颅脑外伤与重新犯罪关系

Association of self-reported craniocerebral trauma with re-offending:a cross-sectional survey among prisoners and detainees

目的研究颅脑外伤与重新犯罪风险的关系。方法利用“重新犯罪问题调查问卷”于2019年8-12月在我国13个省(直辖市)78所监狱、未成年管教所或社区矫正中心对8417名犯人进行调查,采用χ^(2)检验、logistic回归分析颅脑外伤史与重新犯罪的关系。结果重新犯罪人员自报有颅脑外伤史的占比为14.90%,高于初次犯罪人员的8.55%,差异有统计学意义(χ^(2)=67.34,P<0.001)。与无颅脑外伤史人群比,有颅脑外伤史人群重新犯罪风险增加(OR=1.87,95%CI=1.61~2.18),调整年龄、性别、婚姻状况、居住地类型、受教育程度、家庭类型、自报经济状况、父亲和母亲受教育程度后的OR=1.51(95%CI=1.28~1.78)。结论颅脑外伤与重新犯罪风险增加相关。针对颅脑外伤“早发现、早治疗和早干预”,以及服刑期间犯罪人员颅脑外伤常规筛查和治疗康复,对于预防重新犯罪具有重要意义。

Objective To investigate the relationship between craniocerebral trauma and the risk of recidivism among prisoners.Methods With multi-stage equidistant sampling and the Re-Offending Questionnaire developed by domestic researchers,a face-to-face survey was conducted among 8417 prisoners and detainees in 78 prisons,juvenile correctional facilities or community correction centres in 13 provinces and municipalities in China during August-December 2019.The relationship between the history of craniocerebral trauma and recidivism was analyzed using Chi-square test and logistic regression model.Results Totally 7502 participants with complete information were included in the analysis.Craniocerebral trauma history was reported by 14.90%of 4483 re-offenders and the ratio was significantly higher than that(8.55%)reported by the 3019 first-time offenders(χ^(2)=67.34,P<0.001).Compared to those without craniocerebral trauma history,the participants with craniocerebral trauma history were at an increased risk of recidivism(unadjusted odds ratio[OR]=1.87,95%confidence interval[95%CI]:1.61–2.18)and the risk remained significantly higher(OR=1.51,95%CI:1.28–1.78)after adjusting for age,sex,marital status,residence region,education level,family type,selfreported economic status,and parental education level.Conclusion The study found a significant association of craniocerebral trauma with increased risk of recidivism.The result highlights the importance of early detection,treatment,and intervention,as well as routine screening and rehabilitation of craniocerebral trauma,in preventing re-offending among prisoners and detainees.