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Incarceration and screen-detectable cancer diagnosis among adults in Connecticut.
Richman, Ilana B; Soulos, Pamela R; Lin, Hsiu-Ju; Aminawung, Jenerius A; Oladeru, Oluwadamiloa T; Puglisi, Lisa B; Wang, Emily A; Gross, Cary P.
  • Richman IB; Cancer Outcomes, Public Policy, and Effectiveness Research, Yale School of Medicine, New Haven, CT, USA.
  • Soulos PR; Cancer Outcomes, Public Policy, and Effectiveness Research, Yale School of Medicine, New Haven, CT, USA.
  • Lin HJ; School of Social Work, University of Connecticut, Storrs, CT, USA.
  • Aminawung JA; Connecticut Department of Mental Health and Addiction Services, Hartford, CT, USA.
  • Oladeru OT; Cancer Outcomes, Public Policy, and Effectiveness Research, Yale School of Medicine, New Haven, CT, USA.
  • Puglisi LB; SEICHE Center for Health and Justice, Yale School of Medicine, New Haven, CT, USA.
  • Wang EA; Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL, USA.
  • Gross CP; School of Social Work, University of Connecticut, Storrs, CT, USA.
J Natl Cancer Inst ; 116(3): 485-489, 2024 Mar 07.
Article en En | MEDLINE | ID: mdl-37991935
Although incarcerated adults are at elevated risk of dying from cancer, little is known about cancer screening in carceral settings. This study compared stage-specific incidence of screen-detectable cancers among incarcerated and recently released people with the general population, as a reflection of screening practices. We calculated the age- and sex-standardized incidence ratios (SIR) for early- and late-stage cancers for incarcerated and recently released adults compared to the general Connecticut population between 2005 and 2016. Our sample included 143 cancer cases among those incarcerated, 406 among those recently released, and 201 360 in the general population. The SIR for early-stage screen-detectable cancers was lower among incarcerated (SIR = 0.28, 95% CI = 0.17 to 0.43) and recently released (SIR = 0.69, 95% CI = 0.51 to 0.88) individuals than the general population. Incidence of late-stage screen-detectable cancer was lower during incarceration (SIR = 0.51, 95% CI = 0.27 to 0.88) but not after release (SIR = 1.32, 95% CI = 0.93 to 1.82). Findings suggest that underscreening and underdetection of cancer may occur in carceral settings.
Asunto(s)

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Encarcelamiento / Neoplasias Límite: Adult / Humans País como asunto: America do norte Idioma: En Año: 2024 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Encarcelamiento / Neoplasias Límite: Adult / Humans País como asunto: America do norte Idioma: En Año: 2024 Tipo del documento: Article