Mohan Andrea R M, Thomson Patricia, Haw Sally, Leslie Stephen J, McKay Janet
School of Health Sciences, University of Dundee, Dundee, UK.
Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.
Int J Prison Health. 2022 Nov 24;18(4):335-349. doi: 10.1108/IJPH-05-2021-0037. Epub 2021 Oct 21.
Prisoners have an increased risk of cardiovascular disease (CVD) compared to the general population. Knowledge and risk perception of CVD can influence engagement in preventative behaviours that lower an individual's CVD risk. This paper aims to explore prisoners' knowledge of CVD, and prisoners and staff's perceptions of prisoners' CVD risk.
DESIGN/METHODOLOGY/APPROACH: This was a qualitative study in which semi-structured interviews were conducted with 16 prisoners and 11 prison and National Health Services staff in a Scottish prison. Data were analysed thematically using the framework method.
Most prisoners had limited knowledge of CVD as they could not describe it or could only identify one or two risk factors or cardiovascular events. Both prisoners and staff viewed prisoners' CVD risk as either pertaining to one individual, or pertaining to the general prisoner population. Unhealthy behaviours that were believed to increase CVD risk were linked to three perceived consequences of imprisonment: mental health problems, boredom and powerlessness.
ORIGINALITY/VALUE: To the best of the authors' knowledge, this is the first study to explore the CVD knowledge of prisoners, and perceptions of CVD risk from the perspectives of prisoners and prison staff. Findings from this study indicate that CVD education needs to be a priority for prisoners, addressing knowledge of CVD, its risk and risk perceptions. Additionally, the findings indicate that individual and socio-environmental factors linked to prisoners' CVD risk need to be targeted to reduce this risk. Future research should focus on socio-environmental interventions that can lead to reducing the CVD risk of prisoners.
与普通人群相比，囚犯患心血管疾病（CVD）的风险更高。对CVD的了解和风险认知会影响个体参与降低CVD风险的预防行为。本文旨在探讨囚犯对CVD的了解，以及囚犯和工作人员对囚犯CVD风险的认知。
设计/方法/途径：这是一项定性研究，对苏格兰一所监狱的16名囚犯以及11名监狱和国民保健服务机构的工作人员进行了半结构化访谈。采用框架法对数据进行主题分析。
大多数囚犯对CVD的了解有限，因为他们无法描述CVD，或者只能识别一两个风险因素或心血管事件。囚犯和工作人员都认为囚犯的CVD风险要么与某一个人有关，要么与囚犯总体有关。被认为会增加CVD风险的不健康行为与监禁的三个感知后果有关：心理健康问题、无聊和无力感。
原创性/价值：据作者所知，这是第一项从囚犯以及监狱工作人员的角度探讨囚犯对CVD的了解以及对CVD风险认知的研究。本研究结果表明，CVD教育需要成为囚犯的优先事项，包括讲解CVD知识、其风险及风险认知。此外，研究结果表明，需要针对与囚犯CVD风险相关的个体和社会环境因素来降低这种风险。未来的研究应侧重于能降低囚犯CVD风险的社会环境干预措施。
