Disparities in the Prevalence of Urinary Diseases Among Prisoners in Taiwan: Population-Based Cross-Sectional Study
Abstract BackgroundPrisoner health is a major global concern, with prisoners often facing limited access to health care and enduring chronic diseases, infectious diseases, and poor mental health due to unsafe prison environments, unhygienic living conditions, and inadequate me...
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JMIR Publications
2024-12-01
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| Series: | JMIR Public Health and Surveillance |
| Online Access: | https://publichealth.jmir.org/2024/1/e60136 |
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| author | Yen-Chun Wang Zhu Liduzi Jiesisibieke Yu-Pei Yang Bing-Long Wang Ming-Chon Hsiung Tao-Hsin Tung |
| author_facet | Yen-Chun Wang Zhu Liduzi Jiesisibieke Yu-Pei Yang Bing-Long Wang Ming-Chon Hsiung Tao-Hsin Tung |
| author_sort | Yen-Chun Wang |
| collection | DOAJ |
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Abstract
BackgroundPrisoner health is a major global concern, with prisoners often facing limited access to health care and enduring chronic diseases, infectious diseases, and poor mental health due to unsafe prison environments, unhygienic living conditions, and inadequate medical resources. In Taiwan, prison health is increasingly an issue, particularly concerning urinary diseases such as urinary tract infections. Limited access to health care and unsanitary conditions exacerbate these problems. Urinary disease epidemiology varies by sex and age, yet studies in Asia are scarce, and comprehensive data on urinary diseases in Taiwanese prisons remain limited.
ObjectiveThis study aimed to investigate the prevalence of urinary diseases among Taiwanese prisoners and explore the differences in disease prevalence between men and women, as well as across different age groups.
MethodsThis study used data on prisoners from the National Health Insurance Research Database covering the period from January 1 to December 31, 2013. Prisoners covered by National Health Insurance who were diagnosed with urinary diseases, identified by ICD-9-CMInternational Classification of Diseases, Ninth Revision, Clinical Modification
ResultsWe examined 83,048 prisoners, including 2998 with urinary diseases. The overall prevalence of urinary system diseases among prisoners was 3.61% (n=2998; n=574, 6.64% in men and n=2424, 3.26% in women). The prevalence rate in men was significantly lower than that in women (prevalence ratio: 0.46, PPICD-9-CMP
ConclusionsUrinary system infections and inflammation are common in prisons. Our findings advocate for policy reforms aimed at improving health care accessibility in prisons, with a particular focus on the needs of high-risk groups such as women and older prisoners. Further research linking claims data with prisoner information is crucial to providing more comprehensive medical services and achieving health equity. |
| format | Article |
| id | doaj-art-d3d2e4fde746471aa91ab46f500e43f2 |
| institution | Kabale University |
| issn | 2369-2960 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Public Health and Surveillance |
| spelling | doaj-art-d3d2e4fde746471aa91ab46f500e43f22025-01-02T06:20:49ZengJMIR PublicationsJMIR Public Health and Surveillance2369-29602024-12-0110e60136e6013610.2196/60136Disparities in the Prevalence of Urinary Diseases Among Prisoners in Taiwan: Population-Based Cross-Sectional StudyYen-Chun Wanghttp://orcid.org/0000-0003-2291-0331Zhu Liduzi Jiesisibiekehttp://orcid.org/0000-0002-4986-653XYu-Pei Yanghttp://orcid.org/0000-0002-8452-8616Bing-Long Wanghttp://orcid.org/0000-0001-9910-9804Ming-Chon Hsiunghttp://orcid.org/0000-0002-4061-8492Tao-Hsin Tunghttp://orcid.org/0000-0003-2097-8375 Abstract BackgroundPrisoner health is a major global concern, with prisoners often facing limited access to health care and enduring chronic diseases, infectious diseases, and poor mental health due to unsafe prison environments, unhygienic living conditions, and inadequate medical resources. In Taiwan, prison health is increasingly an issue, particularly concerning urinary diseases such as urinary tract infections. Limited access to health care and unsanitary conditions exacerbate these problems. Urinary disease epidemiology varies by sex and age, yet studies in Asia are scarce, and comprehensive data on urinary diseases in Taiwanese prisons remain limited. ObjectiveThis study aimed to investigate the prevalence of urinary diseases among Taiwanese prisoners and explore the differences in disease prevalence between men and women, as well as across different age groups. MethodsThis study used data on prisoners from the National Health Insurance Research Database covering the period from January 1 to December 31, 2013. Prisoners covered by National Health Insurance who were diagnosed with urinary diseases, identified by ICD-9-CMInternational Classification of Diseases, Ninth Revision, Clinical Modification ResultsWe examined 83,048 prisoners, including 2998 with urinary diseases. The overall prevalence of urinary system diseases among prisoners was 3.61% (n=2998; n=574, 6.64% in men and n=2424, 3.26% in women). The prevalence rate in men was significantly lower than that in women (prevalence ratio: 0.46, PPICD-9-CMP ConclusionsUrinary system infections and inflammation are common in prisons. Our findings advocate for policy reforms aimed at improving health care accessibility in prisons, with a particular focus on the needs of high-risk groups such as women and older prisoners. Further research linking claims data with prisoner information is crucial to providing more comprehensive medical services and achieving health equity.https://publichealth.jmir.org/2024/1/e60136 |
| spellingShingle | Yen-Chun Wang Zhu Liduzi Jiesisibieke Yu-Pei Yang Bing-Long Wang Ming-Chon Hsiung Tao-Hsin Tung Disparities in the Prevalence of Urinary Diseases Among Prisoners in Taiwan: Population-Based Cross-Sectional Study JMIR Public Health and Surveillance |
| title | Disparities in the Prevalence of Urinary Diseases Among Prisoners in Taiwan: Population-Based Cross-Sectional Study |
| title_full | Disparities in the Prevalence of Urinary Diseases Among Prisoners in Taiwan: Population-Based Cross-Sectional Study |
| title_fullStr | Disparities in the Prevalence of Urinary Diseases Among Prisoners in Taiwan: Population-Based Cross-Sectional Study |
| title_full_unstemmed | Disparities in the Prevalence of Urinary Diseases Among Prisoners in Taiwan: Population-Based Cross-Sectional Study |
| title_short | Disparities in the Prevalence of Urinary Diseases Among Prisoners in Taiwan: Population-Based Cross-Sectional Study |
| title_sort | disparities in the prevalence of urinary diseases among prisoners in taiwan population based cross sectional study |
| url | https://publichealth.jmir.org/2024/1/e60136 |
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