also found numerous methodologically rigorous studies on the effects of mandatory arrest laws on population-level IPV victimization. The review also identifies gaps in the evidence base: there is a need for research on additional potential consequences of IPV policing such as police violence against survivors, involvement of child protective services, and psychosocial and physical health outcomes of survivors.

2.
Am J Public Health ; 113(6): 637-646, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-36926964

RESUMO

Objectives. To estimate social class inequities in US mortality using a relational measure based on power over productive property and workers' labor. Methods. We used nationally representative 1986-2018 National Health Interview Survey data with mortality follow-up through December 31, 2019 (n = 911 850). First, using business-ownership, occupational, and employment-status data, we classified respondents as incorporated business owners (IBOs), unincorporated business owners (UBOs), managers, workers, or not in the labor force (NLFs). Next, using inverse-probability-weighted survival curves, we estimated class mortality inequities overall, after subdividing workers by employment status and occupation, and by period, gender, race/ethnicity, and education. Results. UBOs, workers, and NLFs had, respectively, 6.3 (95% confidence interval [CI] = -8.1, -4.6), 6.6 (95% CI = -8.1, -5.0), and 19.4 (95% CI = -21.0, -17.7) per 100 lower 34-year survival rates than IBOs. Mortality risk was especially high for unemployed, blue-collar, and service workers. Inequities increased over time and were greater among male, racially minoritized, and less-educated respondents. Conclusions. We estimated considerable mortality inequities by class, gender, and race/ethnicity. We also estimated that class mortality inequities are increasing, threatening population health. Public Health Implications. Addressing class inequities likely requires structural, worker-empowering interventions. (Am J Public Health. 2023;113(6):637-646. https://doi.org/10.2105/AJPH.2023.307227).


Assuntos
Etnicidade , Classe Social , Estados Unidos/epidemiologia , Humanos , Masculino , Emprego , Ocupações , Escolaridade
3.
Prev Med ; 159: 107068, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35469776

RESUMO

Wage theft - employers not paying workers their legally entitled wages and benefits - costs workers billions of dollars annually. We tested whether preventing wage theft could increase U.S. life expectancy and decrease inequities therein. We obtained nationally representative estimates of the 2001-2014 association between income and expected age at death for 40-year-olds (40 plus life expectancy at age 40) compiled from tax and Social Security Administration records, and estimates of the burden of wage theft from several sources, including estimates regarding minimum-wage violations (not paying workers the minimum wage) developed from Current Population Survey data. After modeling the relationship between income and expected age at death, we simulated the effects of scenarios preventing wage theft on mean expected age at death, assuming a causal effect of income on expected age at death. We simulated several scenarios, including one using data suggesting minimum-wage violations constituted 38% of all wage theft and caused 58% of affected workers' losses. Among women in the lowest income decile, mean expected age at death was 0.17 years longer in the counterfactual scenario than observed (95% confidence interval [CI]: 0.11-0.22), corresponding to 528,685 (95% CI: 346,018-711,353) years extended in the total 2001-2014 age-40 population. Among men in the lowest decile, the estimates were 0.12 (95% CI: 0.07-0.17) and 380,502 (95% CI: 229,630-531,374). Moreover, among women, mean expected age at death in the counterfactual scenario increased 0.16 (95% CI: 0.06-0.27) years more among the lowest decile than among the highest decile; among men, the estimate was 0.12 (95% CI: 0.03-0.21).


Assuntos
Salários e Benefícios , Roubo , Adulto , Feminino , Humanos , Renda , Expectativa de Vida , Masculino , Pobreza , Estados Unidos
4.
Am J Ind Med ; 65(2): 92-104, 2022 02.
Artigo em Inglês | MEDLINE | ID: mdl-34796514

