General health characteristics, psychological stress of inmates and living environment of a main prison in Sri Lanka

C. Wickramatilake, B. D. De Silva, T. Nanayakkara, R. Nanayakkara, K. P. K. Gayashani
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Abstract

Background: Prison inmates, a deprived community are a part of general population. Understanding of their health characteristics, psychological stress and living environment is important to upgrade the existing situation.Objectives: To describe sociodemographic data, general health characteristics, psychological stress of prison inmates and living environment of a main prison in Sri Lanka.Methods: This was a descriptive cross-sectional study conducted among prison inmates of a main prison in Southern Sri Lanka. A self-administered questionnaire, K10 psychological distress scale and a checklist formulated by International Committee of Red Cross for evaluating the living environment and medical records were used to collect data.Results: There were 845 inmates with a median age of 33 years and 576/845(68.1%) were below 40 years. Majority of them had received school education 816/845(96.6%) and 401/845(47.4%) were skilled workers. There were inmates with a past history of being 560/845(66.2%) smokers, 525/845(62.1%) alcohol, 107/845(12.6%) heroin and 143/845(16.9%) cannabis users. Diabetes mellitus, hypertension, ischemic heart disease, psychiatric disorders, asthma and trauma were reported in 72/845(8.5%), 60/845(7.1%), 27/845(3.2%), 148/845(17.5%), 46/845(5.4%) and 33/845(3.9%) inmates respectively and psychological stress was experienced by 265/845(31.3%). Less number of inmates had communicable diseases. Score of standards for living environment was 50.Conclusions: Inmates were from young working group of the community. Past history of psychoactive substance use was high. The proportion of inmates with non-communicable diseases was higher than communicable diseases. Living environment of the prison was at an acceptable level.
斯里兰卡一所主要监狱囚犯的一般健康特征、心理压力和生活环境
背景:监狱囚犯是一个被剥夺权利的群体,是普通人群的一部分。了解他们的健康特点、心理压力和生活环境对改善现状具有重要意义。目的:描述斯里兰卡一家主要监狱的社会人口统计数据、一般健康特征、监狱囚犯的心理压力和生活环境。方法:这是一项描述性横断面研究,在斯里兰卡南部一所主要监狱的囚犯中进行。采用自填问卷、K10心理困扰量表和红十字国际委员会制定的生活环境评估和医疗记录核对表收集数据。结果:845名在押人员中位年龄为33岁,其中年龄在40岁以下的占576/845人(68.1%)。受过学校教育的占816/845(96.6%),熟练工人占401/845(47.4%)。有囚犯有抽烟560/845(66.2%)、酗酒525/845(62.1%)、吸食海洛因107/845(12.6%)和吸食大麻143/845(16.9%)的历史。在72/845(8.5%)、60/845(7.1%)、27/845(3.2%)、148/845(17.5%)、46/845(5.4%)和33/845(3.9%)的囚犯中分别报告有糖尿病、高血压、缺血性心脏病、精神障碍、哮喘和创伤,265/845(31.3%)的囚犯有心理压力。患传染病的囚犯人数较少。生活环境标准得分为50分。结论:囚犯来自社区青年工作群体。既往精神活性物质使用史高。患有非传染性疾病的囚犯比例高于患有传染病的囚犯比例。监狱的生活环境处于可接受的水平。
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