Health needs and risky behaviours among inmates in the largest prison of eastern Nepal

Shrestha, Gambhir; Mulmi, Rashmi; Yadav, Deepak; Baral, Dharanidhar; Yadav, Birendra Kumar; Chakravartty, Avaniendra; Pokharel, Paras Kumar; Sapkota, Nidesh

doi:10.1108/ijph-10-2017-0049

Cited by 4 publications

(2 citation statements)

References 53 publications

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“…This paper is a part of a large study and has followed the methods of Shrestha et al 2017 [13]. The health needs, risky behaviours, and depression among the inmates of same population have been presented elsewhere [13, 14]. Briefly, out of total 1203 inmates in the prison, 450 were randomly selected, of whom 434 gave consent for the study.…”

Section: Methodsmentioning

confidence: 99%

Pulmonary Tuberculosis among Male Inmates in the Largest Prison of Eastern Nepal

Shrestha

Yadav

Gautam³

et al. 2019

Tuberculosis Research and Treatment

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Introduction The prevalence of Pulmonary Tuberculosis (PTB) is much higher in the prison population than in the general population. This study aims to find out the prevalence of PTB and its associated factors among inmates in eastern Nepal. Methods This cross-sectional study was conducted in Jhumka Regional Prison, the largest male prison of Eastern Nepal from September 2014 to August 2015. Semi-structured questionnaires were used to identify individuals with a cough more than one-week duration among 434 randomly selected inmates. Screening of PTB was done by sputum smear test and/or GeneXpert test. Prevalence of TB was defined as the number of cases detected during the study period divided by the total number of inmates screened during that period. Fisher's exact test was used to find out the association of PTB with related variables. Results A total of 434 inmates were screened for PTB with mean age 35.7 years and body mass index 22.7 kg/m2. A total of 68 inmates had a productive cough of more than a week and two patients were already on anti-tuberculosis therapy at the time of screening. Sixty sputum samples were considered for sputum smear/GeneXpert test and 6 of them (10%) had positive results. The prevalence of TB in the Prison was 1843/100,000 population. Chest pain and abnormal chest auscultation findings were found to be significantly associated with PTB. Conclusions This study showed that there was a high rate of PTB among inmates in Nepal. The results suggest a need for effective screening of PTB and strategies to improve management including reduction of PTB transmission in the prison.

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Section: Methodsmentioning

confidence: 99%

Pulmonary Tuberculosis among Male Inmates in the Largest Prison of Eastern Nepal

Shrestha

Yadav

Gautam³

et al. 2019

Tuberculosis Research and Treatment

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“…(5) Among the key populations, prison population stands out that is more likely to contract HIV because of the risk behaviors experienced within the prison. (6) In addition, it is important to emphasize that the prevalence of infection in the prison environment is higher when compared to the general population. (7,8) Brazil currently has the third largest prison population in the world, with 726,215 prisoners.…”

Section: Introductionmentioning

confidence: 99%

Pessoas vivendo com HIV/Aids no cárcere: regularidade no uso da terapia antirretroviral

et al. 2019

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Resumo Objetivo Analisar os desafios relacionados à regularidade no uso da terapia antirretroviral pelas pessoas vivendo com HIV privadas de liberdade. Métodos Trata-se de um estudo exploratório, com abordagem quantitativa, realizado em seis unidades prisionais de dois municípios paulistas. A coleta de dados ocorreu no período de agosto a novembro de 2015, mediante entrevistas, com apoio de instrumento específico. Os dados foram analisados a partir de técnicas descritivas, análise univariada (testes de associação Qui-quadrado e Exato de Fisher) e teste não paramétrico U de Mann-Whitney. Resultados Participaram da pesquisa 67 indivíduos em uso da terapia antirretroviral. Identificou-se que, nos últimos sete dias, 80,6% dos indivíduos não deixaram de tomar os medicamentos antirretrovirais e 91% negaram tomar quantidade errada de comprimidos, de acordo com a prescrição médica. Quanto às ações de monitoramento da terapia antirretroviral, o questionamento sobre o uso contínuo dos medicamentos pela equipe de saúde das unidades prisionais foi considerado regular. O uso irregular da terapia antirretroviral apresentou associação estatisticamente significante com uso de drogas lícitas antes do encarceramento (p=0,006) e interrupção do acompanhamento médico (p=0,014). Conclusão Tais achados mostram a necessidade de estratégias de intervenção que favoreçam o acompanhamento e monitoramento do uso da terapia antirretroviral no contexto prisional.

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Depression among inmates of Gandaki Province, Nepal: a cross-sectional study

Bhusal,

Bhattarai

et al. 2024

BMC Psychiatry

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Introduction Depression is a pervasive mental health condition that affects individuals across various demographic categories, including imprisoned adults. The prevalence of mental health problems among inmates worldwide is considerably higher than in the general population, and it is estimated that 11% of inmates have significant mental disorders, such as anxiety and depression. This study aimed to find out the prevalence of depression and factors associated with it among the prisoners of Gandaki Province, Nepal. Methods A descriptive cross-sectional study was conducted among the inmates in Gandaki Province, Nepal. Data were collected from 223 inmates, who were recruited through systematic random sampling from eight district-level prisons. The Beck Depression Inventory-II was used to measure depression, with the cumulated score dichotomized into depressed and not-depressed categories. Additionally, a structured questionnaire was employed to capture socio-demographic and imprisonment-related variables. Bivariate and multivariable logistic regressions were performed to examine the factors associated with depression. Results Findings revealed that 18.8% of the inmates exhibited symptoms of depression. Inmates with health problems [(adjusted odds ratio (aOR) = 2.39], suicide ideation during imprisonment (aOR = 4.37), and attempted suicide before imprisonment (aOR = 7.97) had a statistically significant relationship with depression. This study revealed a notable prevalence of depression among incarcerated individuals in the Gandaki Province of Nepal. Conclusion The findings imply a crucial need for psychosocial and rehabilitative interventions to enhance inmates’ mental health and overall well-being.

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Health needs and risky behaviours among inmates in the largest prison of eastern Nepal

Cited by 4 publications

References 53 publications

Pulmonary Tuberculosis among Male Inmates in the Largest Prison of Eastern Nepal

Pulmonary Tuberculosis among Male Inmates in the Largest Prison of Eastern Nepal

Pessoas vivendo com HIV/Aids no cárcere: regularidade no uso da terapia antirretroviral

Depression among inmates of Gandaki Province, Nepal: a cross-sectional study

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