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Research

Prison primary care and non-communicable diseases: a data-linkage survey of prevalence and associated risk factors

Nat MJ Wright, Philippa Hearty and Victoria Allgar
BJGP Open 2019; 3 (2): bjgpopen19X101643. DOI: https://doi.org/10.3399/bjgpopen19X101643
Nat MJ Wright
1 Clinical Research Director, Spectrum Community Health CIC, Wakefield, UK
MBChB, PhD, FRCGP
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  • For correspondence: nat.wright{at}spectrum-cic.nhs.uk
Philippa Hearty
2 Research Assistant, Spectrum Community Health CIC, Wakefield, UK
BSc (Hons), MA, PhD
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Victoria Allgar
3 Reader in Medical Statistics, Hull York Medical School / Department of Health Sciences, University of York, York, UK
BSc (Hons), PhD, CStat CSci
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Article Figures & Data

Tables

    • View popup
    Table 1. Prevelance of NCDs
    Self-report
    n (%; 95% CI)
    n = 199
    Clinical record
    n (%, 95% CI)
    n = 197
    Kappa
    (P value)
    Hypertension20 (10; 6 to 14)9 (5; 2 to 8)0.62 (<0.001)
    Heart disease4 (2; 0 to 4)2 (1; 0 to 2)0.80 (<0.001)
    Stroke3 (2; 0 to 3)2 (1; 0 to 2)0.50 (<0.001)
    Cancer3 (2; 0 to 3)1 (1; 0 to 2)0.50 (<0.001)
    Respiratory disease34 (17; 12 to 22)45 (21; 17 to 29)0.74 (<0.001)
    Diabetes3 (2; 0 to 3)4 (2; 0 to 4)0.86 (<0.001)
    Anxiety and depression68 (34; 28 to 41)61 (31; 25 to 37)0.61 (<0.001)
    • CI = confidence interval. NCD = non-communicable disease.

    • View popup
    Table 2. Activity levels for type of exercise over the last month (hours)
    Type of activityMean (SD)Median (IQR)
    Badminton and/or tennis27.6 (12.4)0 (0–0)
    Basketball and/or volleyball3.3 (25.7)0 (0–0)
    Circuit training122.6 (349.3)0 (0–0)
    Moderate walking553.1 (962.2)100 (0–720)
    Running and/or jogging74.6 (340.5)0 (0–0)
    Football and/or hockey15.1 (63.2)0 (0–0)
    Vigorous walking34.4 (336.0)0 (0–0)
    Weight training308.2 (500.2)0 (0–0)
    Other physical activity177.2 (1038.2)0 (0–0)
    Total mean per week329.0 (417.2)210 (60–435)
    • IQR = interquartile range. SD = standard deviation.

