Antisocial personality disorder and determinants among prisoners in South Gondar zone correctional institutions, Northwest Ethiopia: An institution-based cross-sectional study

Abstract

Background

Antisocial personality disorder (ASPD) is a common mental health condition with major public health consequences, affecting 0.2–3.3 % of the general population. ASPD has become increasingly common in correctional settings. Therefore, this study aimed to assess antisocial personality disorder and its determinants among prisoners in South Gondar zone correctional centers, which has a vital role in early intervention.

Methods

An institution-based cross-sectional study was conducted using the simple random sampling technique to recruit a total of 552 participants. Antisocial personality disorder was assessed by the Diagnostic and Statistical Manual of Mental Disorders 5th text revision (DSM-5) using an interviewer-administered questionnaire. We used binary and multivariate analyses to identify factors associated with ASPD. Statistical significance was declared at a 95 % confidence interval (CI) of p-value ˂0.05.

Results

A total of 552 participants took part with a response rate of 97.87 %. The prevalence of antisocial personality disorder among prisoners was found to be 27.5 %, with a 95 % CI (23.96, 31.42). The study revealed that male sex (AOR = 5.25, 95 % CI: 1.60, 17.31), being unemployed (AOR = 4.38, 95 % CI: 1.27, 15.08), family history of mental illness (AOR = 2.23, 95 % CI: 1.30, 3.81), and repeated incarceration (AOR = 2.04, 95 % CI: 1.28, 3.23) were factors significantly associated with antisocial personality disorder.

Conclusions

This study showed a higher prevalence of antisocial personality disorder among prisoners. Male sex, unemployment, family history of mental illness, and history of incarceration were significantly associated with antisocial personality disorder. Therefore, the findings of this study recommend that incarcerated people require more attention and early intervention for antisocial personality disorder in correctional centers.