0152/2022 - Prevalência de doenças crônicas não transmissíveis no sistema prisional: um desafio para a saúde pública Prevalence of chronic non-communicable diseases in the prison system: a challenge for public health
Para estimar a prevalência de fatores de risco e doenças crônicas não transmissíveis em pessoas privadas de liberdade foi realizado um estudo descritivo, transversal e quantitativo, com aplicação de questionário, realização de atendimento clínico e exames laboratoriais. Foram sorteados 202 participantes de uma penitenciária masculina, em 2019. A análise dos dados verificou associações por meio do Teste Exato de Fisher e Teste Qui-quadrado. O perfil sociodemográfico predominante dos participantes consistiu em solteiros, negros, maiores de 30 anos, de baixa escolaridade e alta reincidência penitenciária. A maioria era sedentária, tabagista, com alto consumo de álcool e drogas antes do encarceramento. Encontrou-se prevalência de 24,8% de hipertensão arterial, 54,5% de dislipidemia, 49,9% de excesso de peso, 16,8% de síndrome metabólica e 2,5% de diabetes. A dificuldade de acesso aos serviços de saúde associada às longas penas e ao ambiente insalubre propiciam o desenvolvimento e agravamento de doenças crônicas e seus fatores de risco, representando um desafio para a organização da atenção à saúde prisional. Esse cenário reitera a necessidade de aplicação de recursos e esforços para a efetivação do cuidado integral, longitudinal e equânime às pessoas privadas de liberdade.
Palavras-chave:
prisões; doenças não transmissíveis; perfil de saúde; vulnerabilidade em saúde.
Abstract:
In order to estimate the prevalence of risk factors and non-communicable chronic diseases in people deprived of their liberty, a descriptive, cross-sectional, and quantitative study was carried out, with the application of a questionnaire, clinical care, and laboratory tests. In 2019, 202 participantsa male penitentiary were randomly ed. Data analysis verified associations using Fisher\'s Exact Test and Chi-square Test. The predominant sociodemographic profile of the participants consisted of single, black, over 30 years old, with low education and high prison recidivism. Most were sedentary, smokers, with high consumption of alcohol and drugs before incarceration. Prevalences of 24.8% of arterial hypertension, 54.5% of dyslipidemia, 49.9% of excess weight, 16.8% of metabolic syndrome, and 2.5% of diabetes were found. The difficulty in accessing health services associated with long sentences and the unhealthy environment favors the development and worsening of chronic diseases and their risk factors, representing a challenge for the organization of prison health care. This scenario reiterates the need to apply resources and efforts to implement comprehensive, longitudinal, and equitable care for people deprived of their liberty.
Keywords:
Noncommunicable Diseases; Health Profile; Health Vulnerability
Prevalence of chronic non-communicable diseases in the prison system: a challenge for public health
Resumo (abstract):
In order to estimate the prevalence of risk factors and non-communicable chronic diseases in people deprived of their liberty, a descriptive, cross-sectional, and quantitative study was carried out, with the application of a questionnaire, clinical care, and laboratory tests. In 2019, 202 participantsa male penitentiary were randomly ed. Data analysis verified associations using Fisher\'s Exact Test and Chi-square Test. The predominant sociodemographic profile of the participants consisted of single, black, over 30 years old, with low education and high prison recidivism. Most were sedentary, smokers, with high consumption of alcohol and drugs before incarceration. Prevalences of 24.8% of arterial hypertension, 54.5% of dyslipidemia, 49.9% of excess weight, 16.8% of metabolic syndrome, and 2.5% of diabetes were found. The difficulty in accessing health services associated with long sentences and the unhealthy environment favors the development and worsening of chronic diseases and their risk factors, representing a challenge for the organization of prison health care. This scenario reiterates the need to apply resources and efforts to implement comprehensive, longitudinal, and equitable care for people deprived of their liberty.
Palavras-chave (keywords):
Noncommunicable Diseases; Health Profile; Health Vulnerability
Serra, R.M., Ribeiro, L.C., Ferreira, J.B.B., Santos, L.L.. Prevalência de doenças crônicas não transmissíveis no sistema prisional: um desafio para a saúde pública. Cien Saude Colet [periódico na internet] (2022/Jun). [Citado em 10/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevalencia-de-doencas-cronicas-nao-transmissiveis-no-sistema-prisional-um-desafio-para-a-saude-publica/18408?id=18408&id=18408
