监狱成年囚犯的精神病症状及其与物质使用障碍的关联：埃塞俄比亚西南部基于机构的横断面研究。

Psychotic symptoms and its association with substance use disorders among adult prisoners in correctional institution: a facility based cross-sectional study in Southwest Ethiopia.

机构信息

Department of Psychiatry, Faculty of Medicine, Institute of Health, Jimma University, Jimma, Ethiopia.

Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Afr Health Sci. 2022 Mar;22(1):242-251. doi: 10.4314/ahs.v22i1.31.

DOI:10.4314/ahs.v22i1.31

PMID:36032484

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9382518/

Abstract

INTRODUCTION

The prevalence of psychotic symptoms among prisoners is increasing rapidly throughout the world. It imposes considerable personal and public health burden. In recent years psychotic symptoms among prisoners has been widely emphasized and the current study aimed to assess psychotic symptoms and its association with substance use disorders among adult prisoners in correctional institution in Southwest Ethiopia.

METHOD

Facility based cross-sectional study design was conducted in Jimma Correctional Institution among 336 prisoners selected by systematic random sampling method in June 2017. Data was collected by face to face interview using structured questionnaire. Data was analyzed using SPSS version 21.0. Multivariable logistic regression was computed to identify independent associated factors.

RESULTS

The prevalence of psychotic symptoms among prisoners was found to be 43%. Poor social support (AOR: 4.12, 95%CI: 1.39-12.66), alcohol use disorder (AOR: 4.03, 95%CI: 1.58-10.27), stressful life events (AOR: 2.19, 95%CI: 1.14-4.21), and common mental disorders (AOR: 5.53, 95%CI: 2.56-11.91) were independently associated with single psychotic symptom.

CONCLUSION

This study showed high prevalence of psychotic symptoms. Psychotic symptoms were significantly associated with poor social support, alcohol use disorder, stressful life events and common mental disorders. It is essential to have screening mechanism and management practice for psychotic symptoms.

摘要

简介

世界各地囚犯的精神病症状患病率迅速上升。这给个人和公共卫生带来了相当大的负担。近年来，囚犯的精神病症状受到了广泛关注，本研究旨在评估埃塞俄比亚西南部惩教机构成年囚犯的精神病症状及其与物质使用障碍的关系。

方法

2017 年 6 月，采用基于机构的横断面研究设计，在 Jimma 惩教机构中对 336 名囚犯进行了研究，采用系统随机抽样方法选择了这些囚犯。通过面对面访谈使用结构化问卷收集数据。使用 SPSS 版本 21.0 进行数据分析。采用多变量逻辑回归分析确定独立相关因素。

结果

发现囚犯中精神病症状的患病率为 43%。社会支持差（AOR：4.12，95%CI：1.39-12.66）、酒精使用障碍（AOR：4.03，95%CI：1.58-10.27）、生活压力事件（AOR：2.19，95%CI：1.14-4.21）和常见精神障碍（AOR：5.53，95%CI：2.56-11.91）与单一精神病症状独立相关。