RESUMO

INTRODUCTION: Few epidemiologic studies have used relational social class measures based on control over productive assets and others' labor to analyze inequities in health-affecting working conditions. Moreover, these studies have often neglected the gendered and racialized dimensions of class relations, dimensions which are essential to understanding population patterns of health inequities. Our study fills these gaps. METHODS: Using data from the 2002-2018 U.S. General Social Survey, we assigned respondents to the worker, manager, petit bourgeois, or capitalist classes based on their supervisory authority and self-employment status. Next, we estimated class, class-by-gender, and class-by-race inequities in compensation/safety, the labor process, control, and conflict, using Poisson models. We also estimated gender-by-race inequities among workers. RESULTS: We identified substantial class inequities, with worse conditions for workers, which is the largest class within genders and racialized groups, but also disproportionately consists of women and people of color (POC), particularly women of color (WOC). For example, relative to workers, capitalists were less likely to report that safety is not a priority (prevalence ratio [PR]: 0.41, 95% confidence interval [CI]: 0.21, 0.82), repetitive tasks (PR: 0.36, 95% CI: 0.21, 0.61), and lacking freedom (PR: 0.11, 95% CI: 0.05, 0.24). We also identified inequities among workers, with women and POC, particularly WOC, reporting worse conditions than white male workers, especially greater discrimination/harassment (WOC PR: 1.70, 95% CI: 1.36, 2.13). CONCLUSION: We identified substantial inequities in working conditions across intersecting classes, genders, and racialized groups. These inequities threaten workers' health, particularly among women and POC.


Assuntos
Saúde Ocupacional , Classe Social , Emprego , Feminino , Humanos , Masculino
5.
Epidemiology ; 32(2): 303-309, 2021 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-33252438

RESUMO

BACKGROUND: Social stratification is a well-documented determinant of mental health. Traditional measures of stratification (e.g., socioeconomic status) reduce dynamic social processes to individual attributes downstream of mechanisms that generate stratification. In this study, we measure one process theorized to generate and reproduce social stratification-economic exploitation-and explore its association with mental health. METHODS: Data are from the 1983 to 2017 waves of the Panel Study of Income Dynamics, a nationally representative cohort study (baseline N = 3059). We operationalized "unconcealed exploitation" as the percentage of individuals' labor income they were hypothetically not paid for productive hours. We ascertained psychologic distress and mental illness with the Kessler-6 (K6) scale. RESULTS: We fit inverse probability-weighted marginal structural models and found that for each unit increase in unconcealed exploitation, psychologic distress increased by 1.6 points (95% confidence interval = 0.71, 2.5) on the K6 scale and the odds of mental illness tripled (odds ratio = 3.0, 95% confidence interval = 1.5, 6.1). Results were not driven entirely by overwork and were robust to different inverse probability-weighted estimation strategies and sensitivity analyses. CONCLUSIONS: Exploitation is associated with mental illness. Focusing on exploitation rather than its consequences (e.g., socioeconomic status), shifts attention to a structural process that may be a more appropriate explanatory mechanism, and a more pragmatic intervention target, for mental illness.


Assuntos
Transtornos Mentais , Estudos de Coortes , Humanos , Renda , Transtornos Mentais/epidemiologia , Saúde Mental , Classe Social , Estresse Psicológico
6.
Soc Psychiatry Psychiatr Epidemiol ; 56(4): 605-617, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32915245

RESUMO

PURPOSE: There are well-established associations between parental/peer relationships and adolescent substance use, but few longitudinal studies have examined whether adolescents change their substance use in response to changes in their parents' behavior or peer networks. We employ a within-person change approach to address two key questions: Are changes in parenting and peer factors associated with changes in adolescent marijuana and alcohol use? Are there sensitive periods when changes in parenting and peer factors are more strongly associated with changes in adolescent marijuana and alcohol use? METHODS: We analyzed longitudinal data collected annually on 503 boys, ages 13-19, recruited from Pittsburgh public schools. Questionnaires regarding parental supervision, negative parenting practices, parental stress, physical punishment, peer delinquency, and peer drug use were administered to adolescents and their caretakers. Alcohol and marijuana use were assessed by a substance use scale adapted from the National Youth Survey. RESULTS: Reductions in parental supervision and increases in peer drug use and peer delinquency were associated with increases in marijuana frequency, alcohol frequency, and alcohol quantity. Increases in parental stress were associated with increases in marijuana and alcohol frequency. The magnitudes of these relationships were strongest at ages 14-15 and systematically decreased across adolescence. These associations were not due to unmeasured stable confounders or measured time-varying confounders. CONCLUSIONS: Reducing or mitigating changes in parenting and peer risk factors in early adolescence may be particularly important for preventing substance use problems as adolescents transition into young adulthood.


