Health problems among detainees in Switzerland: a study using the ICPC-2 classification

<p>Abstract</p> <p>Background</p> <p>Little is known about the health status of prisoners in Switzerland. The aim of this study was to provide a detailed description of the health problems presented by detainees in Switzerland's largest remand prison.</p> <...

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Main Authors: Bertrand Dominique, Niveau Gérard, Eytan Ariel, Haller Dagmar M, Sebo Paul, Wolff Hans, Gétaz Laurent, Cerutti Bernard
Format: Article
Language:English
Published: BMC 2011-04-01
Series:BMC Public Health
Subjects:
Online Access:http://www.biomedcentral.com/1471-2458/11/245
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author Bertrand Dominique
Niveau Gérard
Eytan Ariel
Haller Dagmar M
Sebo Paul
Wolff Hans
Gétaz Laurent
Cerutti Bernard
author_facet Bertrand Dominique
Niveau Gérard
Eytan Ariel
Haller Dagmar M
Sebo Paul
Wolff Hans
Gétaz Laurent
Cerutti Bernard
author_sort Bertrand Dominique
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Little is known about the health status of prisoners in Switzerland. The aim of this study was to provide a detailed description of the health problems presented by detainees in Switzerland's largest remand prison.</p> <p>Methods</p> <p>In this retrospective cross-sectional study we reviewed the health records of all detainees leaving Switzerland's largest remand prison in 2007. The health problems were coded using the International Classification for Primary Care (ICPC-2). Analyses were descriptive, stratified by gender.</p> <p>Results</p> <p>A total of 2195 health records were reviewed. Mean age was 29.5 years (SD 9.5); 95% were male; 87.8% were migrants. Mean length of stay was 80 days (SD 160). Illicit drug use (40.2%) and mental health problems (32.6%) were frequent, but most of these detainees (57.6%) had more generic primary care problems, such as skin (27.0%), infectious diseases (23.5%), musculoskeletal (19.2%), injury related (18.3%), digestive (15.0%) or respiratory problems (14.0%). Furthermore, 7.9% reported exposure to violence during arrest by the police.</p> <p>Conclusion</p> <p>Morbidity is high in this young, predominantly male population of detainees, in particular in relation to substance abuse. Other health problems more commonly seen in general practice are also frequent. These findings support the further development of coordinated primary care and mental health services within detention centers.</p>
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spelling doaj.art-0cac4583fad847be92c3eb3dddf33c132022-12-21T20:46:01ZengBMCBMC Public Health1471-24582011-04-0111124510.1186/1471-2458-11-245Health problems among detainees in Switzerland: a study using the ICPC-2 classificationBertrand DominiqueNiveau GérardEytan ArielHaller Dagmar MSebo PaulWolff HansGétaz LaurentCerutti Bernard<p>Abstract</p> <p>Background</p> <p>Little is known about the health status of prisoners in Switzerland. The aim of this study was to provide a detailed description of the health problems presented by detainees in Switzerland's largest remand prison.</p> <p>Methods</p> <p>In this retrospective cross-sectional study we reviewed the health records of all detainees leaving Switzerland's largest remand prison in 2007. The health problems were coded using the International Classification for Primary Care (ICPC-2). Analyses were descriptive, stratified by gender.</p> <p>Results</p> <p>A total of 2195 health records were reviewed. Mean age was 29.5 years (SD 9.5); 95% were male; 87.8% were migrants. Mean length of stay was 80 days (SD 160). Illicit drug use (40.2%) and mental health problems (32.6%) were frequent, but most of these detainees (57.6%) had more generic primary care problems, such as skin (27.0%), infectious diseases (23.5%), musculoskeletal (19.2%), injury related (18.3%), digestive (15.0%) or respiratory problems (14.0%). Furthermore, 7.9% reported exposure to violence during arrest by the police.</p> <p>Conclusion</p> <p>Morbidity is high in this young, predominantly male population of detainees, in particular in relation to substance abuse. Other health problems more commonly seen in general practice are also frequent. These findings support the further development of coordinated primary care and mental health services within detention centers.</p>http://www.biomedcentral.com/1471-2458/11/245Primary careprisonersdetaineesjailICPCcodingaccess to careprison health care
spellingShingle Bertrand Dominique
Niveau Gérard
Eytan Ariel
Haller Dagmar M
Sebo Paul
Wolff Hans
Gétaz Laurent
Cerutti Bernard
Health problems among detainees in Switzerland: a study using the ICPC-2 classification
BMC Public Health
Primary care
prisoners
detainees
jail
ICPC
coding
access to care
prison health care
title Health problems among detainees in Switzerland: a study using the ICPC-2 classification
title_full Health problems among detainees in Switzerland: a study using the ICPC-2 classification
title_fullStr Health problems among detainees in Switzerland: a study using the ICPC-2 classification
title_full_unstemmed Health problems among detainees in Switzerland: a study using the ICPC-2 classification
title_short Health problems among detainees in Switzerland: a study using the ICPC-2 classification
title_sort health problems among detainees in switzerland a study using the icpc 2 classification
topic Primary care
prisoners
detainees
jail
ICPC
coding
access to care
prison health care
url http://www.biomedcentral.com/1471-2458/11/245
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