COPD characteristics and socioeconomic burden in Hellenic correctional institutions

Eleni G Bania,1 Zoe Daniil,1 Chrysa Hatzoglou,1 Evangelos C Alexopoulos,2 Eirini Mitsiki,3 Konstantinos I Gourgoulianis1 1Respiratory Medicine Department, University of Thessaly Medical School, University Hospital of Larissa, Larissa, 2Faculty of Social Sciences, Hellenic Open University, Patras, 3...

Full description

Bibliographic Details
Main Authors: Bania EG, Daniil Z, Hatzoglou C, Alexopoulos EC, Mitsiki E, Gourgoulianis KI
Format: Article
Language:English
Published: Dove Medical Press 2016-02-01
Series:International Journal of COPD
Subjects:
Online Access:https://www.dovepress.com/copd-characteristics-and-socioeconomic-burden-in-hellenic-correctional-peer-reviewed-article-COPD
_version_ 1818882359863279616
author Bania EG
Daniil Z
Hatzoglou C
Alexopoulos EC
Mitsiki E
Gourgoulianis KI
author_facet Bania EG
Daniil Z
Hatzoglou C
Alexopoulos EC
Mitsiki E
Gourgoulianis KI
author_sort Bania EG
collection DOAJ
description Eleni G Bania,1 Zoe Daniil,1 Chrysa Hatzoglou,1 Evangelos C Alexopoulos,2 Eirini Mitsiki,3 Konstantinos I Gourgoulianis1 1Respiratory Medicine Department, University of Thessaly Medical School, University Hospital of Larissa, Larissa, 2Faculty of Social Sciences, Hellenic Open University, Patras, 3Medical Department, Novartis Hellas, Athens, Greece Background: The high prevalence of smoking (80%) in Greek correctional institutions is anticipated to result in high prevalence of COPD in such settings. Aim: The aim of the Greek obstructive luNg disease epidemiOlogy and health economics Study In corrective institutionS (GNOSIS) is to determine the prevalence of smoking and COPD among inmates and to assess the health-related quality of life. Methods: GNOSIS, a cross-sectional epidemiological study, was conducted between March 2011 and December 2011 in seven correctional institutions in Greece. Results: A total of 552 participants, 91.3% male, median age of 43.0 years (interquartile range: 35–53), were enrolled. COPD prevalence was 6.0% and was found to increase with age (18.6% among those ≥60 years), length of prison stay, and length of sentence. Of the participants diagnosed with COPD, 36.4% were diagnosed with Global initiative for chronic Obstructive Lung Disease (GOLD) stage I and 51.5% were diagnosed with stage II. Dyspnea severity was assessed as grades 0–1 on the medical research council dyspnea scale for 88.3%, while 31% reported ≥2 COPD exacerbations in the past year. Seventy-nine percent of the total number of the participants were smokers, with a median smoking of 20.0 cigarettes per day, while 42.9% were assessed as having a strong addiction to nicotine. The median EuroQol visual analog scale score was 70.0 (interquartile range: 60.0–90.0). Problems in the dimension of anxiety/depression were reported by 82.8%. Conclusion: The results of the study support the notion that the prevalence of COPD among inmates of Greek correctional institutions may increase in the following years. The findings underscore the importance of taking actions to limit COPD prevalence and its risk factors in the Greek correctional system. Keywords: smoking, stress, correctional institutions, Greece, prevention, public health
first_indexed 2024-12-19T15:16:31Z
format Article
id doaj.art-6327188f51404c18b45b2a997ba94199
institution Directory Open Access Journal
issn 1178-2005
language English
last_indexed 2024-12-19T15:16:31Z
publishDate 2016-02-01
publisher Dove Medical Press
record_format Article
series International Journal of COPD