Assuntos
Comportamento do Adolescente , Fumar Maconha , Uso da Maconha , Transtornos Relacionados ao Uso de Substâncias , Adolescente , Adulto , Consumo de Bebidas Alcoólicas/epidemiologia , Humanos , Masculino , Fumar Maconha/epidemiologia , Uso da Maconha/epidemiologia , Poder Familiar , Grupo Associado , Adulto Jovem
7.
Am J Public Health ; 110(S1): S109-S115, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31967885

RESUMO

Objectives. To evaluate the relationship between changes in county jail incarceration rates and subsequent county mortality rates across the United States.Methods. We analyzed county jail incarceration rates from the Bureau of Justice Statistics from 1987 to 2016 for 1884 counties and mortality rates from the National Vital Statistics System. We fit 1-year-lagged quasi-Poisson 2-way fixed-effects models, controlling for unmeasured stable county characteristics, and measured time-varying confounders, including county poverty and crime rates.Results. A within-county increase in jail incarceration rates from the first to second quartile was associated with a 2.5% increase in mortality rates, adjusting for confounders (risk ratio [RR] = 1.03; 95% confidence interval [CI] = 1.02, 1.03). This association followed a dose-response relationship and was stronger for mortality among those aged 15 to 34 years (RR = 1.07; 95% CI = 1.06, 1.09).Conclusions. Within-county increases in jail incarceration rates are associated with increases in subsequent mortality rates after adjusting for important confounders.Public Health Implications. Our findings add to the growing body of empirical evidence of the harms of mass incarceration. The criminal justice reform and decarceration movements can use these findings as they develop strategies to end mass incarceration.


Assuntos
Direito Penal/estatística & dados numéricos , Mortalidade , Prisioneiros/estatística & dados numéricos , Adolescente , Adulto , Humanos , Prisões/estatística & dados numéricos , Estudos Retrospectivos , Estados Unidos/epidemiologia , Adulto Jovem
8.
Am J Ind Med ; 62(2): 131-144, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30565724

RESUMO

BACKGROUND: We draw on a relational theoretical perspective to investigate how the social division and structure of labor are associated with serious and moderate mental illness and binge and heavy drinking. METHODS: The Panel Study of Income Dynamics and the Occupational Information Network were linked to explore how occupation, the productivity-to-pay gap, unemployment, the gendered division of domestic labor, and factor-analytic and theory-derived dimensions of work are related to mental illness and drinking outcomes. RESULTS: Occupations involving manual labor and customer interaction, entertainment, sales, or other service-oriented labor were associated with increased odds of mental illness and drinking outcomes. Looking for work, more hours of housework, and a higher productivity-to-pay gap were associated with increased odds of mental illness. Physical/risky work was associated with binge and heavy drinking and serious mental illness; technical/craft work and automation were associated with binge drinking. Work characterized by higher authority, autonomy, and expertise was associated with lower odds of mental illness and drinking outcomes. CONCLUSIONS: Situating work-related risk factors within their material context can help us better understand them as determinants of mental illness and identify appropriate targets for social change.


Assuntos
Consumo de Bebidas Alcoólicas , Emprego/psicologia , Renda , Transtornos Mentais/etiologia , Ocupações , Feminino , Humanos , Masculino , Fatores de Risco , Desemprego/psicologia , Estados Unidos
9.
Law Hum Behav ; 43(5): 477-490, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31436461

