Health morbidity in Brazilian prisons a time trends study from national databases.

Name: FRANCISCO JOB NETO

Publication date: 06/05/2019
Advisor:

Namesort descending Role
ANGELICA ESPINOSA BARBOSA MIRANDA Advisor *

Examining board:

Namesort descending Role
ALOÍSIO FALQUETO Internal Examiner *
ANGELICA ESPINOSA BARBOSA MIRANDA Advisor *
CRISPIM CERUTTI JUNIOR External Examiner *
ETHEL LEONOR NOIA MACIEL External Examiner *
MOISES PALACI Internal Examiner *

Summary: Background: Public health must be combined with to criminal justice to offer medical care to prison populations, because, generally, they come from areas of society with significant levels of deficient health and social exclusion.
Objective: The goal of this study was to explore the surveillance data about mandatory reporting diseases, included in the official information systems, and evaluate the historical trend analysis in prisoners in Brazil.
Methods: A time trends study was performed using secondary data from prisons’ health units. Nationwide representative data of Brazilian prisoners obtained from 2007-2014 health and prison information systems database were analyzed. These data are carried out by units identified as prison health facilities. Diseases diagnosis and individual data were available at the National System of Disease Notification (SINAN), Mortality Information System (SIM) and Prison Registration Systems (INFOPEN and GEO prisons). Analyses of the notification data performed in the SINAN at the national level. SINAN was consolidated with SIM, INFOPEN, and GEO prison data.
Results: A total of 23,235 cases of compulsory disease notification causing morbidity were reported in prison units in Brazil; of these cases, 20,003 (85.6%) were men and 3,362 (14.4%) were women. Over time, the proportion of prisoners increased from 1.92 per 1,000 inhabitants in 2007 to 2.77 per 1,000 inhabitants in 2014 (rising trend). From a total of 27 states, 12 of them presented a growth in disease notifications, 14 were stable, and in only one state was there a decrease in notifications. There was an increase in notifications in the country as a whole. Tuberculosis (64.4%), dengue (9.1%), AIDS (9.0%), and viral hepatitis (5.9%) were among the most frequently reported diseases during the study period.
Conclusion: Despite showing stable tendencies, our results show high rates of diseases in Brazilian prisons. Prison health services should not be isolated but integrated into regional and national health and justice systems.

Access to document

Acesso à informação
Transparência Pública

© 2013 Universidade Federal do Espírito Santo. Todos os direitos reservados.
Av. Marechal Campos, 1468 - Bonfim, Vitória - ES | CEP 29047-105