title: How criminal system racial disparities may translate into health disparities.
abstract: Disadvantaged racial and ethnic minorities in the U.S. are strikingly over-represented in the juvenile justice and adult criminal justice systems. This paper briefly reviews the extent of over-representation attributable primarily to drug offenses and an earlier conceptual framework introduced by Iguchi and colleagues showing how the use of incarceration as a key drug control tool has disproportionately affected the health and well being of racial and ethnic minority communities. We then provide observations from the field that demonstrate how the implementation of a quality assessment approach might be used to mitigate procedural/structural biases that contribute to disparities in minority confinement, and ultimately, to reduce disparities in access to resources and health care.
authors.affiliation: Department of Community Health Sciences, School of Public Health, University of California, Los Angeles, USA.
authors.forename: Martin Y
authors.initials: MY
authors.lastname: Iguchi
authors.forename: James
authors.initials: J
authors.lastname: Bell
authors.forename: Rajeev N
authors.initials: RN
authors.lastname: Ramchand
authors.forename: Terry
authors.initials: T
authors.lastname: Fain
mesh_terms: D000293:Adolescent; D000328:Adult; D003416:Criminal Law; D006801:Humans; D007604:Juvenile Delinquency / Q000208:ethnology / Q000331:legislation & jurisprudence; D008913:Minority Groups / Q000706:statistics & numerical data*; D011329:Prisoners / Q000706:statistics & numerical data*; D044469:Racial Groups / Q000706:statistics & numerical data*; D012935:Social Justice; D012959:Socioeconomic Factors; D014481:United States