1. Social vulnerabilities and health conditions of arrestees in the Greater Paris area, France, in 2013: a multicentre cross-sectional study
- Author
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Céline Denis, Nacer Bourokba, Emilie Verdier, Pierre Chauvin, Patrick Chariot, Hôpital Hôtel-Dieu [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service de la Médecine Légale [Hôpital Jean-Verdier], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Jean Verdier [AP-HP], Hôpital Raymond Poincaré [AP-HP], Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), Institut de Recherche Interdisciplinaire sur les enjeux Sociaux - sciences sociales, politique, santé (IRIS), and Université Paris sciences et lettres (PSL)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Sorbonne Paris Cité (USPC)-École des hautes études en sciences sociales (EHESS)-Université Paris 13 (UP13)
- Subjects
Adult ,Male ,Paris ,Pediatrics ,medicine.medical_specialty ,Social condition ,Cross-sectional study ,[SDV]Life Sciences [q-bio] ,Population ,Psychological intervention ,Insurance Coverage ,Health status ,Pathology and Forensic Medicine ,Police custody ,03 medical and health sciences ,Social support ,0302 clinical medicine ,Health care ,medicine ,Health insurance ,Humans ,Prospective Studies ,030216 legal & forensic medicine ,030212 general & internal medicine ,Sex Distribution ,education ,education.field_of_study ,Descriptive statistics ,business.industry ,Prisoners ,Social Support ,Cross-Sectional Studies ,Unemployment ,Chronic Disease ,Educational Status ,Medical examination ,Female ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,Demography ,Arrestee - Abstract
International audience; ObjectiveThe aim of this study was to describe the health and social conditions of arrestees, as compared to the general population.MethodsWe studied a sample of 600 adult arrestees in three locations in the Greater Paris area, prospectively included (February–May 2013). A descriptive analysis has been performed, then prevalence was estimated using an indirect standardisation according to age, based on data from a population-based, representative survey in the same area.ResultsArrestees had a median age of 31 years; 92% were males. As compared to the general population, arrestees had a lower level of education (8.6 vs. 7.6%, p < 0.001), were more frequently unemployed (42.0 vs. 11.9%, p < 0.001) and in a difficult financial situation (43 vs. 11%, p < 0.001) and had less significant social support (48.1 vs. 87.9%, p < 0.001). They reported also more frequently a chronic health condition (54 vs. 36%, p < 0.001) and a limited health insurance coverage (36 vs. 15%, p < 0.001).ConclusionComparative analysis of male arrestees and males from the general population showed that the former had worse social and health conditions. These results argue for widespread medical interventions on all arrestees. Medical examination during detention could act as a gateway to health care and social support.
- Published
- 2018
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