RESUMO

OBJECTIVES: Proponents of criminogenic risk assessment have called for its widespread expansion throughout the criminal justice system. Its success in predicting recidivism is taken as evidence that criminogenic risks tap into the causes of criminal behavior, and that targeting these factors can reduce correctional supervision rates and even prevent crime. This study challenges these assertions, by testing the implicit assumption that populations in which recidivism risk factors were identified are interchangeable with populations experiencing the onset/duration of exposure to the criminal justice system. HYPOTHESES: Exposure to the criminal justice system increases some of the risk factors used to predict recidivism; therefore, risk factors for recidivism and onset/duration of exposure to the criminal justice system are not interchangeable. METHOD: Secondary analysis of data from 503 boys followed prior to first arrest through early adulthood. Inverse-probability-of-exposure-weighted marginal structural models and fixed effects models were employed to test whether arrests and convictions increase antisocial attitudes, behaviors, and peers. RESULTS: Being arrested or convicted resulted in subsequently higher levels of antisocial attitudes, behaviors, and peers. Risks for recidivism, which include the effect of exposure to the criminal justice system, are not identical to the risks of exposure to the criminal justice system. CONCLUSIONS: Results caution against the uncritical expansion of criminogenic risk assessment from community corrections to policing, pretrial, and sentencing. Researchers and policymakers should engage with the social conditions that put people at risk of criminogenic risks and more cautiously communicate the scope of reform that criminogenic risk assessment can deliver. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Transtorno da Personalidade Antissocial/psicologia , Comportamento Criminoso , Criminosos/psicologia , Delinquência Juvenil/psicologia , Reincidência , Adolescente , Comportamento do Adolescente/psicologia , Adulto , Humanos , Masculino , Pennsylvania , Escalas de Graduação Psiquiátrica , Medição de Risco , Fatores de Risco , Adulto Jovem
10.
Am J Epidemiol ; 187(3): 548-557, 2018 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-28679165

RESUMO

Although arrest rates among juveniles have substantially decreased since the 1990s, US national trends in conduct problems are unknown. Population variation in conduct problems would imply changes in the social environment, which would include emergent or receding risk factors. In the present study, we separated age, period, and cohort effects on conduct problems using nationally representative surveys of 375,879 US students conducted annually (1991-2015). The summed score of 7 items measuring the frequency of conduct problems was the outcome. Conduct problems have decreased during the past 25 years among boys; the total amount of the decrease was approximately 0.4 standard deviations (P < 0.01), and by item prevalence, the total amount of the decrease was 8%-11%. Declines are best explained by period effects beginning approximately in 2008, and a declining cohort effect beginning among those born after 1992, which suggests not only declines in population levels, but more rapid declines among younger cohorts of boys. Trends were also consistent with age-period-cohort effects on evenings spent out, which suggest a possible mechanism. Conduct problems among girls were lower than boys and did not demonstrate trends across time. These changes may reflect the changing nature of adolescence toward less unsupervised interaction.


Assuntos
Fatores Etários , Transtorno da Conduta/epidemiologia , Fatores de Tempo , Adolescente , Estudos de Coortes , Transtorno da Conduta/etiologia , Transtorno da Conduta/história , Feminino , História do Século XX , História do Século XXI , Humanos , Masculino , Prevalência , Fatores de Risco , Fatores Sexuais , Estados Unidos/epidemiologia
11.
Theor Criminol ; 22(2): 258-278, 2018 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-30072845

RESUMO

Risk assessment and risk reduction have become increasingly central to criminal justice policy and practice in the last 25 years. Yet there remains a lack of consensus both on the theoretical and methodological foundations of risk and on its social and practical implications. Some proponents see risk assessment and reduction as solutions to the inefficiencies and injustices of contemporary mass incarceration. Some critics see actuarial risk as being partially responsible for mass incarceration, and warn that recent iterations will only reinscribe existing inequalities under a new guise of objectivity. Both perspectives contain elements of truth, but each falls short because neither adequately specifies the different dimensions of risk that condition its effects. Using two prominent frameworks as foils, this article excavates the contested terrain of risk assessment and exposes a set of distinctions that can inform the use-and prevent the abuse-of risk knowledge in criminal justice policy.

13.
Sociol Health Illn ; 37(8): 1352-72, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26385581

RESUMO

Despite a well-established social gradient for many mental disorders, there is evidence that individuals near the middle of the social hierarchy suffer higher rates of depression and anxiety than those at the top or bottom. Although prevailing indicators of socioeconomic status (SES) cannot detect or easily explain such patterns, relational theories of social class, which emphasise political-economic processes and dimensions of power, might. We test whether the relational construct of contradictory class location, which embodies aspects of both ownership and labour, can explain this nonlinear pattern. Data on full-time workers from the National Epidemiologic Survey on Alcohol and Related Conditions (n = 21859) show that occupants of contradictory class locations have higher prevalence and odds of depression and anxiety than occupants of non-contradictory class locations. These findings suggest that the effects of class relations on depression and anxiety extend beyond those of SES, pointing to under-studied mechanisms in social epidemiology, for example, domination and exploitation.


