Table 2.
Frequencies of ICPC-2 coded health problems of 2195 medical files of detainees in a remand prison in Geneva, Switzerland, 2007
| Category (common examples) | Males | Females | All detainees | Prevalence data general population | |||
|---|---|---|---|---|---|---|---|
| N = 2087 | N = 108 | N = 2195 | |||||
| N | % (95% CI) | N | 42.6 (33.3-51.9) | N | % (95% CI) | % | |
| A. Symptoms without precise diagnosis | 880 | 42.2 (40.0-44.3) | 46 | 14.8 (8.1-21.5) | 926 | 42.2 (40.1-44.3) | |
| Insomnia, sleep disturbance | 310 | 14.9 (13.3-16.4) | 16 | 19.4 (12.0-26.9) | 326 | 14.9 (13.4-16.3) | 4.1-6.9 [26]* |
| Anxiety, nervousness, irritability, anger | 226 | 10.8 (9.5-12.2) | 21 | 6.5 (1.8-11.1) | 247 | 11.3 (9.9-12.6) | |
| Back pain | 154 | 7.4 (6.3-8.5) | 7 | 6.5 (1.8-11.1) | 161 | 7.3 (6.2-8.4) | 5.2-8.8 [26]* |
| Epigastralgia, dyspepsia, pyrosis | 96 | 4.6 (3.7-5.5) | 3 | 2.8 (0.0-5.9) | 99 | 4.5 (3.6-5.4) | 3.7-4.4 [26]* |
| Pain (not specified) | 89 | 4.3 (3.4-5.1) | 2 | 1.9 (0.0-4.4) | 91 | 4.1 (3.3-5.0) | |
| B. Infectious diseases | 485 | 23.2 (21.4-25.1) | 31 | 28.7 (20.2-37.2) | 516 | 23.5 (21.7-25.3) | |
| Upper airways infection | 155 | 7.4 (6.3-8.6) | 13 | 12.0 (5.9-18.2) | 168 | 7.7 (6.5-8.8) | |
| Mycosis (genital excepted) | 138 | 6.6 (5.6-7.8) | 2 | 1.8 (0.0-4.3) | 140 | 6.4 (4.0-5.8) | |
| Folliculitis, Furunculosis | 59 | 2.8 (2.1-3.5) | 1 | 0.9 (0.0-2.7) | 60 | 2.7 (2.1-3.4) | |
| Other prison relevant infections: | |||||||
| Pediculosis, scabies | 19 | 0.9 (0.5-1.3) | 0 | 19 | 0.9 (0.5-1.3) | ||
| Hepatitis B (chronic active) | 22 | 1.1 (0.6-1.5) | 0 | 7.4 (2.5-12.3) | 22 | 1.0 (0.6-1.4) | 0.2 [36] |
| Hepatitis C | 118 | 5.7 (4.7-6.6) | 8 | 7.4 (2.5-12.3) | 126 | 5.7 (4.8-6.7) | 0.7-1.0 [20] |
| HIV, AIDS | 19 | 0.9 (0.5-1.3) | 5 | 2.8 (0-5.9) | 22 | 1.0 (0.6-1.4) | 0.3 [36] |
| Tuberculosis (active) | 5 | 0.2 (0.0-0.4) | 3 | 5 | 0.2 (0.0-0.6) | 0.006 [19] | |
| C. General internal medicine | 319 | 29.7 (27.7-31.6) | 37 | 34.3 (25.3-43.2) | 656 | 29.9 (28.0-31.8) | |
| Xerosis with pruritus | 143 | 6.9 (5.8-7.9) | 2 | 1.9 (0.0-4.4) | 145 | 6.6 (5.6-7.6) | |
| Asthma | 67 | 3.2 (2.5-4.1) | 3 | 2.8 (0.0-5.9) | 70 | 3.2 (2.5-3.9) | 2.5 [25] |
| Acne | 51 | 2.4 (1.8-3.1) | 4 | 3.7 (0.1-7.3) | 55 | 2.5 (1.9-3.2) | |
| Eye disease (without conjunctivitis) | 54 | 2.6 (1.9-3.3) | 1 | 0.9 (0.0-2.7) | 55 | 2.5 (1.9-3.2) | |
| Hypertension (arterial) | 47 | 2.3 (1.6-2.9) | 6 | 5.6 (1.2-9.9) | 53 | 2.4 (1.8-3.1) | 2.5-7.6 [24]* |
| Allergy | 45 | 2.2 (1.5-2.8) | 5 | 4.6 (0.7-8.6) | 50 | 2.3 (1.7-2.9) | |
| Eczema | 47 | 2.3 (1.6-2.9) | 2 | 1.9 (0.0-4.4) | 49 | 2.2 (1.6-2.9) | |
| Dyslipidemia, hypercholesterolemia | 42 | 2.0 (1.4-2.6) | 3 | 2.8 (0.0-5.9) | 45 | 2.1 (1.5-2.6) | 1.1-6.3 [24]* |
| Hemorrhoids | 39 | 1.9 (1.3-2.4) | 1 | 0.9 (0.0-2.7) | 40 | 1.8 (1.3-2.4) | |
| Migraine, tension headache | 32 | 1.5 (1.0-2.1) | 5 | 4.6 (0.7-8.6) | 37 | 1.7 (1.1-2.2) | 7.7-9.3 [26] |
| D. Injuries | 392 | 18.8 (17.1-20.5) | 9 | 8.3 (3.1-13.5) | 401 | 18.3 (16.7-19.9) | 13.7-25.7 [24]* |
| Alleged victim of violence | 166 | 8.0 (6.8-9.1) | 7 | 6.5 (1.7-11.1) | 173 | 7.9 (6.8-9.0) | |
| Contusion (without skin lesion) | 141 | 6.8 (5.7-7.8) | 7 | 6.5 (1.8-11.1) | 148 | 6.7 (5.7-7.8) | |
| Contusion (with skin lesion) | 124 | 5.9 (4.9-7.0) | 3 | 2.8 (0.0-5.9) | 127 | 5.8 (4.8-6.8) | |
| Sprained ankle | 41 | 2.0 (1.4-2.6) | 1 | 0.9 (0.0-2.7) | 42 | 1.9 (1.3-2.5) | |
| Periarticular lesion | 33 | 1.6 (1.0-2.1) | 0 | 33 | 1.5 (1.0-2.0) | ||
| Self harm | 98 | 4.7 (3.8-5.6) | 2 | 1.9 (0.0-4.4) | 100 | 4.6 (3.7-5.4) | |
| During imprisonment | 50 | 2.4 (1.7-3.1) | 1 | 0.9 (0.0-2.7) | 51 | 2.3 (1.7-3.0) | |
| Previous | 57 | 2.7 (2.0-3.4) | 1 | 0.9 (0.0-2.7) | 58 | 2.6 (2.0-3.3) | |
*adults < 49 years