Health Sciences Program Student Theses, Dissertations and Capstones

Document Type

Dissertation - NSU Access Only

Degree Name

Doctor of Philosophy (PhD) in Health Science

Copyright Statement

All rights reserved. This publication is intended for use solely by faculty, students, and staff of Nova Southeastern University. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, now known or later developed, including but not limited to photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author or the publisher.

Department

College of Health Care Sciences – Health Science Department

First Advisor

Sarah Ransdell

Date of original Performance / Presentation

January 2023

Publication Date / Copyright Date

1-1-2023

Abstract

Prison population health has been a consistent challenge that was further exasperated by the COVID-19 pandemic. Studies have documented the impacts of confined prison living on the public health of the prison population and how prisoners were at significantly higher risk of infection and death from COVID-19 than the general population, but there is insufficient scholarship on the protective and risk factors that COVID-19 may have on the mortality characteristics of prisoners. Using the social ecological model (SEM) and its five intersecting systems as the conceptual core of this research dissertation allows the investigator to effectively highlight the system transition limitations imposed on incarcerated populations as well as conveying the important idea of transition points between the systems being the most impactful albeit fragile intersecting times in an individual’s life, when the protections are more protective, and the risks are riskier. The transition from the microsystem of home into the closed mesosystem of a prison is an example of one of those transition points relevant to this research. The goal of this dissertation research is to examine the protective and risk factors of COVID-19 on prison inmate mortality to determine what significant relationships exist.

Disciplines

Medicine and Health Sciences

Keywords

COVID-19; interrupted time series analysis; mortality; prison inmate; social ecological model

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