Health Affairs September 23, 2024
John Card, Elizabeth Kaplan

Incarceration is associated with well-documented, significant negative health impacts, both in terms of health disparities experienced by people who have been incarcerated and the systemic impacts of incarceration on community health. For example, people who have been incarcerated are more likely to have a mental health disorder, a substance use disorder, HIV, hepatitis C, and tuberculosis. They are also at an increased risk of death from overdose, cardiovascular disease, or suicide during the period immediately following release.

Additionally, incarceration exacerbates health inequity due to its disproportionate impact on systemically marginalized communities such as Black, Latine, and other communities of color, LGBTQ+ people, and people with low incomes, compounding health harms among these populations—especially for those at the intersections of these...

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