Can morbidity be inferred from prescription drug use? Results from a nation-wide prison population study
Can morbidity be inferred from prescription drug use? Results from a nation-wide prison population study
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DOI：
10.1007/s10654-005-8156-9
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发表时间：
2005-07-01
影响因子：
13.6
通讯作者：
Hartvig, P
中科院分区：
文献类型：
--
作者：
Kjelsberg, E;Hartvig, P
目的：估计精神和躯体疾病的发病率在全国范围内的监狱人口，推断从详细的药物单。方法：从37所监狱，覆盖90%的挪威监狱人口的药物表，收集和检查经验丰富的临床医生。根据国际初级保健诊断系统分类，对所有接受药物治疗的囚犯进行了最佳估计的精神和/或躯体诊断。结果：在2617囚犯919（35%）有精神障碍，估计我们的方法。抑郁症（11%）和睡眠障碍（11%）最为普遍。26名囚犯（1%）接受了指示情感性精神病的药物治疗，另有77名（3%）接受了指示其他精神病的抗精神病药物剂量，使精神病总数达到103名（4%）。估计共有848名囚犯（32%）患有躯体疾病。除了阻塞性气道疾病和哮喘（4%）外，各种疼痛状况也很普遍（11%）。精神病和躯体疾病在女囚犯中更为普遍。结论：这项研究表明，在全国范围内接受适当保健服务的监狱囚犯中，精神病和躯体疾病的发病率很高。由于发病率估计数是从处方药使用情况推断出来的，因此必须谨慎解释。然而，我们相信，我们的研究，利用这种非传统的，但现成的信息来源，已经产生了关于全国监狱人口的身心健康的宝贵知识。
Aim: To estimate psychiatric and somatic morbidity in a nation-wide prison population, as inferred from detailed medication sheets. Method: Medication sheets from 37 prisons, covering 90% of the Norwegian prison population, were collected and examined by experienced clinicians. All inmates on medication were assigned best-estimate psychiatric and/or somatic diagnoses according to the International Classification of Primary Care diagnostic system. Results: Among the 2617 inmates 919 (35%) had psychiatric disorders, as estimated by our methodology. Depressive disorders (11%) and sleep disorders (11%) were most prevalent. Twenty-six inmates (1%) were prescribed medication indicative of affective psychosis and an additional 77 (3%) received anti-psychotic drugs in doses indicating other psychotic disorders, bringing the sum total of psychosis up to 103 (4%). A total of 848 inmates (32%) were estimated to suffer from somatic disorders. Various pain conditions were prevalent (11%) in addition to obstructive airway diseases and asthma (4%). Both psychiatric and somatic disorders were more prevalent in female prisoners. Conclusion: This study has demonstrated high psychiatric and somatic morbidity in a nation-wide population of prison inmates receiving adequate health services. As the morbidity estimates are inferred from prescription drug use they must be interpreted with caution. However, we do believe that our study, utilizing this unconventional but readily available source of information, has yielded valuable knowledge regarding the physical and mental health of a nation-wide prison population.