Gaisl Thomas, Musli Naser, Baumgartner Patrick, Meier Marc, Rampini Silvana K, Blozik Eva, Battegay Edouard, Kohler Malcolm, Saxena Shekhar
Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, United States.
Department of Internal Medicine, University Hospital Zurich, Zurich, Switzerland.
JMIR Res Protoc. 2020 Dec 8;9(12):e23973. doi: 10.2196/23973.
The health aspects, disease frequencies, and specific health interests of prisoners and refugees are poorly understood. Importantly, access to the health care system is limited for this vulnerable population. There has been no systematic investigation to understand the health issues of inmates in Switzerland. Furthermore, little is known on how recent migration flows in Europe may have affected the health conditions of inmates.
The Swiss Prison Study (SWIPS) is a large-scale observational study with the aim of establishing a public health registry in northern-central Switzerland. The primary objective is to establish a central database to assess disease prevalence (ie, International Classification of Diseases-10 codes [German modification]) among prisoners. The secondary objectives include the following: (1) to compare the 2015 versus 2020 disease prevalence among inmates against a representative sample from the local resident population, (2) to assess longitudinal changes in disease prevalence from 2015 to 2020 by using cross-sectional medical records from all inmates at the Police Prison Zurich, Switzerland, and (3) to identify unrecognized health problems to prepare successful public health strategies.
Demographic and health-related data such as age, sex, country of origin, duration of imprisonment, medication (including the drug name, brand, dosage, and release), and medical history (including the International Classification of Diseases-10 codes [German modification] for all diagnoses and external results that are part of the medical history in the prison) have been deposited in a central register over a span of 5 years (January 2015 to August 2020). The final cohort is expected to comprise approximately 50,000 to 60,000 prisoners from the Police Prison Zurich, Switzerland.
This study was approved on August 5, 2019 by the ethical committee of the Canton of Zurich with the registration code KEK-ZH No. 2019-01055 and funded in August 2020 by the "Walter and Gertrud Siegenthaler" foundation and the "Theodor and Ida Herzog-Egli" foundation. This study is registered with the International Standard Randomized Controlled Trial Number registry. Data collection started in August 2019 and results are expected to be published in 2021. Findings will be disseminated through scientific papers as well as presentations and public events.
This study will construct a valuable database of information regarding the health of inmates and refugees in Swiss prisons and will act as groundwork for future interventions in this vulnerable population.
ISRCTN registry ISRCTN11714665; http://www.isrctn.com/ISRCTN11714665.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/23973.
人们对囚犯和难民的健康状况、疾病发生率以及特定健康问题了解甚少。重要的是，这一弱势群体获得医疗保健系统的机会有限。瑞士尚未对囚犯的健康问题进行系统调查。此外，对于欧洲近期的移民潮如何影响囚犯的健康状况，人们也知之甚少。
瑞士监狱研究（SWIPS）是一项大规模观察性研究，旨在在瑞士中北部建立一个公共卫生登记册。主要目标是建立一个中央数据库，以评估囚犯中的疾病患病率（即国际疾病分类第10版编码[德语修订版]）。次要目标包括：（1）将2015年与2020年囚犯中的疾病患病率与当地居民代表性样本进行比较；（2）利用瑞士苏黎世警察监狱所有囚犯的横断面医疗记录，评估2015年至2020年疾病患病率的纵向变化；（3）识别未被认识到的健康问题，以制定成功的公共卫生策略。
人口统计学和健康相关数据，如年龄、性别、原籍国、监禁时长、用药情况（包括药物名称、品牌、剂量和剂型）以及病史（包括监狱病史中所有诊断和外部检查结果的国际疾病分类第10版编码[德语修订版]），已在5年时间跨度（2015年1月至2020年8月）内存入中央登记册。最终队列预计将包括来自瑞士苏黎世警察监狱的约50000至60000名囚犯。
本研究于2019年8月5日获得苏黎世州伦理委员会批准，注册号为KEK-ZH No. 2019-01055，并于2020年8月由“沃尔特和格特鲁德·西根塔勒”基金会以及“西奥多和艾达·赫尔佐格-埃格利”基金会资助。本研究已在国际标准随机对照试验编号注册库注册。数据收集于2019年8月开始，预计结果将于2021年发表。研究结果将通过科学论文以及演讲和公共活动进行传播。
本研究将构建一个关于瑞士监狱囚犯和难民健康状况的宝贵信息数据库，并将作为对这一弱势群体未来干预措施的基础。
ISRCTN注册库ISRCTN11714665；http://www.isrctn.com/ISRCTN11714665。
国际注册报告识别号（IRRID）：DERR1-10.
