Sheehan Connor M
T. Denny Sanford School of Social and Family Dynamics, Arizona State University.
Popul Res Policy Rev. 2019 Feb;38(1):73-93. doi: 10.1007/s11113-018-9496-y. Epub 2018 Oct 16.
Previous research has found a strong link between educational attainment and health, where the highly educated live longer and healthier lives than those with lower levels of education. Because such research has relied on samples of the non-institutionalized population, previous research has not explored the association between education and specific chronic and infectious health conditions among the currently incarcerated. Analyzing the relationship between education and health conditions among the incarcerated, whom tend to be less healthy and for whom many of the intermediate mechanisms between education and health are held relatively constant in prison, may yield new insights. Using the 2002-2004 National Health Interview Study (N=74,881), the 2004 Survey of Inmates in State and Federal Correctional Facilities (N=17,553), and interaction terms from logistic regression models, I compared the strength of the association between educational attainment and the presence of chronic and infectious health conditions among the incarcerated and non-incarcerated populations. These models indicated generally stronger negative associations between educational attainment and chronic conditions among the non-incarcerated, while the negative relationship between education and hepatitis was stronger for the incarcerated. These results suggest that while education may play a lesser role for chronic conditions for the incarcerated, it can still important for avoiding risky health behaviors.
先前的研究发现教育程度与健康之间存在紧密联系,即受过高等教育的人比教育程度较低的人寿命更长、生活更健康。由于此类研究依赖于非机构化人口样本,因此先前的研究尚未探讨教育与目前在押人员中特定慢性和传染性健康状况之间的关联。分析在押人员中教育与健康状况之间的关系,这些人往往健康状况较差,而且在监狱中教育与健康之间的许多中间机制相对稳定,这可能会产生新的见解。利用2002 - 2004年全国健康访谈研究(N = 74,881)、2004年州和联邦惩教设施在押人员调查(N = 17,553)以及逻辑回归模型中的交互项,我比较了在押人员和非在押人员中教育程度与慢性和传染性健康状况之间关联的强度。这些模型表明,在非在押人员中,教育程度与慢性疾病之间的负相关关系总体上更强,而在押人员中教育与肝炎之间的负相关关系更强。这些结果表明,虽然教育对在押人员的慢性病可能作用较小,但对于避免危险的健康行为仍然很重要。