Assuntos
Ansiedade , Capitalismo , Depressão , Classe Social , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ocupações , Prevalência , Determinantes Sociais da Saúde , Sociologia Médica , Estados Unidos
14.
Law Hum Behav ; 39(2): 177-188, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25133918

RESUMO

Although research robustly indicates that general or "criminogenic" factors predict various measures of recidivism, there is controversy about the extent to which these factors, versus untreated symptoms, lead to justice involvement for people with mental illnesses. Based on a sample of 183 people in intensive outpatient treatment followed for an average period of 34.5 months, the present study tested whether criminogenic factors (i.e., factor-analytically derived proxies of some of the "Central Eight"; Andrews & Bonta, 2010) and psychotic symptoms were independently associated with arrest. The study also compared the predictive utility of these domains. In the fully adjusted model, the antisocial subscale and male sex were associated with increased arrest rates, whereas psychosis and age were associated with decreased arrest rates. Criminogenic factors and psychotic symptoms had comparable predictive utility. We conclude that criminogenic factors-chiefly arrest history-and psychotic symptoms predict arrest rates. Both sets of variables appear useful for assessing risk of arrest among people with mental illnesses who are not under current correctional supervision.


Assuntos
Comportamento Criminoso/fisiologia , Direito Penal , Aplicação da Lei , Pacientes Ambulatoriais/psicologia , Transtornos Psicóticos/fisiopatologia , Adolescente , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , New York , Medição de Risco , Índice de Gravidade de Doença , Adulto Jovem
15.
Int J Health Serv ; 45(2): 265-84, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25813501

RESUMO

This study tests whether social class exploitation operates as a relational mechanism that generates mental health inequalities in the nursing home industry. We ask, does social class exploitation (i.e., the acquisition of economic benefits from the labor of those who are dominated) have a systematic and predictable impact on depression among nursing assistants? Using cross-sectional data from 868 nursing assistants employed in 50 nursing homes in three U.S. states, we measure social class exploitation as "ownership type" (private for-profit, private not-for-profit, and public) and "managerial domination" (labor relations violations, perceptions of labor-management conflict). Depression is assessed using the original and revised versions of the Center for Epidemiologic Studies Depression Scale (CES-D and CESD-R). Using two-level logistic regressions, we find that private for-profit ownership and higher managerial domination are predictive of depression among nursing assistants even after adjustment for potential confounders and mediators. Our findings confirm the theoretical and empirical value of applying a social class approach to understanding how mental health inequalities are generated through exploitative mechanisms. Ownership type and managerial domination appear to affect depression through social relations that generate mental health inequalities through the process of acquiring profits, controlling production, supervising and monitoring labor, and enforcing disciplinary sanctions.


Assuntos
Depressão/epidemiologia , Instituição de Longa Permanência para Idosos/estatística & dados numéricos , Assistentes de Enfermagem/psicologia , Assistentes de Enfermagem/estatística & dados numéricos , Casas de Saúde/estatística & dados numéricos , Classe Social , Adulto , Estudos Transversais , Meio Ambiente , Feminino , Instituição de Longa Permanência para Idosos/organização & administração , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Pessoa de Meia-Idade , Assistentes de Enfermagem/organização & administração , Casas de Saúde/organização & administração , Saúde Ocupacional , Propriedade , Determinantes Sociais da Saúde , Fatores Socioeconômicos , Estresse Psicológico , Estados Unidos
16.
Soc Sci Med ; 349: 116896, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38653185

RESUMO

INTRODUCTION: The United States is responsible for the highest incarceration rate globally. This study aimed to explore the impact of partner incarceration on maternal substance use and whether social support mediates the relationship between partner incarceration and maternal substance use. METHODS: Using data from the Future of Families and Child Wellbeing Study, a longitudinal cohort following new parents and children, this analysis quantifies the relationship between paternal incarceration and maternal substance use (N = 2823). We analyzed maternal responses in years 3 (2001-2003), 5 (2003-2006), 9 (2007-2010), and 15 (2014-2017). We explored the role of financial support and emergency social support as potential mediators. Confirmatory factor analysis (CFA) was employed to construct support-related mediators. We modeled the impact of partner incarceration and maternal substance use using generalized estimating equations (GEE) to account for repeated measures, adjusting for appropriate confounders (age of mother at child's birth, race, education, employment, and history of intimate partner violence). RESULTS: Nearly half (44.2%, N = 1247) of participants reported partner incarceration. Among mothers who experienced partner incarceration, the odds of reporting substance use were 110% greater than those who reported no partner incarceration (adjusted Odds Ratio [aOR]: 2.10; 95% Confidence Interval (CI):1.67-2.63). Financial support at year 5 accounted for 19.5% (95% CI: 6.03-33.06%) of the association between partner incarceration at year 3 and substance use at year 9; emergency social support at year 5 accounted for 6.4% (95% CI: 0.51-12.25%) of the association between partner incarceration and substance use at year 9. Neither financial nor emergency social support at year 9 were significant mediators between partner incarceration at year 3 and substance use at year 15. CONCLUSIONS: These findings demonstrate that partner incarceration impacts maternal substance use. Financial and emergency support may partially mediate this relationship in the short term, which has important implications for families disrupted by mass incarceration.