    • View popup
    Table 3. Dietary intake
    n (%)
    Salt consumptionDaily82 (41)
    Weekly117 (59)
    Monthly0 (0)
    Rarely0 (0)
    FruitDaily159 (80)
    Weekly23 (12)
    Monthly2 (1)
    Rarely15 (7)
    Salad or vegetablesDaily89 (45)
    Weekly72 (36)
    Monthly7 (4)
    Rarely31 (15)
    • View popup
    Table 4. Associations between demographics variables and prevalence of NCD
    Any NCDAny physical NCDRespiratory diseaseHypertensionAnxiety and depression
    OR95% CIP valueOR95% CIP valueOR95% CIP valueOR95% CIP valueOR95% CIP value
    LowerUpperLowerUpperLowerUpperLowerUpperLowerUpper
    Age1.020.991.060.1891.101.051.15<0.001 0.950.910.990.034 1.211.111.32<0.001 0.950.910.990.034
    BMI1.010.941.100.7381.060.971.160.2281.070.981.160.1490.990.831.190.9301.070.981.160.149
    Ethnic group0.851   0.9740.9970.9670.997
    White11   111
    Black0.520.122.52 1.520.317.58 0.710.095.67 0.380.025.86 0.710.095.67 
    Asian0.970.352.70 0.930.253.50 0.900.302.76 0.000.00 0.900.302.76 
    Mixed0.520.122.26 1.160.316.84 0.880.184.32 1.560.0830.35 0.880.184.32 
    Other0.000.00 0.000.000.00 0.000.00 0.000.00 0.000.00 
    Housing status0.481   0.0730.0640.3210.064
    Temporary11   111
    Rough sleeper0.190.012.80 0.200.022.13 0.040.000.79 0.900.0419.21 0.040.010.79 
    Home owner or tenant0.270.032.84 0.140.020.94 0.070.011.04 0.150.011.94 0.070.011.04 
    Family or friends0.190.021.98 0.400.062.81 0.040.000.54 0.140.012.06 0.040.010.54 
    Employed (No)1.210.582.510.6101.130.472.760.7841.300.572.970.5380.950.175.430.9541.300.572.970.538
    Smoking status before prison (Yes)1.510.613.760.3771.450.474.450.5212.430.777.650.1292.520.2525.140.4302.430.777.6540.129
    Drug dependence (self-report) (Yes)2.741.166.490.022 2.701.017.160.047 4.161.6710.380.002 0.280.041.910.1944.161.6710.3810.002
    Alcohol dependence (self-report) (Yes)3.901.3211.510.014 1.670.584.760.3444.631.6013.420.005 1.700.2611.070.5784.631.6013.420.005
    Physical activity 0.212   0.0400.048 0.4550.048
    None11   111
    <150 minutes0.390.131.20 0.210.050.91 0.300.091.04 0.740.0511.44 0.300.091.04 
    ≥150 minutes0.470.181.20 1.050.372.94 0.270.090.77 2.630.3420.39 0.270.090.77 
    Fruit 0.121   0.1170.0490.4670.049
    Daily11   111
    Weekly1.510.514.45 0.400.091.85 2.850.899.09 0.000.00 2.850.899.09 
    Monthly1.100.0431.17 20.400.49854.59 1.690.0387.74 158.970.3280293.06 1.690.0387.74 
    Rarely0.190.040.86 0.290.051.82 0.120.010.94 0.000.00 0.120.010.94 
    Salad or vegetables 0.260   0.3960.7930.5910.793
    Daily11   111
    Weekly1.440.653.18 1.390.553.51 1.070.442.60 2.510.5212.25 1.070.442.60 
    Monthly0.530.073.94 0.630.0313.66 0.360.043.19 3.980.02706.59 0.360.043.19 
    Rarely2.580.877.67 2.740.809.43 0.860.262.82 0.570.0220.89 0.860.262.82 
    Salt consumption 0.869   0.3430.5790.8220.579
    Daily11   111
    Weekly1.060.542.080.8691.470.673.23 0.810.391.700.5791.180.284.930.8220.810.391.700.579
    • BMI = body mass index. BP = blood pressure. CI = confidence interval. NCD = non-communicable disease.

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Prison primary care and non-communicable diseases: a data-linkage survey of prevalence and associated risk factors
Nat MJ Wright, Philippa Hearty, Victoria Allgar
BJGP Open 2019; 3 (2): bjgpopen19X101643. DOI: 10.3399/bjgpopen19X101643

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Prison primary care and non-communicable diseases: a data-linkage survey of prevalence and associated risk factors
Nat MJ Wright, Philippa Hearty, Victoria Allgar
BJGP Open 2019; 3 (2): bjgpopen19X101643. DOI: 10.3399/bjgpopen19X101643
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Keywords

  • prevalence
  • Chronic conditions
  • prisoners
  • general practice
  • primary care

More in this TOC Section

  • General practice organisation in France: ecological analysis of mortality and life expectancy
  • General practitioners’ perspectives on suicide prevention in primary care: a qualitative study
  • Feasibility and potential effectiveness of a primary care consultation tool: a pilot controlled trial
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