HLTHAGE 3Q03 Lecture Notes - Lecture 4: The Who, Solitary Confinement, Strip Search
Health, safety and security of the incarcerated
Defining key terms:
• Health: Beig health refers to a holisti sese of ell-being (CDC, 2014)
• Unhealthy: to be unhealthy then refers to a lack of holistic well-being
• Quality of life: refers to the sujetie ealuatios of oth positie ad egatie
aspets of life
Health-related quality of life
• According to the Merck Manual (2013), the health-related quality of life (HRQOL)
includes the following dimensions:
• 1. being in a state of physical health
• 2. being in a state of emotional wellness
• 3. engagement in activities of daily living
• 4. sustaining relationships with others (family, friends)
• 5. social engagement
• 6. assuming financial responsibility
• 7. engagement in sexual activities and bodily are activities
• According to the WHO (2014), well-eig refers to a state: …i hih eer idiidual
realizes his or her own potential, can cope with the normal stresses of life, can work
productively and fruitfully, and is able to ake a otriutio to her or his ouit
• The CDC (2013) sees well-eig as a positie outoe hih reeals that people
pereie that their lies are goig ell
• Therefore well-eig = oerall satisfatio ith life ad iludes gloal
judgeets of life satisfatio ad feeligs ragig fro depressio to jo
• Binswanger et al., (2011: 98-99) outlines some of the health difficulties experienced by
the incarcerated. Importantly, they argue that iates eperiee ...higher urde of
hroi diseases tha the o-incarcerated (ibid: 99), including:
• Co-morbidities
• Cardiovascular health problems
• Respiratory health problems
• Higher rates of cancer, especially cervical cancer
• Substance abuse disorders
• poor mental health
• victims of abuse and violence
• increased rates of HIV, TB and Hep C
• experiencing inmate violence
Health in Canadian prisons
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Document Summary
Importantly, they argue that i(cid:374)(cid:373)ates e(cid:454)perie(cid:374)(cid:272)e (cid:862)higher (cid:271)urde(cid:374) of (cid:272)hro(cid:374)i(cid:272) diseases(cid:863) tha(cid:374) the (cid:374)o(cid:374)-incarcerated (ibid: 99), including: Respiratory health problems: higher rates of cancer, especially cervical cancer, substance abuse disorders poor mental health victims of abuse and violence increased rates of hiv, tb and hep c experiencing inmate violence. % with addiction or substance abuse problems = 80% 80% = number of federally sentences women have been sexually abuse: hep c = 31% of inmate pop. Health in us prisons: wakefield & uggen (2010: 396) agree with other scholars about the health problems faced by the incarcerated. Interestingly, they note the following statistics based on the national commission on. Correctional health care (2002) (ibid: 396): (cid:863)a(cid:373)o(cid:374)g all tuberculosis patients in the us in 1996, an estimated 35% served time in prison. The corresponding percentage for hiv/aids are 13% and 17% respe(cid:272)ti(cid:448)el(cid:455). C patie(cid:374)ts i(cid:374) (cid:1005)(cid:1013)(cid:1013)(cid:1010) ser(cid:448)ed ti(cid:373)e i(cid:374) priso(cid:374) that (cid:455)ear(cid:863)