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Unravelling the experiences of incarcerated individuals living with HIV on ART: a qualitative study in Ghanaian prisons 了解被监禁的艾滋病毒感染者接受抗逆转录病毒疗法的经历:加纳监狱定性研究
Pub Date : 2024-01-19 DOI: 10.1108/ijoph-06-2023-0031
S. A. Abraham, O. Cudjoe, Y. Nartey, E. Agyare, Francis Annor, Benedict Osei Tawiah, Matilda Nyampong, K. Owusu, M. Abdulai, S. A. Addo, D. Obiri-Yeboah
PurposeThe Joint United Nations Programme on HIV/AIDS (UNAIDS) goal to end the acquired immunodeficiency syndrome (AIDS) epidemic as a public health threat by 2030 emphasises the importance of leaving no one behind. To determine progress towards the elimination goal in Ghana, an in-depth understanding of human immunodeficiency virus (HIV) care from the perspective of vulnerable populations such as persons living with HIV in incarceration is necessary. This study aims to explore the experiences of incarcerated individuals living with HIV (ILHIV) and on antiretroviral therapy (ART) in selected Ghanaian prisons to help inform policy.Design/methodology/approachThe study adopted a qualitative approach involving in-depth interviews with 16 purposively selected ILHIV on ART from purposively selected prisons. Interviews were conducted between October and December 2022. Thematic analysis was performed using the ATLAS.Ti software.FindingsThree themes were generated from the analysis: waking up to a positive HIV status; living with HIV a day at a time; and being my brother’s keeper: preventing HIV transmission. All participants underwent HIV screening at the various prisons. ILHIV also had access to ART although those on remand had challenges with refills. Stigma perpetuated by incarcerated individuals against those with HIV existed, and experiences of inadequate nutrition among incarcerated individuals on ART were reported. Opportunities to improve the experiences of the ILHIV are required to improve care and reduce morbidity and mortality.Originality/valueThrough first-hand experiences from ILHIV in prisons, this study provides the perception of incarcerated individuals on HIV care in prisons. The insights gained from this study can contribute to the development of targeted interventions and strategies to improve HIV care and support for incarcerated individuals.
目的 联合国艾滋病毒/艾滋病联合规划署(UNAIDS)到 2030 年消除获得性免疫缺陷综合症 (艾滋病)这一威胁公共健康的流行病的目标强调了不让一个人掉队的重要性。为了确定加纳在实现根除目标方面取得的进展,有必要从弱势人群(如被监禁的艾滋病毒感染者)的角度深入了解人类免疫缺陷病毒(HIV)护理工作。本研究旨在探讨加纳部分监狱中被监禁的艾滋病病毒感染者(ILHIV)和接受抗逆转录病毒疗法(ART)者的经历,以帮助制定相关政策。本研究采用定性研究方法,对从特定监狱中有目的选择的 16 名接受抗逆转录病毒疗法的 ILHIV 进行了深入访谈。访谈于 2022 年 10 月至 12 月间进行。结果分析产生了三个主题:醒来时发现艾滋病毒呈阳性;每天与艾滋病毒共存;做我兄弟的守护者:预防艾滋病毒传播。所有参与者都在不同的监狱接受了艾滋病毒筛查。ILHIV 也可以接受抗逆转录病毒疗法,但还押候审者在补药方面遇到困难。被监禁者对艾滋病毒感染者的污名化现象依然存在,有报告称,接受抗逆转录病毒疗法的被监禁者营养不足。本研究通过监狱中 ILHIV 的亲身经历,介绍了被监禁者对监狱中 HIV 护理的看法。从本研究中获得的见解有助于制定有针对性的干预措施和战略,以改善对被监禁者的艾滋病护理和支持。
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引用次数: 0
Cardiovascular risk assessment of people living in prison in the Northern region of Ghana 加纳北部地区监狱服刑人员的心血管风险评估
Pub Date : 2024-01-18 DOI: 10.1108/ijoph-09-2022-0054
Mohammed Hashim Abukari, C. Appiah, Alexander Kwarteng, Sherifa Iddrisu
