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Cardiovascular disease in prisons in Sub-Saharan Africa: A scoping review

Gavi, A, Plugge, E and Van Hout, M (2023) Cardiovascular disease in prisons in Sub-Saharan Africa: A scoping review. International Journal of Prisoner Health. ISSN 1744-9200 (Accepted)

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Abstract

Purpose: The dual epidemic of noncommunicable diseases (NCDs) and human immunodeficiency virus (HIV) in sub-Saharan Africa has increased substantially in recent years, with cardiovascular disease representing a significant contributor to the regional burden of disease. Very little is known about the cardiovascular health of people deprived of their liberty in the region. Design/Methodology/Approach: A scoping review mapped and described what is known about cardiovascular disease in prison populations in sub-Saharan Africa. A systematic search of empirical literature with no date limitation was conducted in English. Sixteen studies representing six sub-Saharan African countries (Cameroon, Nigeria, Guinea, Burkina Faso, Ghana, Ethiopia) were charted, categorised and thematically analysed. Findings: Seven key themes were identified; Custodial deaths and autopsy; Cardiorespiratory fitness and exercise; Cardiovascular disease and elderly people in prison; Cardiovascular disease and women in prison; Dietary deficiencies; Influence of sleep patterns on cardiovascular disease; and Other associated risk factors. Most natural deaths at autopsy of custodial deaths were due to cardiovascular disease. Cardiorespiratory fitness was low in prisons, and poor sleep patterns and dietary deficiencies are likely contributors to the burden of cardio-vascular disease in prisons. The needs of elderly and female prison populations are ill considered. Originality: This is the first known attempt to scope extant literature on cardiovascular disease in sub-Saharan African prisons. A strategic focus on cardiovascular health of people in prison is warranted. Routine monitoring and expansion of existing prison healthcare services, and integration of NCD services with infectious disease (HIV, tuberculosis) programmes in prisons are required.

Item Type: Article
Additional Information: This author accepted manuscript is deposited under a Creative Commons Attribution Non-commercial 4.0 International (CC BY-NC) licence. This means that anyone may distribute, adapt, and build upon the work for non-commercial purposes, subject to full attribution. If you wish to use this manuscript for commercial purposes, please contact permissions@emerald.com
Uncontrolled Keywords: 1117 Public Health and Health Services; 1602 Criminology; 1605 Policy and Administration; Substance Abuse
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
H Social Sciences > HV Social pathology. Social and public welfare. Criminology > HV8301 Penology. Prisons. Corrections
Divisions: Public Health Institute
Publisher: Emerald
SWORD Depositor: A Symplectic
Date Deposited: 24 Nov 2023 08:12
Last Modified: 08 Jan 2024 16:15
DOI or ID number: 10.1108/IJOPH-11-2022-0072
URI: https://researchonline.ljmu.ac.uk/id/eprint/21928
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