The profile of prisoners with tuberculosis in Japan

Purpose Although globally, prisoners are considered one of the vulnerable groups to tuberculosis (TB), little is known about the situation of TB in prison setting in Japan. The purpose of this paper is to examine the characteristics of TB among prisoners in Japan. Design/methodology/approach Records...

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Bibliographic Details
Published in:International journal of prisoner health 2018-09, Vol.14 (3), p.153-162
Main Authors: Kawatsu, Lisa, Uchimura, Kazuhiro, Kobayashi, Makoto, Ishikawa, Nobukatsu
Format: Article
Language:English
Subjects:
Adult
Aged
Alcohol Drinking - epidemiology
Archives & records
Comorbidity
Data collection
Delay
Demographics
Demography
Diagnosis
Epidemiology
Female
Health facilities
Homeless people
Homeless Persons
Homelessness
Humans
Imprisonment
Infections
Infectious diseases
Japan - epidemiology
Kaplan-Meier Estimate
Male
Males
Medical diagnosis
Medical screening
Medicine
Middle Aged
Patients
Prevalence
Primary care
Prisoners
Prisoners - statistics & numerical data
Prisons
Public health
Retrospective Studies
Risk analysis
Risk Factors
Smear
Socioeconomic Factors
Socioeconomic status
Surveillance
Tests
Time-to-Treatment
Tobacco Smoking - epidemiology
Tuberculosis
Tuberculosis - diagnosis
Tuberculosis - drug therapy
Tuberculosis - epidemiology
Unemployed people
Young Adult
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Summary:Purpose Although globally, prisoners are considered one of the vulnerable groups to tuberculosis (TB), little is known about the situation of TB in prison setting in Japan. The purpose of this paper is to examine the characteristics of TB among prisoners in Japan. Design/methodology/approach Records of TB patients from one medical prison were analyzed in terms of general demographic characteristics, clinical manifestations, risk factors and delay in diagnosis and in initiating treatment, and compared with data from the national TB surveillance and other published data on health of inmates, where appropriate. Continuous variables were compared using student independent samples t-test. Proportions were compared using χ2 or Fisher exact test as appropriate. Kaplan–Meier survival analysis was conducted to determine the time from entry to prison institution to diagnosis of TB. Findings A total of 49 patients were analyzed. The mean age was 49.5 (±14.3) and 69.4 percent were males. Being unemployed and homeless prior to incarceration, and several co-morbidities were potential risk factors for TB (p
ISSN:1744-9200
1744-9219
DOI:10.1108/IJPH-03-2017-0013