Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review
Abstract Background High rates of health inequalities and chronic non-communicable diseases exist amongst the prison population. This places people in and/or released from prison at heightened risk of multimorbidity, premature mortality, and reduced quality of life. Ensuring appropriate healthcare f...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-024-17715-7 |
| _version_ | 1797276247802249216 |
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| author | Thomas Hewson Matilda Minchin Kenn Lee Shiyao Liu Evelyn Wong Chantal Edge Jake Hard Katrina Forsyth Jane Senior Jennifer Shaw |
| author_facet | Thomas Hewson Matilda Minchin Kenn Lee Shiyao Liu Evelyn Wong Chantal Edge Jake Hard Katrina Forsyth Jane Senior Jennifer Shaw |
| author_sort | Thomas Hewson |
| collection | DOAJ |
| description | Abstract Background High rates of health inequalities and chronic non-communicable diseases exist amongst the prison population. This places people in and/or released from prison at heightened risk of multimorbidity, premature mortality, and reduced quality of life. Ensuring appropriate healthcare for people in prison to improve their health outcomes is an important aspect of social justice. This review examines the global literature on healthcare interventions to detect, monitor and manage chronic non-communicable diseases amongst the prison population and people recently released from prison. Methods Systematic searches of EMBASE, MEDLINE, CINAHL, Web of Science, Scopus, and the Cochrane Library were conducted and supplemented by citation searching and review of the grey literature. The literature searches attempted to identify all articles describing any healthcare intervention for adults in prison, or released from prison in the past 1 year, to detect, monitor, or manage any chronic non-communicable illness. 19,061 articles were identified, of which 1058 articles were screened by abstract and 203 articles were reviewed by full text. Results Sixty-five studies were included in the review, involving 18,311 participants from multiple countries. Most studies were quasi-experimental and/or low to moderate in quality. Numerous healthcare interventions were described in the literature including chronic disease screening, telemedicine, health education, integrated care systems, implementing specialist equipment and staff roles to manage chronic diseases in prisons, and providing enhanced primary care contact and/or support from community health workers for people recently released from prison. These interventions were associated with improvement in various measures of clinical and cost effectiveness, although comparison between different care models was not possible due to high levels of clinical heterogeneity. Conclusions It is currently unclear which interventions are most effective at monitoring and managing chronic non-communicable diseases in prison. More research is needed to determine the most effective interventions for improving chronic disease management in prisons and how these should be implemented to ensure optimal success. Future research should examine interventions for addressing multimorbidity within prisons, since most studies tested interventions for a singular non-communicable disease. |
| first_indexed | 2024-03-07T15:25:34Z |
| format | Article |
| id | doaj.art-40f13e848b6c40289b4eb4cb4ad12f7b |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-07T15:25:34Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-40f13e848b6c40289b4eb4cb4ad12f7b2024-03-05T17:07:50ZengBMCBMC Public Health1471-24582024-01-0124112410.1186/s12889-024-17715-7Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic reviewThomas Hewson0Matilda Minchin1Kenn Lee2Shiyao Liu3Evelyn Wong4Chantal Edge5Jake Hard6Katrina Forsyth7Jane Senior8Jennifer Shaw9Health and Justice Research Network, University of ManchesterHealth and Justice Research Network, University of ManchesterPennine Care NHS Foundation TrustSchool of Medical Sciences, University of ManchesterSchool of Medical Sciences, University of ManchesterDepartment of Health and Social Care, UK Health Security AgencyHealth & Justice Information Service, NHS England Health and JusticeHealth and Justice Research Network, University of ManchesterHealth and Justice Research Network, University of ManchesterHealth and Justice Research Network, University of ManchesterAbstract Background High rates of health inequalities and chronic non-communicable diseases exist amongst the prison population. This places people in and/or released from prison at heightened risk of multimorbidity, premature mortality, and reduced quality of life. Ensuring appropriate healthcare for people in prison to improve their health outcomes is an important aspect of social justice. This review examines the global literature on healthcare interventions to detect, monitor and manage chronic non-communicable diseases amongst the prison population and people recently released from prison. Methods Systematic searches of EMBASE, MEDLINE, CINAHL, Web of Science, Scopus, and the Cochrane Library were conducted and supplemented by citation searching and review of the grey literature. The literature searches attempted to identify all articles describing any healthcare intervention for adults in prison, or released from prison in the past 1 year, to detect, monitor, or manage any chronic non-communicable illness. 19,061 articles were identified, of which 1058 articles were screened by abstract and 203 articles were reviewed by full text. Results Sixty-five studies were included in the review, involving 18,311 participants from multiple countries. Most studies were quasi-experimental and/or low to moderate in quality. Numerous healthcare interventions were described in the literature including chronic disease screening, telemedicine, health education, integrated care systems, implementing specialist equipment and staff roles to manage chronic diseases in prisons, and providing enhanced primary care contact and/or support from community health workers for people recently released from prison. These interventions were associated with improvement in various measures of clinical and cost effectiveness, although comparison between different care models was not possible due to high levels of clinical heterogeneity. Conclusions It is currently unclear which interventions are most effective at monitoring and managing chronic non-communicable diseases in prison. More research is needed to determine the most effective interventions for improving chronic disease management in prisons and how these should be implemented to ensure optimal success. Future research should examine interventions for addressing multimorbidity within prisons, since most studies tested interventions for a singular non-communicable disease.https://doi.org/10.1186/s12889-024-17715-7Prison healthHealth inequalitiesChronic diseaseNon-communicable disease |
| spellingShingle | Thomas Hewson Matilda Minchin Kenn Lee Shiyao Liu Evelyn Wong Chantal Edge Jake Hard Katrina Forsyth Jane Senior Jennifer Shaw Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review BMC Public Health Prison health Health inequalities Chronic disease Non-communicable disease |
| title | Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review |
| title_full | Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review |
| title_fullStr | Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review |
| title_full_unstemmed | Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review |
| title_short | Interventions for the detection, monitoring, and management of chronic non-communicable diseases in the prison population: an international systematic review |
| title_sort | interventions for the detection monitoring and management of chronic non communicable diseases in the prison population an international systematic review |
| topic | Prison health Health inequalities Chronic disease Non-communicable disease |
| url | https://doi.org/10.1186/s12889-024-17715-7 |
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