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

Wolff H, Sebo P, Haller DM, Eytan A, Niveau G, Bertrand D, Gétaz L, Cerutti B - BMC Public Health (2011)

Bottom Line: Mean length of stay was 80 days (SD 160).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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Community Medicine and Primary Care, Geneva University Hospitals and University of Geneva, Switzerland. Hans.Wolff@hcuge.ch

ABSTRACT

Background: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

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ICPC-2 coded health problems in 2195 of detainees in a remand prison in Geneva, Switzerland, 2007.
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Figure 1: ICPC-2 coded health problems in 2195 of detainees in a remand prison in Geneva, Switzerland, 2007.

Mentions: Figure 1 describes the ICPC coded health problems identified in 2195 health records. Morbidity was high; both somatic (57.6%) and mental (32.6%) health problems were highly prevalent. There were no gender differences in relation to the percentage of somatic health problems which were observed in female (61.1%; 95%CI 51.9-70.3) and male (57.4%; 95%CI 55.3-59.5) of detainees (p = 0.45). Major somatic health problems were: 1. skin (27.0%), 2. musculoskeletal (19.2%), 3. digestive (15.0%) and 4. respiratory (14.0%) disorders. Somatic disorders were slightly more frequent in those 29 years (median) or older (64% vs. 53%, p < 0.0001). Mean number of identified health problems were 2.4 (SD 1.8). Those who stayed less than 1 month had a mean of 2.0 (SD 1.3), those who stayed 3 to 6 months a mean of 3.2 (SD 2.0) and those who stayed more than 6 months a mean of 4.1 (SD 2.6) identified health problems.


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

Wolff H, Sebo P, Haller DM, Eytan A, Niveau G, Bertrand D, Gétaz L, Cerutti B - BMC Public Health (2011)

ICPC-2 coded health problems in 2195 of detainees in a remand prison in Geneva, Switzerland, 2007.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3108317&req=5

Figure 1: ICPC-2 coded health problems in 2195 of detainees in a remand prison in Geneva, Switzerland, 2007.
Mentions: Figure 1 describes the ICPC coded health problems identified in 2195 health records. Morbidity was high; both somatic (57.6%) and mental (32.6%) health problems were highly prevalent. There were no gender differences in relation to the percentage of somatic health problems which were observed in female (61.1%; 95%CI 51.9-70.3) and male (57.4%; 95%CI 55.3-59.5) of detainees (p = 0.45). Major somatic health problems were: 1. skin (27.0%), 2. musculoskeletal (19.2%), 3. digestive (15.0%) and 4. respiratory (14.0%) disorders. Somatic disorders were slightly more frequent in those 29 years (median) or older (64% vs. 53%, p < 0.0001). Mean number of identified health problems were 2.4 (SD 1.8). Those who stayed less than 1 month had a mean of 2.0 (SD 1.3), those who stayed 3 to 6 months a mean of 3.2 (SD 2.0) and those who stayed more than 6 months a mean of 4.1 (SD 2.6) identified health problems.

Bottom Line: Mean length of stay was 80 days (SD 160).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.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Community Medicine and Primary Care, Geneva University Hospitals and University of Geneva, Switzerland. Hans.Wolff@hcuge.ch

ABSTRACT

Background: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

Show MeSH
Related in: MedlinePlus