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Attending to cardiovascular disease risk factors after incarceration

A study of empowerment and structural barriers to care

Dados Bibliográficos

ID12287373
AutoresKate Wright (0000-0003-1379-5095, Department of Health Behavior & Society Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA, autor correspondente), Wayne Zachary (0000-0001-5610-6777, Starship Health Technologies LLC Fort Washington Pennsylvania USA), Lisa B Puglisi (0000-0001-9517-8343, SEICHE Center for Health and Justice Yale School of Medicine New Haven Connecticut USA), Karim Butler (Men's and Family Center Baltimore Maryland USA), Pamela J Surkan (0000-0002-0334-5931, Social and Behavioral Interventions Program Department of International Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA)
Ano2022
Volume30
Fascículo6
Páginase6112-e6121
Data de publicação2022-09-30
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth & Social Care in the Community (JOURNAL)
Identificadores do periódicoISSN: 0966-0410 • E-ISSN: 1365-2524
EditoraWiley (PUBLISHER • GB)
DOI10.1111/hsc.14048
PMID36178139
OpenAlexW4298086848
IdiomaEN
Referências citadas38

Incarceration in the United States is associated with high rates of cardiovascular disease (CVD) risk factors and elevated CVD risk continues into the immediate period following release from prison. One reason may be that people who are released from incarceration experience difficulties accessing healthcare and navigating the healthcare system. We use empowerment theory to describe the experiences of people after release from incarceration who have been diagnosed with or affected by risk factors for CVD, specifically focusing on ways in which they overcome barriers within the United States' medical system. We conducted a secondary analysis of qualitative data collected in Baltimore, MD in 2019. Qualitative data were collected through interviews and interactive discussion forums with 98 people who were previously incarcerated and 19 key informants. Data were analysed using qualitative thematic analysis guided by the theoretical constructs of powerlessness and empowerment. Individuals who were formerly incarcerated described feeling empowered primarily through personal motivation, maintaining a positive mindset and receiving support from within the system. They also listed a number of structural barriers they faced and repeatedly suggested a desire for improved access to healthcare and a greater understanding of the healthcare system. Efforts to develop a straightforward and easily accessible support system can promote empowerment and encourage a successful return to society and should be prioritised

Criminology · Empowerment · Feeling · Health care · Mindset · Political science · Prison · Qualitative property · Qualitative research · Sociology · Thematic analysis · Criminal Justice and Corrections Analysis · Health Policy Implementation Science · Homelessness and Social Issues · Medicine · Nursing · Psychology · Social Psychology

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Velocidade de citaçãohistorical
Altamente citadoNão
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