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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| Veröffentlicht in: | International journal of prisoner health 2018-09, Vol.14 (3), p.153-162 |
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| container_title | International journal of prisoner health |
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| creator | Kawatsu, Lisa Uchimura, Kazuhiro Kobayashi, Makoto Ishikawa, Nobukatsu |
| description | 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 |
| doi_str_mv | 10.1108/IJPH-03-2017-0013 |
| format | Article |
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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<0.01). Analysis of diagnosis and treatment delay showed that 16.1 percent of smear positive patients took more than a week to be placed on treatment after being diagnosed of TB. Approximately 50 percent of the patients were diagnosed within four months of entering the prison institution.
Practical implications
Several potential risk factors identified suggest the need to strengthen screening for specific sub-groups within the prison population, such as those with poor socio-economic status and co-morbidities, as well as to consider the possible role of systematic screening for latent TB infection.
Originality/value
This study presents some important data to help understand the profile of TB patients in prisons in Japan, as well as showing that a detailed epidemiological analysis of existing records can provide useful insight.</description><identifier>ISSN: 1744-9200</identifier><identifier>EISSN: 1744-9219</identifier><identifier>DOI: 10.1108/IJPH-03-2017-0013</identifier><identifier>PMID: 30274559</identifier><language>eng</language><publisher>England: Emerald Publishing Limited</publisher><subject>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</subject><ispartof>International journal of prisoner health, 2018-09, Vol.14 (3), p.153-162</ispartof><rights>Emerald Publishing Limited</rights><rights>Emerald Publishing Limited 2018</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-967c1a38351fb899a376b4f3b4dc511b9768a382ccce0d44a7645f98228151c73</citedby><cites>FETCH-LOGICAL-c370t-967c1a38351fb899a376b4f3b4dc511b9768a382ccce0d44a7645f98228151c73</cites><orcidid>0000-0003-2666-844X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.emerald.com/insight/content/doi/10.1108/IJPH-03-2017-0013/full/html$$EHTML$$P50$$Gemerald$$H</linktohtml><link.rule.ids>314,776,780,961,11614,12825,21674,27321,27901,27902,30976,33751,52664,53219</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30274559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawatsu, Lisa</creatorcontrib><creatorcontrib>Uchimura, Kazuhiro</creatorcontrib><creatorcontrib>Kobayashi, Makoto</creatorcontrib><creatorcontrib>Ishikawa, Nobukatsu</creatorcontrib><title>The profile of prisoners with tuberculosis in Japan</title><title>International journal of prisoner health</title><addtitle>Int J Prison Health</addtitle><description>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<0.01). Analysis of diagnosis and treatment delay showed that 16.1 percent of smear positive patients took more than a week to be placed on treatment after being diagnosed of TB. Approximately 50 percent of the patients were diagnosed within four months of entering the prison institution.
Practical implications
Several potential risk factors identified suggest the need to strengthen screening for specific sub-groups within the prison population, such as those with poor socio-economic status and co-morbidities, as well as to consider the possible role of systematic screening for latent TB infection.
Originality/value
This study presents some important data to help understand the profile of TB patients in prisons in Japan, as well as showing that a detailed epidemiological analysis of existing records can provide useful insight.</description><subject>Adult</subject><subject>Aged</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Archives & records</subject><subject>Comorbidity</subject><subject>Data collection</subject><subject>Delay</subject><subject>Demographics</subject><subject>Demography</subject><subject>Diagnosis</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health facilities</subject><subject>Homeless people</subject><subject>Homeless Persons</subject><subject>Homelessness</subject><subject>Humans</subject><subject>Imprisonment</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Japan - epidemiology</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Males</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Primary care</subject><subject>Prisoners</subject><subject>Prisoners - statistics & numerical data</subject><subject>Prisons</subject><subject>Public health</subject><subject>Retrospective Studies</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Smear</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic status</subject><subject>Surveillance</subject><subject>Tests</subject><subject>Time-to-Treatment</subject><subject>Tobacco Smoking - epidemiology</subject><subject>Tuberculosis</subject><subject>Tuberculosis - diagnosis</subject><subject>Tuberculosis - drug therapy</subject><subject>Tuberculosis - epidemiology</subject><subject>Unemployed people</subject><subject>Young