Abstract
BackgroundSelf-reported health status of prisoners’ population and access to health services during incarceration have not been adequately explored in Greece. The purpose of this study was to assess female prisoners’ health status and access to healthcare in the Attica detention center “Korydallos”.MethodsA cross-sectional survey was carried out in 2014. A semi-structured questionnaire was developed, including questions on the prisoners’ socio-demographic characteristics, self-reported health status before and after incarceration, access to and quality of the provided health services. Inmates who were in solitary confinement, suffered from serious psychiatric problems, or were unable to understand the Greek language were excluded from the study. Data were collected via personal interviews and information received was anonymized. Descriptive statistics and bivariate analyses were used. The difference between self-reported general health status prior to and during detention was analyzed by Wilcoxon test, while the relationship between health status and access to healthcare was explored with coefficient Spearman's rho. Statistical significance was set at p ≤ 0.05 level and statistical analysis was performed using the software SPSS 19.ResultsOf the 135 prisoners, 101 participated in the study. 60.4 % mentioned a moderate or poor health status, while the respective percentage before detention was 32.7 %. Health status deterioration and poor mental health were reported by more than half of the respondents. Additionally, the vast majority expressed raised feelings such as sadness, anxiety or discomfort which affected negatively their everyday life while in prison. Regarding risk factors during imprisonment; tobacco consumption has increased by 16.6 % and 7.9 % of the sample admitted having used drugs. Moreover, the access to and the quality of provided health services in prison were described as poor/ very poor by 46.5 % and 49.5 %, respectively. A significant correlation between the access to and the quality of health care services and health status was observed.ConclusionHealthcare provision at the “Korydallos” prison is not satisfying since the access to as well as the quality of healthcare are not adequate. Imprisonment leads to deterioration of self-reported health status. Our findings should constitute a starting point for further research in order to introduce more effective interventions aiming at meeting prisoners’ health needs.
Highlights
Self-reported health status of prisoners’ population and access to health services during incarceration have not been adequately explored in Greece
Empirical data reveal that prisoners make use of health services in prisons 3 to 4 times more frequently than the general population, mainly due to the high levels of morbidity associated with the worsening of their physical and mental health status, as well as the everyday life while in prison [8, 9]
The aim of this study was to explore issues around the health status and access to health care services provided to female prisoners incarcerated in the “Korydallos” facility
Summary
Self-reported health status of prisoners’ population and access to health services during incarceration have not been adequately explored in Greece. Female prison population has increased by an average of 16 % worldwide in the years 2006–2012 [2]. It has been reported that inmates experience high levels of physical and mental health problems relating to the prison environment, which is characterized by isolation, communal life, violence, insecurity, threat and overcrowding [3]. Empirical data reveal that prisoners make use of health services in prisons 3 to 4 times more frequently than the general population, mainly due to the high levels of morbidity associated with the worsening of their physical and mental health status, as well as the everyday life while in prison [8, 9]
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