PurposeThe health of people living in prisons (PLP) frequently remains marginalised in national development discourse, particularly in resource-constrained settings like Ghana. This study aims to determine the prevalence of cardiovascular disease (CVD) risk factors among PLP at a prison facility in the Northern Region of Ghana.Design/methodology/approachA cross-sectional study involving 134 male persons in prison, aged 18–79 years, was conducted to assess their dietary habits, tobacco use, alcohol consumption, sleep behaviour and physical activity practices. Serum lipid profile, fasting blood glucose (FBG), blood pressure (BP) and body mass indices of participants were also measured.FindingsAlmost half (48.1%) of the participants had abnormal lipid levels. Those with FBG in the diabetes range (= 7.0 mmol/l) constituted 3.9%, while 16.7% were in the impaired FBG range (6.1–6.9 mmol/l). Participants with BP within the pre-hypertension range were 54.5%. The majority of participants (92%) had a low daily intake of fruits and vegetables. Few participants were active smokers (5%) and alcohol users (2%). The average sleep duration at night among the participants was 5.54 ± 2.07 h. The majority (74%) of the participants were sedentary. About a quarter of the participants (24.6%) had overweight/obesity.Originality/valueThis study highlights the CVD risks among PLP. Findings suggest the need for targeted interventions, such as dietary and lifestyle modification strategies, regular physical activity and routine screening for diabetes, dyslipidaemia and hypertension. These interventions within the prison space could significantly improve the cardiovascular health of PLP in resource-limited settings.
目的 监狱囚犯(PLP)的健康在国家发展讨论中经常被边缘化,尤其是在加纳这样资源有限的环境中。本研究旨在确定加纳北部地区一所监狱设施中生活在监狱中的人的心血管疾病(CVD)风险因素的患病率。设计/方法/途径本研究对 134 名年龄在 18-79 岁之间的男性囚犯进行了横断面研究,以评估他们的饮食习惯、吸烟、饮酒、睡眠行为和体育锻炼情况。研究还测量了参与者的血清脂质概况、空腹血糖 (FBG)、血压 (BP) 和体重指数。FBG 在糖尿病范围内(= 7.0 mmol/l)的人占 3.9%,而 16.7% 的人 FBG 在受损范围内(6.1-6.9 mmol/l)。血压在高血压前期范围内的参与者占 54.5%。大多数参与者(92%)的水果和蔬菜日摄入量较低。积极吸烟者(5%)和饮酒者(2%)很少。大多数参与者(74%)久坐不动。约四分之一的参与者(24.6%)超重/肥胖。研究结果表明,有必要采取有针对性的干预措施,如饮食和生活方式调整策略、定期体育锻炼以及糖尿病、血脂异常和高血压的常规筛查。在资源有限的情况下,在监狱中采取这些干预措施可大大改善监狱囚犯的心血管健康。
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引用次数: 0
Factors associated with non-treatment for long-term illness among incarcerated individuals 被监禁者不治疗长期疾病的相关因素
Pub Date : 2024-01-17 DOI: 10.1108/ijoph-05-2023-0026
Wendy Nieto-Gutiérrez, A. Cvetkovic-Vega, María E. Cáceres-Távara, Christian Ponce-Torres
PurposeThe prison population is seldom studied and often overlooked in many countries despite their vulnerability to long-term illness. This study aims to explore the factors associated with the non-treatment for long-term illnesses among incarcerated individuals.Design/methodology/approachThis study is a cross-sectional analysis. The authors conducted a secondary data analysis using information collected in the Peruvian census of incarcerated individuals. The study population consisted of incarcerated individuals diagnosed with a long-term illness. To evaluate the factors associated with non-treatment, the authors used a Poisson regression model.FindingsThe authors included 12,512 incarcerated individuals (age: 40.9 ± 13.1 years), and 39% of them did not receive treatment for their long-term illness. The authors observed that non-treatment was statistically associated with gender, age, having children, use of the Spanish language, sexual identity, judicial situation, penitentiary location, discrimination inside the penitentiary and health insurance before incarceration. However, only having children (prevalence ratio [PR]: 1.11, confidence interval [CI]95% 1.03–1.19), using the Spanish language (PR: 1.15, CI95%: 1.01–1.31), being in a penitentiary not in Lima (PR: 1.11, CI95%: 1.06–1.17) and perceiving discrimination inside the penitentiary (PR: 1.12, CI95% 1.06–1.18) increased the prevalence of non-treatment.Originality/valueIdentifying the factors associated with non-treatment will allow us to implement measures for prioritizing groups and developing strategies for the evaluation, close follow-up of their health and management of comorbidities.