Assuntos
Prisioneiros , Apoio Social , Transtornos Relacionados ao Uso de Substâncias , Humanos , Estudos Longitudinais , Feminino , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adulto , Prisioneiros/psicologia , Prisioneiros/estatística & dados numéricos , Estados Unidos/epidemiologia , Mães/psicologia , Mães/estatística & dados numéricos , Masculino , Violência por Parceiro Íntimo/estatística & dados numéricos , Violência por Parceiro Íntimo/psicologia , Criança , Adolescente , Encarceramento
17.
Int J Drug Policy ; 126: 104380, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38484529

RESUMO

BACKGROUND: Punitive legal responses to prenatal drug use may be associated with unintended adverse health consequences. However, in a rapidly shifting policy climate, current information has not been summarized. We conducted a survey of U.S. state policies that utilize criminal or civil legal system penalties to address prenatal drug use. We then systematically identified empirical studies evaluating these policies and summarized their potential public health impacts. METHODS: Using existing databases and original statutory research, we surveyed current U.S. state-level prenatal drug use policies authorizing explicit criminalization, involuntary commitment, civil child abuse substantiation, and parental rights termination. Next, we systematically identified quantitative associations between these policies and health outcomes, restricting to U.S.-based peer-reviewed research, published January 2000-December 2022. Results described study characteristics and synthesized the evidence on health-related harms and benefits associated with punitive policies. Validity threats were described narratively. RESULTS: By 2022, two states had adopted policies explicitly authorizing criminal prosecution, and five states allowed pregnancy-specific and drug use-related involuntary civil commitment. Prenatal drug use was grounds for substantiating civil child abuse and terminating parental rights in 22 and five states, respectively. Of the 16 review-identified articles, most evaluated associations between punitive policies generally (k = 12), or civil child abuse policies specifically (k = 2), and multiple outcomes, including drug treatment utilization (k = 6), maltreatment reporting and foster care entry (k = 5), neonatal drug withdrawal syndrome (NDWS, k = 4) and other pregnancy and birth-related outcomes (k = 3). Most included studies reported null associations or suggested increases in adverse outcome following punitive policy adoption. CONCLUSIONS: Nearly half of U.S. states have adopted policies that respond to prenatal drug use with legal system penalties. While additional research is needed to clarify whether such approaches engender overt health harms, current evidence indicates that punitive policies are not associated with public health benefits, and therefore constitute ineffective policy.


Assuntos
Saúde Pública , Transtornos Relacionados ao Uso de Substâncias , Humanos , Estados Unidos , Gravidez , Feminino , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Saúde Pública/legislação & jurisprudência , Inquéritos e Questionários , Direito Penal
18.
PLoS One ; 19(5): e0302622, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38768138