Adult</subject><issn>1744-9200</issn><issn>1744-9219</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><recordid>eNptkU1LAzEQhoMotlZ_gBdZ8OJldWaTbDZHKWpbCnqo55DNZumW_ahJF_Hfm7VVUDzNwDzzMnlCyCXCLSJkd_PFyywGGieAIgZAekTGKBiLZYLy-KcHGJEz7zcADNOEnpIRhUQwzuWY0NXaRlvXlVVto64MbeW71jofvVe7dbTrc-tMX3e-8lHVRgu91e05OSl17e3FoU7I6-PDajqLl89P8-n9MjZUwC6WqTCoaUY5lnkmpaYizVlJc1YYjphLkWZhnBhjLBSMaZEyXsosSTLkaASdkJt9brjvrbd-p5rKG1vXurVd71WCyAVPObCAXv9BN13v2nDdF4XIUkEDhXvKuM57Z0sVntto96EQ1GBUDUYVUDUYVYPRsHN1SO7zxhY_G98KAwB7wDbW6br4N_PXL9FP-6h8pA</recordid><startdate>20180910</startdate><enddate>20180910</enddate><creator>Kawatsu, Lisa</creator><creator>Uchimura, Kazuhiro</creator><creator>Kobayashi, Makoto</creator><creator>Ishikawa, Nobukatsu</creator><general>Emerald Publishing Limited</general><general>Emerald Group Publishing Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TS</scope><scope>7U3</scope><scope>7X7</scope><scope>7XB</scope><scope>8C1</scope><scope>8FI</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>HEHIP</scope><scope>M0O</scope><scope>M1P</scope><scope>M2S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2666-844X</orcidid></search><sort><creationdate>20180910</creationdate><title>The profile of prisoners with tuberculosis in Japan</title><author>Kawatsu, Lisa ; Uchimura, Kazuhiro ; Kobayashi, Makoto ; Ishikawa, Nobukatsu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-967c1a38351fb899a376b4f3b4dc511b9768a382ccce0d44a7645f98228151c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Archives & records</topic><topic>Comorbidity</topic><topic>Data collection</topic><topic>Delay</topic><topic>Demographics</topic><topic>Demography</topic><topic>Diagnosis</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health facilities</topic><topic>Homeless people</topic><topic>Homeless Persons</topic><topic>Homelessness</topic><topic>Humans</topic><topic>Imprisonment</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Japan - epidemiology</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Males</topic><topic>Medical diagnosis</topic><topic>Medical screening</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Primary care</topic><topic>Prisoners</topic><topic>Prisoners - statistics & numerical data</topic><topic>Prisons</topic><topic>Public health</topic><topic>Retrospective Studies</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Smear</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomic status</topic><topic>Surveillance</topic><topic>Tests</topic><topic>Time-to-Treatment</topic><topic>Tobacco Smoking - epidemiology</topic><topic>Tuberculosis</topic><topic>Tuberculosis - diagnosis</topic><topic>Tuberculosis - drug therapy</topic><topic>Tuberculosis - epidemiology</topic><topic>Unemployed people</topic><topic>Young Adult</topic><toplevel>online_resources</toplevel><creatorcontrib>Kawatsu, Lisa</creatorcontrib><creatorcontrib>Uchimura, Kazuhiro</creatorcontrib><creatorcontrib>Kobayashi, Makoto</creatorcontrib><creatorcontrib>Ishikawa, Nobukatsu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Physical Education Index</collection><collection>Social Services Abstracts</collection><collection>Proquest Health & Medical Complete</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>Sociological Abstracts</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Sociology Collection</collection><collection>ProQuest Criminal Justice</collection><collection>Medical Database</collection><collection>Sociology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of prisoner health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawatsu, Lisa</au><au>Uchimura, Kazuhiro</au><au>Kobayashi, Makoto</au><au>Ishikawa, Nobukatsu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The profile of prisoners with tuberculosis in Japan</atitle><jtitle>International journal of prisoner health</jtitle><addtitle>Int J Prison Health</addtitle><date>2018-09-10</date><risdate>2018</risdate><volume>14</volume><issue>3</issue><spage>153</spage><epage>162</epage><pages>153-162</pages><issn>1744-9200</issn><eissn>1744-9219</eissn><abstract>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<0.01). Analysis of diagnosis and treatment delay showed that 16.1 percent of smear positive patients took more than a week to be placed on treatment after being diagnosed of TB. Approximately 50 percent of the patients were diagnosed within four months of entering the prison institution.
Practical implications
Several potential risk factors identified suggest the need to strengthen screening for specific sub-groups within the prison population, such as those with poor socio-economic status and co-morbidities, as well as to consider the possible role of systematic screening for latent TB infection.
Originality/value
This study presents some important data to help understand the profile of TB patients in prisons in Japan, as well as showing that a detailed epidemiological analysis of existing records can provide useful insight.</abstract><cop>England</cop><pub>Emerald Publishing Limited</pub><pmid>30274559</pmid><doi>10.1108/IJPH-03-2017-0013</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-2666-844X</orcidid></addata></record> |
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| ispartof | International journal of prisoner health, 2018-09, Vol.14 (3), p.153-162 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Emerald ejournals Premier; Sociological Abstracts; Emerald A-Z Current Journals |
| 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 |
| title | The profile of prisoners with tuberculosis in Japan |
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