目的在许多国家,尽管监狱服刑人员容易患上长期疾病,但对他们的研究却很少,而且经常被忽视。本研究旨在探讨与被监禁者不接受长期疾病治疗有关的因素。作者利用秘鲁在押人员普查中收集的信息进行了二次数据分析。研究对象包括被诊断患有长期疾病的被监禁者。为了评估与不治疗相关的因素,作者使用了泊松回归模型。研究结果作者纳入了 12,512 名被监禁者(年龄:40.9 ± 13.1 岁),其中 39% 的人未接受长期疾病治疗。作者发现,未接受治疗与性别、年龄、有无子女、西班牙语使用情况、性别认同、司法状况、监狱地点、监狱内的歧视以及入狱前的医疗保险等因素存在统计学关联。然而,只有有孩子(流行率 [PR]:1.11,置信区间 [CI]95%:1.03-1.19)、使用西班牙语(PR:1.15,CI95%:1.01-1.31)、被关押在非利马的监狱(PR:1.11,CI95%:1.06-1.17)和认为监狱内存在歧视(PR:1.12,CI95%:1.06-1.18)才会增加流行率。原创性/价值确定与不治疗相关的因素将使我们能够采取措施,确定优先群体并制定评估战略,密切跟踪他们的健康状况并管理合并症。
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引用次数: 0
Accessing opioid agonist treatment in prison in England and Scotland remains problematic – the views of people with lived experience 英格兰和苏格兰监狱中的阿片类激动剂治疗仍存在问题--亲身经历者的观点
Pub Date : 2023-12-26 DOI: 10.1108/ijoph-05-2023-0025
Russell Webster, Colin Fearns, Paula Harriott, Lisa Millar, Jardine Simpson, Jason Wallace, Michael Wheatley
Purpose The purpose of this paper is to examine lived experiences of opioid agonist treatment (OAT) during and immediately following release from detention in prisons in England and Scotland. Design/methodology/approach Surveys were completed by serving prisoners in both countries and by those recently released from prison (England only). The survey findings were discussed in focus groups of people with lived experience. The combined findings from the surveys and focus groups were shared with an expert group of prison OAT providers and people with lived experience with the purpose of making recommendations for more accessible and effective OAT in custodial environments and continuity of OAT on release Findings The quality and accessibility of OAT varied considerably between establishments. It was reported to be harder to access OAT in Scottish prisons. It was often hard for people in prison to get the dosage of OAT they felt they needed and it was generally harder to access buprenorphine than methadone in English prisons. Only Scottish people in prison were aware of long-lasting forms of buprenorphine. People in English prisons had mixed experiences of the help available in prison, with no improvement recorded since a 2016 study. People in Scottish prisons were more likely to rate the help available as poor. Research limitations/implications The number of people accessed while actually in prison (73) was reduced by the impact of the pandemic, making it more difficult to access people in prison and because some were resistant to participating on the basis that they had already been consulted for a wide variety of research projects focused on the impact of COVID. The Scottish cohort (a total of 19 individuals comprising 14 survey respondents and five focus group members) is clearly too small a number on which to base robust claims about differences in OAT provision between the English and Scottish prison systems.. Practical implications The study identifies key barriers to accessing OAT in prisons and suggests key components of more user-friendly approaches. Social implications This study provides an overview of the recent lived experiences of people accessing OAT in prison and on release and offers valuable recommendations on how to make service provision more effective and consistent. Originality/value This study provides an overview of the recent lived experiences of people accessing OAT in prison and on release in England and Scotland and offers valuable recommendations on how to make service provision more effective and consistent.
