10.2190/KM50-WH2K-K2D1-DM69 KM50WH2KK2D1DM69 2 A Prison Environment's Effect on Health Care Service Demands 17 34 20020509 20020509 20020509 20020509 KM50WH2KK2D1DM69.pdf http://baywood.metapress.com/link.asp?target=contribution&id=KM50WH2KK2D1DM69 1 Ernest O. Moore College of Architecture and Urban Planning, The University of Michigan, Ann Arbor, Michigan This study looks at the impact of a corrections environment upon prisoners through a process of monitoring inmate attendance at sick call clinic. Contrasting cell block designs and characteristics are compared on the basis of significant differential demands for health care services emanating from specific areas. Known psychological and physiological responses to situations perceived to be threatening provide the theory that health behavior may be used as one indirect measure of environmentally induced stress. Findings suggest there are architectural design features of the prison environment that provide basis of perceived threats to inmate safety and survival. Loss of privacy on several dimensions appears to be a critical environmental characteristic. R. Doll, R. Rubin, and E. Gunderson, Life Stress and Illness Patterns in the U. S. Navy: II. Demographic Variables and Illness Onset in an Attack Carrier's Crew, <i>Archives of Environmental Health, 19</i>, pp. 748-752, 1969. E. Gunderson, R. Rahe, and R. Arthur, The Epidemiology of Illness in Naval Environments: II. Demographic, Social Background and Occupational Factors, <i>Military Medicine, 135</i>, pp. 453-458. A. C. Twaddle, Utilization of Medical Services by a Captive Population: An Analysis of Sick Call in a State Prison, <i>Journal of Health and Social Behavior, 17</i>, pp. 236-248, September 1976. H. Selye, M. D., <i>The Stress of Life</i>, McGraw Hill Book Company, New York, New York, p. 178, 1976. S. Kaplan and R. Kaplan (eds.), <i>Humanscape: Environments for People</i>, Duxbury Press, North Stiuate, Massachusetts, 1978. A. Atinovsky, <i>Health, Stress, and Coping</i>, Jossey-Bass Publications, San Francisco, California, 1979. S. Yochelson, Ph.D., M. D. and S. E. Samenow, Ph.D., <i>The Criminal Personality Volume I: A Profile for Change</i>, Jason Aronson, New York, 1976. D. A. D'Atri and A. M. Ostfeld, Psychological Response to Crowding, <i>Environment and Behavior, 7</i>:2, June 1975. D. C. Glass, J. E. Singer, and J. W. Pennebaker, Behavioral and Physiological Effects of Uncontrolled Environmental Elements, <i>Representative Research in Social Psychology, 4</i>, pp. 165-183, 1973. L. A. Pastalan, <i>Privacy Preference Among Relocated Institutionalized Elderly</i>, EDRA 5 Proceedings on Privacy, 1974. E. H. Johnson, Ph.D. and B. Brett, M. D., <i>Felon Self-Mutiliation: Correlate of Stress in Prison</i>, A study conducted under grants MH-12032-1, MH-14475-01 from the National Department of Mental Health and U. S. Department of Health, Education and Welfare and The University of Southern Illinois, Carbondale, Illinois, 1969. B. Howe, J. Froom, L. Culpepper, and D. Mangone, Adaptation of the Sick Role by Prisoners, <i>Social Science and Medicine, II</i>, Pergamon Press, 1977.