Table 2.
Comparison between prevalence rates of psychiatric and substance use disorders among recently admitted prisoners (MHPP) and the general population (MHGP) in the Nord and Pas-de-Calais departments of France.
MHPP (n = 622) | MHGP (n = 1,866) | Comparison | |||||
---|---|---|---|---|---|---|---|
Prevalence (%) | CI 95% | Prevalence (%) | CI 95% | Odds Ratio | CI 95% | p-value | |
Any affective disorder | 31.2 | 27.5–34.8 | 14.6 | 13.0–16.2 | 2.7 | 2.1–3.3 | <0.001 |
Major depression | 27.2 | 23.7–30.7 | 11.3 | 9.9–12.7 | 2.9 | 2.3–3.7 | <0.001 |
Recurrent major depression | 15.8 | 12.9–18.6 | 5.1 | 4.1–6.1 | 3.4 | 2.6–4.6 | <0.001 |
Dysthymia | 3.2 | 1.8–4.6 | 2.1 | 1.4–2.7 | 1.6 | 0.9–2.7 | 0.113 |
Past or current manic episode | 7.1 | 5.1–9.1 | 2.7 | 2.0–3.5 | 2.7 | 1.8–4.1 | <0.001 |
Any anxiety disorder | 44.4 | 40.5–48.3 | 21.2 | 19.4–23.1 | 3.0 | 2.4–3.6 | <0.001 |
Agoraphobia | 6.4 | 4.5–8.4 | 1.9 | 1.3–2.6 | 3.5 | 2.2–5.5 | <0.001 |
Panic disorder | 13.0 | 10.4–15.7 | 3.6 | 2.8–4.5 | 4.0 | 2.8–5.5 | <0.001 |
Panic disorder with agoraphobia | 1.1 | 0.3–2.0 | 0.4 | 0.1–0.7 | 3.0 | 1.1–8.7 | 0.039 |
Social anxiety disorder | 6.4 | 4.5–8.4 | 3.6 | 2.8–4.5 | 1.8 | 1.2–2.7 | 0.004 |
Generalized anxiety disorder | 25.2 | 21.8–28.7 | 12.9 | 11.4–14.4 | 2.3 | 1.8–2.9 | <0.001 |
Post-traumatic stress disorder | 5.0 | 3.3–6.7 | 0.9 | 0.4–1.3 | 6.1 | 3.3–11.2 | <0.001 |
Any substance use disorders | 53.5 | 49.6–57.5 | 12.9 | 11.4–14.4 | 7.8 | 6.3–9.6 | <0.001 |
Alcohol abuse | 11.7 | 9.2–14.3 | 2.6 | 1.9–3.4 | 4.9 | 3.4–7.2 | <0.001 |
Alcohol dependence | 23.5 | 20.1–26.8 | 5.5 | 4.5–6.6 | 5.3 | 4.0–6.9 | <0.001 |
Drug (excluding nicotine) abuse | 4.5 | 2.9–6.1 | 0.2 | 0.0–0.4 | 27.7 | 14.1–111.2 | <0.001 |
Drug (excluding nicotine) dependence | 26.7 | 23.2–30.2 | 6.7 | 5.6–7.8 | 6.1 | 4.8–7.8 | <0.001 |
Heroin a | 9.2 | 1.9-16.4 | 0.2 | 0.0–1.3 | 46.9 | 16.9–129.9 | <0.001 |
Cocaine/crack a | 9.3 | 2.9-15.7 | 1.1 | 0.0–3.4 | 9.1 | 5.4–15.0 | <0.001 |
Marijuana a | 45.2 | 40.4-50.0 | 6.9 | 4.4–9.4 | 11.2 | 8.8–14.2 | <0.001 |
Amphetamines a | 1.1 | 0.0-6.4 | 0.4 | 0.0–3.6 | 2.6 | 0.9–7.3 | 0.061 |
Psychotropic drugs a | 1.3 | 0.0–7.2 | 0.3 | 0.0–3.2 | 4.0 | 1.4–11.7 | <0.001 |
Opioid substitution therapy a | 2.6 | 0–9.6 | 0.2 | 0.0–2.2 | 12.3 | 4.1–36.9 | <0.001 |
Any psychotic disorder | 6.9 | 4.9–8.9 | 2.3 | 1.6–3.0 | 3.1 | 2.0–4.9 | <0.001 |
Current isolated psychotic syndrome | 0.5 | 0.0–1.0 | 0.2 | 0.0–0.4 | 2.3 | 0.5–10.2 | 0.283 |
Past isolated psychotic syndrome | 1.6 | 0.6–2.6 | 0.4 | 0.1–0.7 | 3.8 | 1.5–9.7 | 0.005 |
Current recurrent psychotic syndrome | 2.7 | 1.5–4.0 | 1.1 | 0.6–1.6 | 2.5 | 1.3–4.7 | 0.006 |
Past recurrent psychotic syndrome | 2.1 | 1.0–3.2 | 0.5 | 0.2–0.9 | 4.0 | 1.7–9.2 | 0.001 |
Suicide risk | 31.4 | 27.7–35.0 | 12.5 | 11.0–14.0 | 2.9 | 2.3–3.5 | <0.001 |
Low | 15.8 | 12.9–18.6 | 8.4 | 7.1–9.6 | 2.1 | 1.6–2.7 | <0.001 |
Moderate | 3.4 | 2.0–4.8 | 2.5 | 1.8–3.2 | 1.4 | 0.8–2.3 | 0.257 |
High | 12.2 | 9.6–14.8 | 1.7 | 1.1–2.2 | 8.2 | 5.4–12.6 | <0.001 |
A ratio of one case (MHPP) to three controls (MHGP) matching on age and sex was used.
Abbreviations: MHGP, Mental Health in the General Population survey; MHPP, Mental Health in the Prison Population survey.
Use, abuse, or dependence.