Emilie Verdier1, Céline Denis2, Nacer Bourokba3, Pierre Chauvin4, Patrick Chariot5,6. 1. AP-HP, Department of Forensic Medicine, Hôpital Hôtel-Dieu, 75004, Paris, France. 2. AP-HP, Department of Forensic Medicine (Service de Médecine Légale et de Médecine Sociale), Hôpital Jean-Verdier, 93140, Bondy, France. 3. AP-HP, Department of Forensic Medicine, Hôpital Raymond-Poincaré, 92160, Garches, France. 4. Sorbonne Universités, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Department of Social Epidemiology, UPMC Univ Paris 06, 75012, Paris, France. 5. AP-HP, Department of Forensic Medicine (Service de Médecine Légale et de Médecine Sociale), Hôpital Jean-Verdier, 93140, Bondy, France. patrick.chariot@aphp.fr. 6. Sorbonne Paris Cité, Institut de Recherche Interdisciplinaire sur les Enjeux Sociaux (IRIS), UMR 8156-997, UFR SMBH, Université Paris 13, 93000, Bobigny, France. patrick.chariot@aphp.fr.
Abstract
OBJECTIVE: The aim of this study was to describe the health and social conditions of arrestees, as compared to the general population. METHODS: We 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. RESULTS: Arrestees 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). CONCLUSION: Comparative 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.
OBJECTIVE: The aim of this study was to describe the health and social conditions of arrestees, as compared to the general population. METHODS: We 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. RESULTS: Arrestees 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). CONCLUSION: Comparative 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.
Keywords:
Arrestee; Health status; Medical examination; Police custody; Social condition
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