Prevalence of chronic noncommunicable diseases in the prison system: a public health challenge.

Autor: Serra RM; Programa de Pós-Graduação em Saúde Pública, Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo. Av. Bandeirantes 3900, Monte Alegre. 14049-900 Ribeirão Preto SP Brasil. renatamoreiraserra@gmail.com., Ribeiro LC; Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo. Ribeirão Preto SP Brasil., Ferreira JBB; Programa de Pós-Graduação em Saúde Pública, Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo. Av. Bandeirantes 3900, Monte Alegre. 14049-900 Ribeirão Preto SP Brasil. renatamoreiraserra@gmail.com., Santos LLD; Programa de Pós-Graduação em Saúde Pública, Departamento de Medicina Social, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo. Av. Bandeirantes 3900, Monte Alegre. 14049-900 Ribeirão Preto SP Brasil. renatamoreiraserra@gmail.com.
Jazyk: Portuguese; English
Zdroj: Ciencia & saude coletiva [Cien Saude Colet] 2022 Dec; Vol. 27 (12), pp. 4475-4484. Date of Electronic Publication: 2022 Jun 29.
DOI: 10.1590/1413-812320222712.10072022
Abstrakt: A descriptive, cross-sectional, and quantitative study was conducted in 2019 with 202 participants randomly selected from a male penitentiary, with the application of a questionnaire, clinical care, and laboratory tests to estimate the prevalence of risk factors and noncommunicable chronic diseases in people deprived of their liberty. Data analysis verified associations using Fisher's Exact Test and Chi-square Test. The predominant sociodemographic profile of the participants consisted of less-educated single, black, over 30 males with high prison recidivism. Most were sedentary smokers with high alcohol and drug consumption before incarceration. We identified prevalence levels of hypertension (24.8%), dyslipidemia (54.5%), overweight (49.9%), metabolic syndrome (16.8%), and diabetes (2.5%). The difficulty in accessing health services associated with long sentences and the unhealthy environment favors the development and deterioration of chronic diseases and their risk factors, a challenge for the organization of prison health care. This setting reiterates the need to apply resources and efforts to implement comprehensive, longitudinal, and equitable care for people deprived of liberty.
Databáze: MEDLINE