目的:调查监狱囚犯代谢发病率(MM)的患病率。
方法:多中心,横断面观察性研究。
方法:加泰罗尼亚的所有(九)监狱。
方法:将不处于“开放政权”的囚犯定罪,他们的医疗保健依赖于监狱初级保健团队。
方法:MM定义为存在代谢综合征的至少一种成分,即,肥胖,动脉高血压,2型糖尿病,和/或血脂异常。收集的变量包括人体测量,与MM相关的病史和实验室值。信息来源是加泰罗尼亚初级医疗保健服务信息系统(SISAP)。
方法:MM的患病率,总的来说,按照几个参与者的子类别,已计算。为了调查与MM患病率较高相关的危险因素,我们进行了多变量逻辑回归分析,并表示为校正比值比和95%置信区间.
结果:研究了4338名囚犯,其中93.9%为男性。平均年龄38.4岁,51.7%出生在欧盟国家。6.7%的人感染了艾滋病毒。与出现MM的风险显着增加相关的变量是年龄和HIV感染,而某些地理起源(即,非UE欧洲国家,马格里布和撒哈拉以南非洲)与较低的MM风险相关。
结论:尽管总体上是年轻人,监狱囚犯的死亡率很高。年纪大了,艾滋病毒感染和地理来源似乎是监狱人口中与MM最密切相关的因素。应及早发现MM,以预防并发症。预防,MM的筛查和治疗应被视为监狱医疗保健专业人员临床常规中的优先事项。
To investigate the prevalence of metabolic morbidity (MM) amongst prison inmates.
Multicentric, cross-sectional observational study.
All (nine) prisons in Catalonia.
Convicted inmates that are not in an «open regime», whose healthcare relies on the Prison Primary Care Teams.
MM was defined as the presence of at least one component of the metabolic syndrome, i.e., obesity, arterial hypertension, type2 diabetes, and/or dyslipidemia. The variables collected included anthropometric measurements, medical history and laboratory values related to MM. The source of information was the Catalan Primary Healthcare Services Information System (SISAP).
The prevalence of MM, overall and by several participant subcategories, was calculated. To investigate the risk factors associated to a higher prevalence of MM, a multivariable logistic regression analysis was carried out and expressed as adjusted odds ratios and 95% confidence intervals.
4338 inmates were studied, of whom 93.9% were male. Mean age was 38.4years, 51.7% were born in European Union countries, and 6.7% were infected by HIV. The variables associated with a significantly increased risk of presenting MM were older age and HIV infection, whereas certain geographical origins (i.e., non-UE European countries, Maghreb and Sub-Saharan Africa) were associated with lower risk of MM.
In spite of being an overall young population, prison inmates present high rates of MM. Older age, HIV infection and geographic origin appear as the most strongly associated factors with MM in the prison population. MM should be detected early in order to prevent complications. Prevention, screening and treatment of MM ought to be considered a priority in the clinical routine of prison healthcare professionals.