目的 本文旨在研究英格兰和苏格兰监狱在押人员在押期间和刑满释放后接受阿片类受体激动剂治疗(OAT)的生活经历。 设计/方法/途径 这两个国家的现役囚犯和刚从监狱释放的囚犯(仅英格兰)都填写了调查问卷。有亲身经历者组成的焦点小组对调查结果进行了讨论。调查和焦点小组的综合结果与由监狱机构和有亲身经历者组成的专家组共享,目的是为在监禁环境中提供更方便、更有效的官方陪护以及在出狱后继续提供官方陪护提出建议 调查结果 官方陪护的质量和方便程度在不同机构之间存在很大差异。据报告,在苏格兰监狱中更难获得在线戒毒治疗。狱中服刑人员通常很难获得他们认为需要的 OAT 剂量,在英国监狱中,获得丁丙诺啡通常比美沙酮更难。只有苏格兰监狱的服刑人员了解长效丁丙诺啡。英国监狱中的服刑人员对监狱中提供的帮助体验不一,自 2016 年的一项研究以来,情况没有任何改善。苏格兰监狱中的服刑人员更倾向于将可提供的帮助评为 "差"。 研究局限性/影响 由于大流行病的影响,实际在监狱中接触到的人数(73 人)有所减少,这使得接触到监狱中的人变得更加困难,而且有些人因为已经接受过以 COVID 影响为重点的各种研究项目的咨询而拒绝参与。苏格兰队列(共 19 人,包括 14 名调查对象和 5 名焦点小组成员)的人数显然太少,无法据此对英格兰和苏格兰监狱系统在提供 OAT 方面的差异做出有力的论断。 实际意义 本研究确定了监狱中获取 OAT 的主要障碍,并提出了更方便用户的方法的主要组成部分。 社会意义 本研究概述了在狱中和出狱后获得 OAT 的人员的近期生活经历,并就如何更有效、更一致地提供服务提出了宝贵建议。 原创性/价值 本研究概述了英格兰和苏格兰监狱中和出狱后接受 OAT 治疗者的近期生活经历,并就如何更有效、更一致地提供服务提出了宝贵建议。
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引用次数: 0
How effective are digital/e-health interventions for supporting prisoners with mental ill-health? An integrative review 数字/电子健康干预对支持患有精神疾病的囚犯有多大效果?综合审查
Pub Date : 2023-12-21 DOI: 10.1108/ijoph-09-2022-0056
A. Bright, Agnes Higgins, A. Grealish
Purpose There has been a move towards the implementation of digital/e-health interventions for some time. Digital/e-health interventions have demonstrable efficacy in increasing individual empowerment, providing timely access to psychological interventions for those experiencing mental ill-health and improving outcomes for those using them. This study aims to determine the efficacy of digital/e-health interventions for individuals detained in prison who experience mental ill-health. Design/methodology/approach A systematic search of five academic databases – CINAHL, ASSIA, PsycINFO, Embase and Medline – was completed in December 2020 and updated in February 2022. The review was guided by the Whittemore and Knafl (2005) framework for integrative reviews. A total of 6,255 studies were returned and screened by title and abstract. A full-text screening of nine (n = 9) studies was conducted. Findings No study met the inclusion criteria for the clinical efficacy of digital/e-health interventions in a prison setting. Subsequently, a review of the literature that made it to the full-text review stage was conducted, and gaps in the literature were identified to inform policy, practice and future research. Originality/value To the best of the authors’ knowledge, this is the first integrative review conducted on the efficacy of digital/e-health interventions for mental ill-health in prison settings.