RESUMO

BACKGROUND: Most U.S. K-12 schools have adopted safety tactics and policies like arming teachers and installing metal detectors, to address intentional school gun violence. However, there is minimal research on their effectiveness. Furthermore, sociodemographic factors may influence their implementation. Controlled studies are necessary to investigate their impact on gun violence and related disciplinary outcomes. OBJECTIVE: The paper outlines the protocol for a case-control study examining gun violence prevention policies in U.S. K-12 schools. The study aims to investigate if there is an association between the total number and type of specific safety tactics and policies and the occurrence of intentional shootings in K-12 public schools, student disciplinary outcomes, and if urbanicity, economic, and racial factors modify these associations. METHODS: We will create a nationally representative dataset for this study and ascertain a full census of case schools (schools that experienced intentional gunfire on the campus during school hours since 2015) through national school shooting databases. Matched control schools will be randomly selected from U.S. Department of Education's national database of all public schools. We will analyze 27 school safety strategies organized into seven key exposure groupings. RESULTS: Supported by the National Institutes for Child Health and Development (R01HD108027-01) and having received Institutional Review Board approval, our study is currently in the data collection phase. Our analytical plan will determine the association between the number and type of school safety tactics and policies with the occurrence of intentional shootings and suspensions and expulsions in a national sample of approximately 650 K-12 public schools. Additional analyses will investigate the effect modification of specific covariates. CONCLUSION: As the first national, controlled study, its results will provide novel and needed data on the effectiveness of school safety tactics and policies in preventing intentional shootings at K-12 public schools.


Assuntos
Armas de Fogo , Violência com Arma de Fogo , Instituições Acadêmicas , Humanos , Estudos de Casos e Controles , Violência com Arma de Fogo/prevenção & controle , Violência com Arma de Fogo/estatística & dados numéricos , Estados Unidos/epidemiologia , Criança , Adolescente , Masculino , Estudantes/estatística & dados numéricos , Violência/prevenção & controle , Violência/estatística & dados numéricos
19.
Curr Opin Psychiatry ; 36(3): 219-236, 2023 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-36762668

RESUMO

PURPOSE OF REVIEW: As efforts to increase policing and roll back criminal legal system reforms in major U.S. cities rise, the collateral consequences of increased criminalization remain critical to document. Although the criminalization of mental illness has been well studied in the U.S., the mental health effects of criminalization are comparatively under-researched. In addition, despite extreme racial disparities in U.S. policing, there is limited understanding of how criminalization may contribute to racial disparities in mental health. RECENT FINDINGS: Literature included in this review covers various types of criminalization, including direct and indirect impacts of incarceration, criminalization of immigration, first-hand and witnessed encounters with police, and the effects of widely publicized police brutality incidents. All forms of criminalization were shown to negatively impact mental health (depression, anxiety and suicidality), with evidence suggestive of disproportionate impact on Black people. SUMMARY: There is evidence of significant negative impact of criminalization on mental health; however, more robust research is needed to address the limitations of the current literature. These limitations include few analyses stratified by race, a lack of focus on nonincarceration forms of criminalization, few longitudinal studies limiting causal inference, highly selected samples limiting generalizability and few studies with validated mental health measures.


Assuntos
Transtornos Mentais , Saúde Mental , Humanos , Estados Unidos/epidemiologia , Transtornos Mentais/epidemiologia , Polícia , Saúde da População Urbana , Cidades
20.
Drug Alcohol Depend ; 251: 110949, 2023 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-37699288

RESUMO

PURPOSE: Exclusionary school discipline is an initiating component of the school-to-prison pipeline that is racialized and may lead to short- and long-term negative substance use and criminal legal outcomes. However, these impacts, and racial disparities therein, have not been well explored empirically at the individual-level. PROCEDURES: We analyzed data from the National Longitudinal Study of Adolescent to Adult Health (1995-2009). We fit survey-weighted multivariable logistic regression models to estimate reciprocal relationships between exclusionary discipline and adolescent substance use, between these factors and subsequent exposure to the adult criminal legal system, and whether these relationships were modified by race or ethnicity. RESULTS: We found that students reporting substance use had 2.07 (95% CI 1.57, 2.75) times greater odds of reporting subsequent school discipline, and students exposed to school discipline had 1.59 (95% CI 1.26, 2.02) times greater odds of reporting subsequent substance use. Substance use and school discipline were associated with 2.69 (95% CI 2.25, 3.22) and 2.98 (95% CI 2.46, 3.60) times the odds of reporting subsequent adult criminal legal system exposure, respectively. There was little evidence of effect modification by race/ethnicity. CONCLUSIONS: Findings indicate that school discipline and substance use are reciprocally associated and have direct implications for adolescent health and future criminal legal system exposure.


Assuntos
Prisões , Transtornos Relacionados ao Uso de Substâncias , Humanos , Adulto , Adolescente , Estudos Longitudinais , Saúde Pública , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Instituições Acadêmicas
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