Tuberculosis and prison overcrowding from the perspective of social inequities in health in Colombia, 2018
Abstract
Introduction: Prison population is affected by tuberculosis (TB) due to prison overcrowding. This situation reflects an inequity in health, understood as an unfair and avoidable difference between individuals and populations.
Objective: To estimate the conditions of prison overcrowding as health inequity in prison population suffering from TB in Colombia during 2018.
Materials and methods: This is an ecological study to estimate inequities at the national level in prison population through the use of the World Health Organization methodology for the measurement of inequalities. Based on data from the public health surveillance system, the incidence of TB was taken as an indicator and the percentage of overcrowding as an equity stratifier. Simple and complex measures of inequality were calculated.
Results: The relative inequality between the lowest and highest quintiles of crowding showed that TB incidence among prison population with the highest crowding was 1.92 times that of the group with the lowest crowding. The inequality index identified an excess of 724 TB cases per 100,000 among those with the highest concentration of overcrowding. The health concentration index was -0.121, which shows that the incidence was concentrated in the group with the most overpopulation.
Conclusion: In Colombia, prison population in overcrowded conditions and suffering from TB has to face unfair and avoidable inequalities as compared with those not living in these conditions. Policies are required to reduce overcrowding and improve living conditions in prisons.
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References
Arcaya M, Arcaya A, Subramanian S. Desigualdades en salud: definiciones, conceptos y teorías. Rev Panam Salud Pública. 2015;38:261-71.
Segura-del Pozo J. Desigualdades sociales en salud: conceptos, estudios e intervenciones (1980-2010). Bogotá: Universidad Nacional de Colombia; 2013. p.160.
Santos-Padrón H. Los determinantes sociales, las desigualdades en salud y las políticas, como temas de investigación. Rev Cub Salud Pública. 2011;37:136-44.
Observatorio Nacional de Salud. Desigualdades sociales en salud en Colombia. Bogotá: Instituto Nacional de Salud; 2015. p. 366.
Whitehead M. The concepts and principles of equity and health. Int J Health Serv. 1992;22:429-45. https://doi.org/10.2190/986L-LHQ6-2VTE-YRRN
Almeida-Filho N. Health inequalities: New theoretical perspectives. Salud Colect. 2020;16:e2751. https://doi.org/10.18294/sc.2020.2751
Dara M, Acosta CD, Melchers NV, Al-Darraji HA, Chorgoliani D, Reyes H, et al. Tuberculosis control in prisons: Current situation and research gaps. Int J Infect Dis. 2015;32:111-7. https://doi.org/10.1016/j.ijid.2014.12.029
García-Guerrero J, Marco A. Overcrowding in prisons and its impact on health. Rev Esp Sanit Penit. 2012;14:106-13. https://doi.org/10.4321/S1575-06202012000300006
Enggist S, Møller L, Galea G, Udesen C. Prisons and health. Copenhaguen: World Health Organization, Regional Office for Europe; 2014. p. 207.
Awofeso N. Prisons as social determinants of hepatitis C virus and tuberculosis infections. Public Health Rep. 2010;125(Suppl.4):25-33. https://doi.org/10.1177/00333549101250S406
Aguilera-Sanhueza XP. Tuberculosis en personas privadas de libertad: el efecto reservorio de las prisiones para la tuberculosis en Chile. Santiago: Universidad de Chile; 2016. p. 146.
García-Guerrero J, Mouriño AM, Sáiz De La Hoya-Zamácola P, Vera-Remartínez EJ. Multicentre study of the prevalance of latent tuberculosis infection amongst inmates in Spanish prisons. Rev Esp Sanit Penit. 2012;12:79-85. https://doi.org/10.4321/S1575-06202010000300003
Johnstone-Robertson S, D Lawn S, Welte A, Bekker LG, Wood R. Tuberculosis in a South African prison – a transmission modelling analysis. S Afr Med J. 2011;101:809-913.
Legrand J, Sánchez A, Le Pont F, Camacho L, Larouze B. Modeling the impact of tuberculosis control strategies in highly endemic overcrowded prisons. PLoS ONE. 2008;3:e2100. https://doi.org/10.1371/journal.pone.0002100
Stop TB Partnership. Plan global hacia el fin de la TB: 2018-2022. Ginebra: Stop TB Partnership; 2019. p. 196.
Organización Mundial de la Salud. 67a Asamblea Mundial de la Salud. Ginebra: Organización Mundial de la Salud; 2014. p. 223.
Ministerio de Salud y Protección Social. Plan Decenal de Salud Pública PDSP, 2012-2021. Bogotá: Imprenta Nacional de Colombia; 2013. p. 538.
Ministerio de Salud y Protección Social. Plan Estratégico “Hacia el fin de la tuberculosis” Colombia 2016-2025. Bogotá D.C.: Ministerio de Salud y Protección Social, Organización Panamericana de la Salud; 2016. p. 124 .
Instituto Nacional Penitenciario y Carcelario. Informe Estadístico. Enero 2019. Bogotá: INPEC; 2019. p. 54.
Organización de las Naciones Unidas. Convención sobre los derechos de las personas con discapacidad. Nueva York: Naciones Unidas; 2006. p. 35.
Baussano I, Williams BG, Nunn P, Beggiato M, Fedeli U, Scano F. Tuberculosis incidence in prisons: A systematic review. PLoS Med. 2010;7:e1000381. https://doi.org/10.1371/journal.pmed.1000381
Hussain H, Akhtar S, Nanan D. Prevalence of and risk factors associated with Mycobacterium tuberculosis infection in prisoners, North West Frontier Province, Pakistan. Int J Epidemiol. 2003;32:794-9. https://doi.org/10.1093/ije/dyg247
Hernández-León C, Sierra-Madero JG, Bautista-Arredondo S, Badial-Hernández F, Martínez-Gamboa A, González-Aguirre A, et al. Tuberculosis activa en una cohorte de reclusos infectados por VIH en una cárcel de la Ciudad de México: características clínicas y epidemiológicas. Salud Publ Mex. 2012;54:571-8.
Bravo O. Estrategias comunitarias de prevención en salud en la cárcel de Villahermosa. Drugs Addict Behav. 2016;1:156-70. https://doi.org/10.21501/24631779.2054
Franco-Franco D. Estudio sobre el hacinamiento en el establecimiento penitenciario de mediana seguridad y carcelario de Pereira La Cuarenta (epmscpei). Pereira: Fundación Universitaria del Área Andina; 2018. p. 31.
Alarcón-Robayo JF, Martínez-Casallas L, Samir-Sánchez M, Valderrama-Mendoza JS, Bados-Enríquez DM, Jiménez-Cañizales CE. Prevalencia de tuberculosis pulmonar en población privada de la libertad de 10 centros penitenciarios en Colombia, 2013. Acta Médica Peru. 2016;33:202-7.
Gómez IT, Llerena CR, Zabaleta AP. Tuberculosis and drug-resistance tuberculosis in prisoners. Colombia, 2010-2012. Rev Salud Pública. 2015;17:97-105.
Guerra J, Mogollón D, González D, Sánchez R, Rueda ZV, Parra-López CA, et al. Active and latent tuberculosis among inmates in La Esperanza prison in Guaduas, Colombia. PLoS ONE. 2019;14:e0209895. https://doi.org/10.1371/journal.pone.0209895
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