目的 实施数字/电子健康干预措施已有一段时间。数字/电子健康干预措施在增强个人能力、为精神疾病患者及时提供心理干预以及改善使用效果方面具有明显的功效。本研究旨在确定数字/电子健康干预措施对被拘留在监狱中的精神疾病患者的疗效。 设计/方法/途径 2020 年 12 月完成了对五个学术数据库(CINAHL、ASSIA、PsycINFO、Embase 和 Medline)的系统检索,并于 2022 年 2 月进行了更新。综述以 Whittemore 和 Knafl(2005 年)的综合综述框架为指导。共检索到 6,255 项研究,并通过标题和摘要进行了筛选。对 9 项(n = 9)研究进行了全文筛选。 结果 没有研究符合监狱环境中数字/电子健康干预的临床疗效的纳入标准。随后,我们对进入全文审查阶段的文献进行了审查,并确定了文献中的不足之处,以便为政策、实践和未来研究提供参考。 独创性/价值 据作者所知,这是首次对数字/电子健康干预措施在监狱环境中对精神疾病的疗效进行综合评述。
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引用次数: 0
Suicide, suicide attempts and self-harm in Moroccan prisons 摩洛哥监狱中的自杀、自杀未遂和自残现象
Pub Date : 2023-12-20 DOI: 10.1108/ijoph-12-2022-0078
Maha Aon, A. K. G. Levinsen, Taoufiq Abtal, Mouna Regragui, Che Henry Ngwa, D. Leth-Sørensen, Mohamed Bouharras, Majda Azzouzi, Adil Benjelloun, Nisrine Riffai, Marie Brasholt
Purpose High rates of suicide and self-harm are reported in prisons in Western countries, while fewer studies exist from a non-Western context. This study aims to identify rates of suicide, non-fatal suicide attempts and self-harm in Moroccan prisons and to better understand the context, methods, tools, predictors and profile of persons engaged in the acts. Design/methodology/approach The authors report findings from a mixed-methods study carried out before an intervention project. The study consists of a systematic literature review, an analysis of suicide case files, a quantitative survey on suicide attempts and self-harm, as well as interviews and focus group discussions. The authors calculate suicide, suicide attempt and self-harm rates and present descriptive data on the incidents. The authors use regression models to explore the association between the number of incidents per individual and selected predictors, adjusting for clustering by institution. Findings Over a four-year period, 29 detained persons in Morocco died by suicide (average annual suicide rate 8.7 per 100,000). Most were men under the age of 30. Hanging accounted for all but one case. In one year, 230 suicide attempts were reported. Over a three-months period, 110 self-harm cases were reported from 18 institutions, cutting being the most common method. Self-harm was significantly more prevalent among persons with a life sentence or repeated incarcerations. Research limitations/implications To make the study manageable as part of an intervention project, the authors collected data on suicides and suicide attempts from all prisons, while data on self-harm were collected from fewer prisons and over a shorter time period. The authors did not collect comparable information from detained persons who did not die by suicide, attempt suicide or self-harm. This prevented comparative analyses. Further, it is possible that self-harm cases were not reported if they did not result in serious physical injury. Data were collected by prison staff; thus, the voice of incarcerated persons is absent. Practical implications This study provided a solid basis for designing an intervention project including the development of a national prison policy and guidelines on suicides, suicide attempts and self-harm and a country-wide training program for prison staff. It also led to a better surveillance system, allowing for trend analysis and better-informed policymaking. The qualitative results helped create an understanding of how staff may trivialize self-harm. This was integrated into the training package for staff, resulting in the creation of prison staff trainers who became the strongest advocates against the notion that self-harm was best ignored. Originality/value To the best of the authors’ knowledge, this is the first published data on suicide and self-harm in Moroccan prisons. It underscores the necessity for the intervention project and gives valuable insights into suicide and self
