Health conditions of inmates in Italy

Abstract Background Several studies have shown that prison is characterized by a higher prevalence of chronic diseases than unconfined settings. The aim of this study was to describe the characteristics and health of inmates, focusing on internal diseases. Methods We designed a specific clinical rec...

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Main Authors: Fabio Voller, Caterina Silvestri, Gianrocco Martino, Eleonora Fanti, Giorgio Bazzerla, Fabio Ferrari, Marco Grignani, Sandro Libianchi, Antonio Maria Pagano, Franco Scarpa, Cristina Stasi, Teresa Di Fiandra
Format: Article
Language:English
Published: BMC 2016-11-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-016-3830-2
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author Fabio Voller
Caterina Silvestri
Gianrocco Martino
Eleonora Fanti
Giorgio Bazzerla
Fabio Ferrari
Marco Grignani
Sandro Libianchi
Antonio Maria Pagano
Franco Scarpa
Cristina Stasi
Teresa Di Fiandra
author_facet Fabio Voller
Caterina Silvestri
Gianrocco Martino
Eleonora Fanti
Giorgio Bazzerla
Fabio Ferrari
Marco Grignani
Sandro Libianchi
Antonio Maria Pagano
Franco Scarpa
Cristina Stasi
Teresa Di Fiandra
author_sort Fabio Voller
collection DOAJ
description Abstract Background Several studies have shown that prison is characterized by a higher prevalence of chronic diseases than unconfined settings. The aim of this study was to describe the characteristics and health of inmates, focusing on internal diseases. Methods We designed a specific clinical record using the Python programming language. We considered all of the diagnoses according to the ICD-9-CM. Results Of a total of 17,086 inmates, 15,751 were enrolled in our study (M = 14,835; F = 869), corresponding to 92.2% of the entire inmate population (mean age of 39.6 years). The project involved a total of 57 detention facilities in six Italian regions (for a total of 28% of all detainees in Italy), as counted in a census taken on February 3, 2014. From the entire study sample, 32.5% of prisoners did not present any disorders, while 67.5% suffered from at least one disease. The most frequent pathologies were psychiatric (41.3%), digestive (14.5%), infectious (11.5%), cardiovascular (11.4%), endocrine, metabolic, and immune (8.6%), and respiratory (5.4%). Conclusion The findings showed that a large number of detainees were affected by several chronic conditions such as hypertension, dyslipidemia and type 2 diabetes mellitus, with an unusually high prevalence for such a young population. Therefore, a series of preventive measures is recommended to strengthen the entire care process and improve the health and living conditions of prisoners.
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spelling doaj.art-84e0de1d3c5043ddb81fb4f068f786682022-12-22T01:52:17ZengBMCBMC Public Health1471-24582016-11-0116111010.1186/s12889-016-3830-2Health conditions of inmates in ItalyFabio Voller0Caterina Silvestri1Gianrocco Martino2Eleonora Fanti3Giorgio Bazzerla4Fabio Ferrari5Marco Grignani6Sandro Libianchi7Antonio Maria Pagano8Franco Scarpa9Cristina Stasi10Teresa Di Fiandra11Observatory of Epidemiology, Regional Health Agency of TuscanyObservatory of Epidemiology, Regional Health Agency of TuscanyObservatory of Epidemiology, Regional Health Agency of TuscanyObservatory of Epidemiology, Regional Health Agency of TuscanyPrimary Care Unit, District North, Local Social and Health Care UnitsDisabled Health Service “Spezzino”, National Healthcare CompanyDepartment of Mental Health, Healthcare Company of UmbriaMedical House Unit in prison and the third House of RebibbiaUnit for the Overcoming of the Judicial Psychiatric Hospitals and for Mental Health in Prisons, Local Health Salerno“Health in Prison” Complex UnitObservatory of Epidemiology, Regional Health Agency of TuscanyGeneral Directorate for Health Prevention, Ministry of HealthAbstract Background Several studies have shown that prison is characterized by a higher prevalence of chronic diseases than unconfined settings. The aim of this study was to describe the characteristics and health of inmates, focusing on internal diseases. Methods We designed a specific clinical record using the Python programming language. We considered all of the diagnoses according to the ICD-9-CM. Results Of a total of 17,086 inmates, 15,751 were enrolled in our study (M = 14,835; F = 869), corresponding to 92.2% of the entire inmate population (mean age of 39.6 years). The project involved a total of 57 detention facilities in six Italian regions (for a total of 28% of all detainees in Italy), as counted in a census taken on February 3, 2014. From the entire study sample, 32.5% of prisoners did not present any disorders, while 67.5% suffered from at least one disease. The most frequent pathologies were psychiatric (41.3%), digestive (14.5%), infectious (11.5%), cardiovascular (11.4%), endocrine, metabolic, and immune (8.6%), and respiratory (5.4%). Conclusion The findings showed that a large number of detainees were affected by several chronic conditions such as hypertension, dyslipidemia and type 2 diabetes mellitus, with an unusually high prevalence for such a young population. Therefore, a series of preventive measures is recommended to strengthen the entire care process and improve the health and living conditions of prisoners.http://link.springer.com/article/10.1186/s12889-016-3830-2SalmeterolMontelukastTiotropiumSignificant Positive AssociationGliclazide
spellingShingle Fabio Voller
Caterina Silvestri
Gianrocco Martino
Eleonora Fanti
Giorgio Bazzerla
Fabio Ferrari
Marco Grignani
Sandro Libianchi
Antonio Maria Pagano
Franco Scarpa
Cristina Stasi
Teresa Di Fiandra
Health conditions of inmates in Italy
BMC Public Health
Salmeterol
Montelukast
Tiotropium
Significant Positive Association
Gliclazide
title Health conditions of inmates in Italy
title_full Health conditions of inmates in Italy
title_fullStr Health conditions of inmates in Italy
title_full_unstemmed Health conditions of inmates in Italy
title_short Health conditions of inmates in Italy
title_sort health conditions of inmates in italy
topic Salmeterol
Montelukast
Tiotropium
Significant Positive Association
Gliclazide
url http://link.springer.com/article/10.1186/s12889-016-3830-2
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