HLTHAGE 3Q03 Lecture Notes - Lecture 4: The Who, Solitary Confinement, Strip Search

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Health, safety and security of the incarcerated
Defining key terms:
Health: Beig health refers to a holisti sese of ell-being (CDC, 2014)
Unhealthy: to be unhealthy then refers to a lack of holistic well-being
Quality of life: refers to the sujetie ealuatios of oth positie ad egatie
aspets 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-eig refers to a state: …i hih eer idiidual
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 otriutio to her or his ouit
The CDC (2013) sees well-eig as a positie outoe hih reeals that people
pereie that their lies are goig ell
Therefore well-eig = oerall satisfatio ith life ad iludes gloal
judgeets of life satisfatio ad feeligs ragig fro depressio to jo
Binswanger et al., (2011: 98-99) outlines some of the health difficulties experienced by
the incarcerated. Importantly, they argue that iates eperiee ...higher urde of
hroi 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)

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