目的 据报道,西方国家监狱中的自杀率和自残率很高,而对非西方国家监狱的研究较少。本研究旨在确定摩洛哥监狱中的自杀率、非致命性自杀未遂率和自残率,并更好地了解从事这些行为的背景、方法、工具、预测因素和人员概况。 设计/方法/途径 作者报告了在干预项目之前开展的一项混合方法研究的结果。该研究包括系统的文献综述、自杀案例档案分析、自杀未遂和自残定量调查以及访谈和焦点小组讨论。作者计算了自杀率、自杀未遂率和自残率,并提供了有关事件的描述性数据。作者使用回归模型探讨了每个人的自杀事件数量与选定的预测因素之间的关联,并根据机构的分组情况进行了调整。 研究结果 在四年时间里,摩洛哥共有 29 名被拘留者自杀身亡(年平均自杀率为 8.7/100,000)。大多数是 30 岁以下的男性。除一例外,其余均为上吊自杀。据报告,一年内有 230 人自杀未遂。在三个月的时间里,18 家机构共报告了 110 起自残案例,其中最常见的方法是割伤。在被判无期徒刑或多次入狱的人员中,自残现象明显更为普遍。 研究局限性/影响 为了使这项研究能够作为干预项目的一部分进行管理,作者从所有监狱收集了自杀和自杀未遂的数据,而从较少的监狱和较短的时间内收集了自我伤害的数据。作者没有收集未自杀、自杀未遂或自残死亡的被拘留者的可比信息。因此无法进行比较分析。此外,自残案件如果没有造成严重的身体伤害,也有可能没有上报。数据由监狱工作人员收集,因此缺乏被监禁者的声音。 实际意义 这项研究为设计干预项目提供了坚实的基础,包括制定有关自杀、自杀未遂和自我伤害的国家监狱政策和指导方针,以及针对监狱工作人员的全国性培训计划。它还促成了一个更好的监控系统,使趋势分析和知情决策成为可能。定性结果有助于了解工作人员如何轻视自我伤害。这一点被纳入了对工作人员的培训教材,从而使监狱工作人员培训师成为反对 "最好忽视自我伤害 "这一观念的最有力的倡导者。 原创性/价值 据作者所知,这是第一份关于摩洛哥监狱中自杀和自残情况的公开数据。它强调了干预项目的必要性,并对非西方监狱中的自杀和自残现象提出了宝贵的见解。需要开展进一步研究,以评估研究结果在该地区是否具有代表性。
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引用次数: 0
Prison food and the carceral experience: a systematic review 监狱伙食与监禁经历:系统回顾
Pub Date : 2023-12-15 DOI: 10.1108/ijoph-08-2023-0045
Claire Johnson, Samuel Gagnon, Pierre Goguen, Caroline P. LeBlanc
Purpose This study aims to focus on studies that qualitatively explore prison food experience. The goal is to elaborate a framework to better understand how prison food shapes the worldwide carceral experience. Design/methodology/approach This systematic literature review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. It consists of four phases: identifying the studies, screening the studies, evaluating the eligibility of screened studies and inclusion of studies. After the four phases, ten studies (nine qualitative studies and one with mixed methods) were included in the review. Findings There is a consensus among the researchers in the reviewed literature that prison food shapes the carceral experience. More specifically, four themes that encompass the experience of people with prison food emerged from the reviewed literature: food appreciation (taste of the prison food and perceived nutritional value), food logistics (preparation, distribution and consumption), food variety (institutional menu and commissary store) and food relationships (symbol of caring or power or punishment). Originality/value The literature reviewed demonstrated that when incarcerated individuals have a negative view of prison food, the carceral experience is negatively impacted. This systematic review identified four dimensions that encompass the food experience within the prison environment, providing a framework for navigating this subject.
目的 本研究旨在关注对监狱食物体验进行定性探索的研究。目的是制定一个框架,以更好地了解监狱食品如何影响全世界的囚禁体验。 设计/方法/途径 本系统性文献综述以《系统性综述和元分析首选报告项目》(PRISMA)声明为基础。它包括四个阶段:确定研究、筛选研究、评估筛选研究的资格和纳入研究。经过这四个阶段后,10 项研究(9 项定性研究和 1 项混合方法研究)被纳入综述。 研究结果 在所查阅的文献中,研究人员一致认为监狱食物影响着囚犯的监禁体验。更具体地说,综述文献中出现了四个主题,涵盖了人们对监狱食物的体验:食物鉴赏(监狱食物的味道和感知到的营养价值)、食物物流(准备、分配和消费)、食物种类(机构菜单和小卖部)以及食物关系(关怀、权力或惩罚的象征)。 原创性/价值 经审查的文献表明,如果被监禁者对监狱食物有负面看法,其监禁经历就会受到负面影响。这篇系统性综述确定了四个维度,涵盖了监狱环境中的饮食体验,为探讨这一主题提供了一个框架。
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引用次数: 0
Healthy prison cultures: factors influencing male prisoners’ engagement in exercise and subsequent healthy behaviours 健康的监狱文化:影响男性囚犯参与锻炼及随后健康行为的因素
Pub Date : 2023-12-15 DOI: 10.1108/ijoph-01-2023-0003
Hannah Hammond, Rosie Meek, Emily Glorney
