Prevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil.

<h4>Objective</h4>To determine the prevalence of psychiatric disorders in the prison population in the State of São Paulo, Brazil.<h4>Methods</h4>Through stratified random sampling, 1.192 men and 617 women prisoners were evaluated for the presence of psychiatric disorders by...

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Autores principales: Sergio Baxter Andreoli, Maíra Mendes Dos Santos, Maria Ines Quintana, Wagner Silva Ribeiro, Sergio Luiz Blay, Jose Geraldo Vernet Taborda, Jair de Jesus Mari
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:3353bfdb3d6946dd8b482417d5bc7f212021-11-18T08:32:25ZPrevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil.1932-620310.1371/journal.pone.0088836https://doaj.org/article/3353bfdb3d6946dd8b482417d5bc7f212014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24551174/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>To determine the prevalence of psychiatric disorders in the prison population in the State of São Paulo, Brazil.<h4>Methods</h4>Through stratified random sampling, 1.192 men and 617 women prisoners were evaluated for the presence of psychiatric disorders by the Composite International Diagnostic Interview, 2.1 version, according to definitions and criteria of International Classification of Diseases (ICD-10). The prevalence estimates of mental disorders and their respective 95% confidence intervals were calculated and adjusted for sample design through complex sample analysis.<h4>Results</h4>Lifetime and 12-month prevalence rates differed between genders. Lifetime and 12-month prevalence of any mental disorder was, respectively, 68.9% and 39.2% among women, and 56.1% and 22.1% among men. Lifetime and 12-month prevalence of anxious-phobic disorders was, respectively, 50% and 27.7% among women and 35.3% and 13.6% among men, of affective disorders was 40% and 21% among women and 20.8% and 9.9% among men, and of drug-related disorders was 25.2% and 1.6% among women and 26.5% and 1.3% among men. For severe mental disorders (psychotic, bipolar disorders, and severe depression), the lifetime and 12-month prevalence rates were, respectively, 25.8% and 14.7% among women, and 12.3% and 6.3% among men.<h4>Conclusions</h4>This is the first large-scale epidemiological study performed with the prison population in Brazil, revealed high rates of psychiatric disorders among men and women. Many similarities, as well as some differences, were found between our results and those of studies conducted in other countries. The differences observed are more likely due to the peculiarities of the prison systems in each country than to the diagnostic criteria adopted in the studies. This fact reinforces the importance of conducting such studies as part of planning and development of appropriate policies for the particular mental health needs of specific prison populations.Sergio Baxter AndreoliMaíra Mendes Dos SantosMaria Ines QuintanaWagner Silva RibeiroSergio Luiz BlayJose Geraldo Vernet TabordaJair de Jesus MariPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 2, p e88836 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Sergio Baxter Andreoli
Maíra Mendes Dos Santos
Maria Ines Quintana
Wagner Silva Ribeiro
Sergio Luiz Blay
Jose Geraldo Vernet Taborda
Jair de Jesus Mari
Prevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil.
description <h4>Objective</h4>To determine the prevalence of psychiatric disorders in the prison population in the State of São Paulo, Brazil.<h4>Methods</h4>Through stratified random sampling, 1.192 men and 617 women prisoners were evaluated for the presence of psychiatric disorders by the Composite International Diagnostic Interview, 2.1 version, according to definitions and criteria of International Classification of Diseases (ICD-10). The prevalence estimates of mental disorders and their respective 95% confidence intervals were calculated and adjusted for sample design through complex sample analysis.<h4>Results</h4>Lifetime and 12-month prevalence rates differed between genders. Lifetime and 12-month prevalence of any mental disorder was, respectively, 68.9% and 39.2% among women, and 56.1% and 22.1% among men. Lifetime and 12-month prevalence of anxious-phobic disorders was, respectively, 50% and 27.7% among women and 35.3% and 13.6% among men, of affective disorders was 40% and 21% among women and 20.8% and 9.9% among men, and of drug-related disorders was 25.2% and 1.6% among women and 26.5% and 1.3% among men. For severe mental disorders (psychotic, bipolar disorders, and severe depression), the lifetime and 12-month prevalence rates were, respectively, 25.8% and 14.7% among women, and 12.3% and 6.3% among men.<h4>Conclusions</h4>This is the first large-scale epidemiological study performed with the prison population in Brazil, revealed high rates of psychiatric disorders among men and women. Many similarities, as well as some differences, were found between our results and those of studies conducted in other countries. The differences observed are more likely due to the peculiarities of the prison systems in each country than to the diagnostic criteria adopted in the studies. This fact reinforces the importance of conducting such studies as part of planning and development of appropriate policies for the particular mental health needs of specific prison populations.
format article
author Sergio Baxter Andreoli
Maíra Mendes Dos Santos
Maria Ines Quintana
Wagner Silva Ribeiro
Sergio Luiz Blay
Jose Geraldo Vernet Taborda
Jair de Jesus Mari
author_facet Sergio Baxter Andreoli
Maíra Mendes Dos Santos
Maria Ines Quintana
Wagner Silva Ribeiro
Sergio Luiz Blay
Jose Geraldo Vernet Taborda
Jair de Jesus Mari
author_sort Sergio Baxter Andreoli
title Prevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil.
title_short Prevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil.
title_full Prevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil.
title_fullStr Prevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil.
title_full_unstemmed Prevalence of mental disorders among prisoners in the state of Sao Paulo, Brazil.
title_sort prevalence of mental disorders among prisoners in the state of sao paulo, brazil.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/3353bfdb3d6946dd8b482417d5bc7f21
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