RESUMEN

OBJECTIVE: To describe hospital morbidity caused by the inmates of our prison over the past 16 years. MATERIAL AND METHODS: retrospective study of hospital admissions between 01-01-1994 and 31-12-2009, divided into four periods. Socio-demographic variables were collected: duration of stay and discharge diagnosis. Quantitative variables were described as means and medians and qualitative variables as absolute and relative frequencies. A mean comparison was performed on quantitative variables and qualitative proportions. For equal variances, an ANOVA test was performed with linear trend study of encoding the variable "period" with orthogonal contrasts. Without equality of variances, comparisons were made using the Kruskal-Wallis test, and tendencies by means of the nonparametric Jonckheere-Terpstra test. For qualitative variables we used the Pearson Chi-Square, evaluating the trend with the chi-square for linear trend. RESULTS: 625 patients generated 996 admissions with no temporal variation. The median age is 33 years, with an upward trend (29 years to 38, p <0.0001). 47.9% were HIV + [(63.3% to 35.9%), p <0.0001]. The average stay was 9.6 days (95% CI 8.8 to 10.4) [11.9 (10.0 to 13.9) 9.6 (8.8 to 10.4), p = 0.002]. The frequency of internal and year 1000 remained unchanged (111.6 to 87.9, p = 0.366). The days of hospitalization decreased (3066 to 2442, p = 0.049)) and the average admitted per day (2.1 to 1.7, p = 0.049). CONCLUSIONS: The use of hospital resources from prison is constant. The way they use it has changed along with the pathology that causes it. HIV is no longer the primary pathology.

Asunto(s)

Recursos en Salud/estadística & datos numéricos , Hospitalización/tendencias , Prisioneros/estadística & datos numéricos , Adulto , Femenino , Infecciones por VIH/epidemiología , Infecciones por VIH/terapia , Mortalidad Hospitalaria , Hospitalización/estadística & datos numéricos , Humanos , Tiempo de Internación/estadística & datos numéricos , Tiempo de Internación/tendencias , Masculino , Estudios Retrospectivos , España/epidemiología

RESUMEN

INTRODUCTION: There are few studies comparing drug use behaviours between the local and immigrant prison populations. METHOD: Descriptive and prospective study. Comparisons were made between the Spanish and foreign population of prisoners who entered prison for the first time between 01/01/2005 and 31/12/2005. Socio-demographic descriptive variables were attained along with data about drug use in the month prior to entry into prison. X² was used to compare qualitative variables and Student's t distribution for quantitative ones. Posterior binary logistic regression was used for calculating the Odds Ration for statistically significant variables. RESULTS: 246 individuals were included, 230 (93.5%) were men. 89 (36%) were Spanish and 157 (64%) foreigners. The average age was 31.9 (IC95%: 30.6-33.1). The average age was higher amongst Spanish inmates (33.9 vs. 30.7; p=0.023). Spanish inmates smoked less (79, 40.9%) than foreigners (114, 59.1%) p=0.003 and consumed less alcohol (51, 42.5% vs. 69, 57.5%), p=0.044. The use of heroin, cocaine, designer drugs and non-prescribed benzodiazepines, individually or in combinations, was admitted to by 68 individuals, 44 (64.7%) of whom were Spanish, and 24 (35.3%) were foreigners (OR: 5.4, IC95%: 2.9-9.9, p>0.0001). The only consumption type where no significant difference between the two groups could be seen was in "designer drug" use: 5 (5.6%) vs. 2 (1.3%). (OR: 4.6, IC95%: 0.8-24.3, p=0.07). IVD use was rare and more common amongst Spanish inmates: 3 (3.4%) vs. 0 (0%) (p=0.02). CONCLUSIONS: Foreigners make up the majority of the recent intake into prison. Spanish prisoners are older. Spanish inmates consume more illegal drugs, while foreign prisoners consume more socially accepted drugs.