Purpose The purpose of this paper is to identify the factors which influence male prisoners’ motivation for, and engagement in, exercise and subsequent healthy behaviours. Design/methodology/approach The first authors conducted 20 semi-structured interviews with male prisoners inside an English medium-security male prison. Interviews were recorded and transcribed, themes were identified using thematic analysis and a critical realist perspective applied to understand objective processes behind prisoners’ experiences and shared meanings of exercise and engaging in healthy behaviours in prison. Findings Emerging themes indicate that in the context of healthy behaviours male prisoners aspired to a masculine ideal that was characterised by a culture of either adaptive behaviours, or maladaptive behaviours. The former fostered an adaptive exercise culture which promoted psychological well-being through an autonomy-supportive environment, consequently internalising motivation and minimising perceived barriers to engaging in healthy behaviours. Conversely, a culture of maladaptive behaviours fostered a maladaptive exercise culture which led to negative psychological well-being, underpinned by external forms of motivation which emphasised barriers to engaging in healthy behaviours. Practical implications Findings emphasise the need for prisons to promote an internal perceived locus of control for male prisoners when engaging in healthy behaviours. Originality/value The authors adopt a rare interdisciplinary approach combining a psychological theory of motivation and criminological perspectives of prison culture to understand how best to minimise the impact of prisons as an institution on the psychological well-being of male prisoners.
目的 本文旨在确定影响男性囚犯运动动机、参与运动及随后健康行为的因素。 设计/方法/途径 第一作者对英国一所中等戒备男性监狱中的男性囚犯进行了 20 次半结构化访谈。对访谈进行了记录和转录,采用主题分析法确定了主题,并采用批判现实主义的视角来理解囚犯在监狱中锻炼和参与健康行为的经历和共同意义背后的客观过程。 研究结果 新出现的主题表明,在健康行为方面,男性囚犯渴望实现一种男性理想,这种理想的特点是一种适应性行为或适应性不良行为的文化。前者培养了一种适应性锻炼文化,通过自主支持的环境促进心理健康,从而内化动机并最大限度地减少参与健康行为的障碍。相反,不适应行为文化培养了一种不适应运动文化,导致消极的心理健康,其基础是强调参与健康行为障碍的外部激励形式。 实际意义 研究结果强调,监狱有必要促进男性囚犯在参与健康行为时的内部控制感知。 原创性/价值 作者采用了一种罕见的跨学科方法,将心理学的动机理论与犯罪学的监狱文化视角相结合,以了解如何最大限度地减少监狱作为一种机构对男性囚犯心理健康的影响。
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引用次数: 0
Cardiovascular disease in Sub-Saharan African prisons: a scoping review 撒哈拉以南非洲监狱中的心血管疾病:范围界定审查
Pub Date : 2023-12-15 DOI: 10.1108/ijoph-11-2022-0072
Amos Gavi, E. Plugge, M. Van Hout
Purpose The dual epidemic of non-communicable diseases (NCDs) and human immuno-deficiency virus (HIV) in Sub-Saharan Africa has increased substantially in recent years, with cardiovascular disease representing a significant contributor to the regional burden of disease. Very little is known about the cardiovascular health of people deprived of their liberty in the region. The purpose of this study was to collate extant literature on the topic. Design/methodology/approach A scoping review mapped and described what is known about cardiovascular disease in prison populations in Sub-Saharan Africa. A systematic search of empirical literature with no date limitation was conducted in English. Sixteen studies representing six Sub-Saharan African countries (Cameroon, Nigeria, Guinea, Burkina Faso, Ghana and Ethiopia) were charted, categorised and thematically analysed. Findings Seven key themes were identified: custodial deaths and autopsy; cardiorespiratory fitness and exercise; cardiovascular disease and elderly people in prison; cardiovascular disease and women in prison; dietary deficiencies; influence of sleep patterns on cardiovascular disease; and other associated risk factors. Most natural deaths at autopsy of custodial deaths were due to cardiovascular disease. Cardiorespiratory fitness was low in prisons, and poor sleep patterns and dietary deficiencies are likely contributors to the burden of cardiovascular disease in prisons. The needs of elderly and female prison populations are ill-considered. Originality/value To the best of the authors’ knowledge, this is the first known attempt to scope extant literature on cardiovascular disease in Sub-Saharan African prisons. A strategic focus on the cardiovascular health of people in prison is warranted. Routine monitoring and expansion of existing prison health-care services and integration of NCD services with infectious disease (HIV and tuberculosis) programmes in prisons are required.
