Prison primary care and non-communicable diseases: a data-linkage survey of prevalence and associated risk factors

BJGP Open
Nat Mj WrightVictoria Allgar

Abstract

The size and mean age of the prison population has increased rapidly in recent years. Prisoners are a vulnerable group who, compared with the general population, experience poorer health outcomes. However, there is a dearth of research quantifying the prevalence of non-communicable diseases (NCDs) among prisoner populations. To explore both the prevalence of NCDs and their risk factors. A cross-sectional survey was undertaken that was compared with clinical records in two male prisons in the north of England. Self-report surveys were completed by 199 prisoners to assess sociodemographic characteristics, general health, NCD prevalence, and risk factor prevalence. Data were checked against that retrieved from prison clinical records. It was found that 46% reported at least one NCD and 26% reported at least one physical health NCD. The most common self-reported NCD was 'anxiety and depression' (34%), followed by 'respiratory disease' (17%), and 'hypertension' (10%). Having a physical health NCD was independently associated with increasing age or drug dependence.The level of agreement between clinical records and self-report ranged from 'fair' for alcohol dependence (kappa 0.38; P<0.001) to 'very good' for diabetes (kappa 0.86; P<0...Continue Reading

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Citations

Mar 8, 2020·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Nicolly Beatriz HachbardtMarina Atanaka
Feb 13, 2021·Primary Care Diabetes·Benjamin J GrayStephanie E Perrett

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