Gavigan Geneviève, McEvoy Alana, Walker James
Division of Dermatology (Gavigan, McEvoy, Walker), Department of Medicine, University of Ottawa; Division of Dermatology (Gavigan, McEvoy, Walker), Department of Medicine, Ottawa Hospital Research Institute, Ottawa, Ont.
CMAJ Open. 2016 Jun 15;4(2):E326-30. doi: 10.9778/cmajo.20150135. eCollection 2016 Apr-Jun.
Dermatology in vulnerable populations is under-researched. Our objective was to analyze the most commonly referred skin diseases affecting the Correctional Service Canada inmates in Ontario.
An observational, cross-sectional, retrospective chart review of inmate patients seen from 2008 until 2013 was performed. Two groups of patients were included in the analysis: those assessed in-person, and those evaluated by e-consult.
In the in-person patient group, the 3 most common diagnoses were acne, psoriasis and other superficial mycoses. For the e-consult group, the 3 most frequent diagnoses were acne, psoriasis and rosacea. There was a clear bias toward more inmates being seen in-person where the service was provided (Collins Bay Institution) than from other correctional institutions in Eastern Ontario.
Most of the skin diseases that affected the incarcerated population studied were common afflictions, similar to those affecting the general population, which is in agreement with other studies. Future studies investigating skin diseases in male and female inmates across Canada would bestow more generalizable data.
弱势群体中的皮肤病学研究不足。我们的目的是分析影响安大略省加拿大惩教服务机构囚犯的最常见转诊皮肤病。
对2008年至2013年期间就诊的囚犯患者进行了一项观察性、横断面、回顾性病历审查。分析包括两组患者：亲自评估的患者和通过电子咨询评估的患者。
在亲自就诊的患者组中，3种最常见的诊断是痤疮、银屑病和其他浅表真菌病。对于电子咨询组，3种最常见的诊断是痤疮、银屑病和玫瑰痤疮。与安大略省东部的其他惩教机构相比，在提供服务的地方（柯林斯湾教养所）亲自就诊的囚犯明显更多，存在明显偏差。
研究中影响被监禁人群的大多数皮肤病都是常见疾病，与影响普通人群的疾病相似，这与其他研究一致。未来对加拿大男女囚犯皮肤病的研究将提供更具普遍性的数据。