目的 近年来,撒哈拉以南非洲地区非传染性疾病(NCDs)和人体免疫缺陷病毒(HIV)的双重流行大幅增加,其中心血管疾病是造成该地区疾病负担的重要因素。人们对该地区被剥夺自由者的心血管健康状况知之甚少。本研究旨在整理有关这一主题的现有文献。 设计/方法/途径 对撒哈拉以南非洲地区的监狱服刑人员的心血管疾病情况进行了一次范围界定审查。以英语对无日期限制的实证文献进行了系统检索。对代表六个撒哈拉以南非洲国家(喀麦隆、尼日利亚、几内亚、布基纳法索、加纳和埃塞俄比亚)的 16 项研究进行了制图、分类和主题分析。 研究结果 确定了七个关键主题:在押死亡和尸检;心肺功能和运动;心血管疾病和狱中老人;心血管疾病和狱中妇女;饮食不足;睡眠模式对心血管疾病的影响;以及其他相关风险因素。经尸检,大部分在押人员自然死亡的原因是心血管疾病。监狱中的心肺功能低下,不良的睡眠模式和饮食不足很可能是造成监狱中心血管疾病负担的原因。老年人和女性囚犯的需求未得到充分考虑。 原创性/价值 据作者所知,这是首次尝试对撒哈拉以南非洲地区监狱中心血管疾病的现有文献进行梳理。有必要从战略高度关注狱中人员的心血管健康。需要对现有的监狱保健服务进行常规监测和扩展,并将非传染性疾病服务与监狱中的传染病(艾滋病和肺结核)计划相结合。
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引用次数: 0
“We don’t even know where it’s kept”: exploring perspectives on naloxone administration by provincial correctional workers in Manitoba, Canada "我们甚至不知道它放在哪里":探讨加拿大马尼托巴省管教人员对纳洛酮管理的看法
Pub Date : 2023-12-15 DOI: 10.1108/ijoph-01-2023-0008
Rosemary Ricciardelli, Matthew S. Johnston, Katharina Maier
Purpose Prisonersare at disproportionate risk of suffering substance-related harms. The administration of naloxone is essential to reversing opioid overdose and minimizing substance-related harms in prison and the community. The purpose of this study is to examine how naloxone administration is practiced and perceived in prison settings. Design/methodology/approach The authors conducted surveys with correctional workers in Manitoba, Canada (n = 257) to examine how they understand and feel about the need for and practice of administering naloxone in their everyday work with criminalized populations. Findings Respondents reported feeling a great need to administer naloxone, but most did not feel adequately trained to administer naloxone, creating the perception that criminalized populations remain at enhanced risk. Originality/value Findings provide emerging evidence of the need for training and accompanying policies and procedures for correctional workers on how to access and administer naloxone.
目的 囚犯遭受药物相关伤害的风险过高。施用纳洛酮对于逆转阿片类药物过量以及最大限度地减少监狱和社区中与药物相关的伤害至关重要。本研究的目的是探讨在监狱环境中如何实施纳洛酮管理,以及人们是如何看待纳洛酮管理的。 设计/方法/途径 作者对加拿大马尼托巴省的管教人员(n = 257)进行了调查,以了解他们在日常工作中如何理解和感受对犯罪人群施用纳洛酮的需求和做法。 研究结果 受访者报告称,他们认为非常有必要施用纳洛酮,但大多数人认为没有接受过施用纳洛酮的充分培训,从而认为犯罪人群面临的风险仍然较高。 原创性/价值 研究结果提供了新的证据,证明有必要就如何获取和施用纳洛酮对管教人员进行培训并制定相应的政策和程序。
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引用次数: 0
期刊
International Journal of Prison Health
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