spelling doaj.art-6327188f51404c18b45b2a997ba941992022-12-21T20:16:07ZengDove Medical PressInternational Journal of COPD1178-20052016-02-012016default34134925577COPD characteristics and socioeconomic burden in Hellenic correctional institutionsBania EGDaniil ZHatzoglou CAlexopoulos ECMitsiki EGourgoulianis KIEleni G Bania,1 Zoe Daniil,1 Chrysa Hatzoglou,1 Evangelos C Alexopoulos,2 Eirini Mitsiki,3 Konstantinos I Gourgoulianis1 1Respiratory Medicine Department, University of Thessaly Medical School, University Hospital of Larissa, Larissa, 2Faculty of Social Sciences, Hellenic Open University, Patras, 3Medical Department, Novartis Hellas, Athens, Greece Background: The high prevalence of smoking (80%) in Greek correctional institutions is anticipated to result in high prevalence of COPD in such settings. Aim: The aim of the Greek obstructive luNg disease epidemiOlogy and health economics Study In corrective institutionS (GNOSIS) is to determine the prevalence of smoking and COPD among inmates and to assess the health-related quality of life. Methods: GNOSIS, a cross-sectional epidemiological study, was conducted between March 2011 and December 2011 in seven correctional institutions in Greece. Results: A total of 552 participants, 91.3% male, median age of 43.0 years (interquartile range: 35–53), were enrolled. COPD prevalence was 6.0% and was found to increase with age (18.6% among those ≥60 years), length of prison stay, and length of sentence. Of the participants diagnosed with COPD, 36.4% were diagnosed with Global initiative for chronic Obstructive Lung Disease (GOLD) stage I and 51.5% were diagnosed with stage II. Dyspnea severity was assessed as grades 0–1 on the medical research council dyspnea scale for 88.3%, while 31% reported ≥2 COPD exacerbations in the past year. Seventy-nine percent of the total number of the participants were smokers, with a median smoking of 20.0 cigarettes per day, while 42.9% were assessed as having a strong addiction to nicotine. The median EuroQol visual analog scale score was 70.0 (interquartile range: 60.0–90.0). Problems in the dimension of anxiety/depression were reported by 82.8%. Conclusion: The results of the study support the notion that the prevalence of COPD among inmates of Greek correctional institutions may increase in the following years. The findings underscore the importance of taking actions to limit COPD prevalence and its risk factors in the Greek correctional system. Keywords: smoking, stress, correctional institutions, Greece, prevention, public healthhttps://www.dovepress.com/copd-characteristics-and-socioeconomic-burden-in-hellenic-correctional-peer-reviewed-article-COPDCOPDCorrective institutionsburden
spellingShingle Bania EG
Daniil Z
Hatzoglou C
Alexopoulos EC
Mitsiki E
Gourgoulianis KI
COPD characteristics and socioeconomic burden in Hellenic correctional institutions
International Journal of COPD
COPD
Corrective institutions
burden
title COPD characteristics and socioeconomic burden in Hellenic correctional institutions
title_full COPD characteristics and socioeconomic burden in Hellenic correctional institutions
title_fullStr COPD characteristics and socioeconomic burden in Hellenic correctional institutions
title_full_unstemmed COPD characteristics and socioeconomic burden in Hellenic correctional institutions
title_short COPD characteristics and socioeconomic burden in Hellenic correctional institutions
title_sort copd characteristics and socioeconomic burden in hellenic correctional institutions
topic COPD
Corrective institutions
burden
url https://www.dovepress.com/copd-characteristics-and-socioeconomic-burden-in-hellenic-correctional-peer-reviewed-article-COPD
work_keys_str_mv AT baniaeg copdcharacteristicsandsocioeconomicburdeninhelleniccorrectionalinstitutions
AT daniilz copdcharacteristicsandsocioeconomicburdeninhelleniccorrectionalinstitutions
AT hatzoglouc copdcharacteristicsandsocioeconomicburdeninhelleniccorrectionalinstitutions
AT alexopoulosec copdcharacteristicsandsocioeconomicburdeninhelleniccorrectionalinstitutions
AT mitsikie copdcharacteristicsandsocioeconomicburdeninhelleniccorrectionalinstitutions
AT gourgoulianiski copdcharacteristicsandsocioeconomicburdeninhelleniccorrectionalinstitutions