The prevalence of non-communicable disease in older people in prison: a systematic review and meta-analysis
The prevalence of non-communicable disease in older people in prison: a systematic review and meta-analysis
Background: people in prison often experience poor health. Those aged 50 and over are the fastest growing age-group in prison and present particular challenges to criminal justice systems around the world. Non-communicable diseases (NCDs) account for two-thirds of deaths globally and no estimate of the prevalence of NCDs in this vulnerable population exists.
Methods: we searched PubMed, Medline, CINAHL, EMBASE and Global Health databases to identify original research papers that met our pre-defined inclusion criteria. No date or language restrictions were applied. Two authors undertook full-text screening as well as quality assessment and data extraction for all included studies. A random effects model was used to calculate pooled prevalence of any disease that was reported in two or more articles.
Results: the initial search identified 2,712 articles. 119 underwent full-text screening with 26 meeting the inclusion criteria. This provided prevalence data on 28 NCDs in 93,862 individuals from prisons in 11 countries. Pooled prevalence for the most significant NCDs was a follows; cancer 8% (95% CI 6-10%), cardiovascular disease 38% (95% CI 33-42%), hypertension 39% (95% CI 32-47%), diabetes 14% (95% CI 12-16%), COPD prevalence estimates ranged from 4% to 18%. Heterogeneity across studies was high.
Conclusions: those in prison over 50 years of age experience a high burden of NCDs which is often higher than younger prison and age-matched community peers. This health inequality is influenced by lifestyle, environmental and societal factors. Prison services should be adapted to serve the needs of this growing population.
Aged, Humans, Noncommunicable Diseases/epidemiology, Prevalence, Prisoners/statistics & numerical data, Prisons/statistics & numerical data
204-212
Munday, David
4fb59459-74b1-42ee-ab79-5da0875e385e
Leaman, Jane
bc5a2f86-62a8-4efc-99db-8b03b4742f05
O'Moore, Éamonn
fd830271-5d8b-4848-a555-e760ca534a5e
Plugge, Emma
b64d2086-6cf2-4fae-98bf-6aafa3115b35
1 March 2019
Munday, David
4fb59459-74b1-42ee-ab79-5da0875e385e
Leaman, Jane
bc5a2f86-62a8-4efc-99db-8b03b4742f05
O'Moore, Éamonn
fd830271-5d8b-4848-a555-e760ca534a5e
Plugge, Emma
b64d2086-6cf2-4fae-98bf-6aafa3115b35
Munday, David, Leaman, Jane, O'Moore, Éamonn and Plugge, Emma
(2019)
The prevalence of non-communicable disease in older people in prison: a systematic review and meta-analysis.
Age and Ageing, 48 (2), .
(doi:10.1093/ageing/afy186).
Abstract
Background: people in prison often experience poor health. Those aged 50 and over are the fastest growing age-group in prison and present particular challenges to criminal justice systems around the world. Non-communicable diseases (NCDs) account for two-thirds of deaths globally and no estimate of the prevalence of NCDs in this vulnerable population exists.
Methods: we searched PubMed, Medline, CINAHL, EMBASE and Global Health databases to identify original research papers that met our pre-defined inclusion criteria. No date or language restrictions were applied. Two authors undertook full-text screening as well as quality assessment and data extraction for all included studies. A random effects model was used to calculate pooled prevalence of any disease that was reported in two or more articles.
Results: the initial search identified 2,712 articles. 119 underwent full-text screening with 26 meeting the inclusion criteria. This provided prevalence data on 28 NCDs in 93,862 individuals from prisons in 11 countries. Pooled prevalence for the most significant NCDs was a follows; cancer 8% (95% CI 6-10%), cardiovascular disease 38% (95% CI 33-42%), hypertension 39% (95% CI 32-47%), diabetes 14% (95% CI 12-16%), COPD prevalence estimates ranged from 4% to 18%. Heterogeneity across studies was high.
Conclusions: those in prison over 50 years of age experience a high burden of NCDs which is often higher than younger prison and age-matched community peers. This health inequality is influenced by lifestyle, environmental and societal factors. Prison services should be adapted to serve the needs of this growing population.
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Published date: 1 March 2019
Keywords:
Aged, Humans, Noncommunicable Diseases/epidemiology, Prevalence, Prisoners/statistics & numerical data, Prisons/statistics & numerical data
Identifiers
Local EPrints ID: 485232
URI: http://eprints.soton.ac.uk/id/eprint/485232
ISSN: 0002-0729
PURE UUID: 8ddca2c7-be87-4b31-a998-20d8031416ef
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Date deposited: 01 Dec 2023 17:45
Last modified: 18 Mar 2024 03:57
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Contributors
Author:
David Munday
Author:
Jane Leaman
Author:
Éamonn O'Moore
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