Disease profiles of detainees in the Canton of Vaud in Switzerland: gender and age differences in substance abuse, mental health and chronic health conditions.

Détails

Ressource 1Télécharger: BIB_EF07F265FDF8.P001.pdf (182.64 [Ko])
Etat: Serval
Version: Final published version
ID Serval
serval:BIB_EF07F265FDF8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Disease profiles of detainees in the Canton of Vaud in Switzerland: gender and age differences in substance abuse, mental health and chronic health conditions.
Périodique
Bmc Public Health
Auteur(s)
Moschetti K., Stadelmann P., Wangmo T., Holly A., Bodenmann P., Wasserfallen J.B., Elger B.S., Gravier B.
ISSN
1471-2458 (Electronic)
ISSN-L
1471-2458
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
15
Numéro
1
Pages
872
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Résumé
BACKGROUND: Literature on the disease profile of prisoners that differentiates by age and gender remains sparse. This study aimed to describe the health of correctional inmates in terms of substance abuse problems and mental and somatic health conditions, and compare it by gender and age.
METHODS: This study examined cross-sectional data from the Canton of Vaud in Switzerland on the health conditions of detainees who were in prison on January 1, 2011 or entered prison in 2011. Health conditions validated by physician examination were reported using the International Classification of Diseases (ICD) version 10. The analyses were descriptive by groups of prisoners: the entire sample (All), Men, Older adults and Women.
RESULTS: A total of 1,664 individuals were included in the analysis. Men comprised 91.5 % of the sample and had a mean age of 33 years. The other 8.5 % were women and had an average age of 39. Older adults (i.e., age 50 and older) represented 7 % of the total sample. Overall, 80 % of inmates were non-Swiss citizens, but the proportion of Swiss prisoners was higher among the older adults (51 %) and women (29 %). Overall, 41 % of inmates self-reported substance abuse problems. Of those, 27 % were being treated by psychiatrists for behavioral disorders related to substance abuse. Chronic infectious diseases were found in 9 % of the prison population. In addition, 27 % of detainees suffered from serious mental health conditions. Gender and age had an influence on the disease profile of this sample: compared to the entire prison population, the older inmates were less likely to misuse illegal drugs and to suffer from communicable infections but exhibited more problems with alcohol and a higher burden of chronic health conditions. Female prisoners were more disposed to mental health problems (including drug abuse) and infectious diseases. In terms of chronic diseases, women suffered from the same conditions as men, but the diseases were more prevalent in women.
CONCLUSION: It is important to understand the different disease profiles of prisoners by gender and age, as it helps identify the needs of different groups and tailor age-and gender-specific interventions.
Mots-clé
Adult, Aged, Aged, 80 and over, Cardiovascular Diseases/epidemiology, Chronic Disease/epidemiology, Communicable Diseases/epidemiology, Cross-Sectional Studies, Female, Health Status Disparities, Humans, Male, Medical Records/statistics & numerical data, Mental Health/statistics & numerical data, Middle Aged, Prevalence, Prisoners/psychology, Prisoners/statistics & numerical data, Prisons, Substance-Related Disorders/epidemiology, Switzerland/epidemiology
Pubmed
Web of science
Open Access
Oui
Création de la notice
11/09/2015 9:19
Dernière modification de la notice
09/05/2019 3:11
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