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BACKGROUND: Condom provision is one of the most effective harm reduction interventions to control sexually transmitted infections (STIs) including HIV/AIDS and viral hepatitis in prisons. Yet, very few countries around the world provide prisoners with condoms. The present study aimed to elucidate principles of effective prison-based condom programs from the perspective of European public health and prison health experts. METHODS: As a part of the "Joint Action on HIV and Co-infection Prevention and Harm Reduction (HA-REACT)" twenty-one experts from the field of prison health from eight European countries were invited to discuss the principles of condom provision programs in prisons within two focus groups. The audio records were transcribed verbatim, coded, categorized, and analyzed using thematic analysis method. RESULTS: Six components emerged from the analysis as essential for successful condom programs in prisons: (1) highlighting the necessity of condom provision in prisons, (2) engagement of internal and external beneficiaries in all stages of designing and implementing the program, (3) conducting a pilot phase, (4) condom program in a comprehensive package of harm reduction interventions, (5) vending machine as the best method of condom distribution in prisons and (6) assuring the sustainability and quality of the intervention. CONCLUSION: Results of the present study can help prison health policy makers to design and conduct acceptable, accessible and high-quality prison-based condom provision programs, and consequently to mitigate the burden of STIs in prisons. Having access to high-quality healthcare services including condom provision programs is not only the right of prisoners to health, but also is a move towards achieving the sustainable development goal 3 of "leaving no one behind."
- Klíčová slova
- Condom, HIV, Prison, Sexually transmitted infections, Viral hepatitis,
- MeSH
- kondomy MeSH
- lidé MeSH
- sexuálně přenosné nemoci * prevence a kontrola MeSH
- snížení rizika poškození MeSH
- vězni * MeSH
- věznice MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
PURPOSE: The purpose of this paper is to analyse the historical development and current challenges of professional training for prison service staff in the Czech Republic. This study focuses on the transition from a repressive system under communism to a democratic approach emphasising human rights, ethics and professionalisation. It aims to assess the effectiveness of the current training programmes and their alignment with international standards, highlighting their impact on safety, recidivism reduction and prisoner re-socialisation. The findings aim to inform policymakers and practitioners about the importance of continuous investment in education and professional development for sustainable improvements in the prison system. DESIGN/METHODOLOGY/APPROACH: The authors focused on the basic professional training of prison service workers. Specifically, 247 people. Through the questionnaire, the authors investigated the reflection of the education itself and its benefit for the participants. FINDINGS: This research reveals that the professional training of prison service staff significantly enhances their preparedness, ethical standards and ability to manage crisis situations. Participants acknowledged the high quality of teaching materials and the dedication of instructors. Humanities subjects, such as law and ethics, were found challenging but essential. Well-trained staff contribute to improved prison safety and reduced recidivism. This study emphasises the necessity of ongoing education, collaboration with academic experts and modern training tools. Moreover, the findings highlight the importance of tailoring training programmes to meet the evolving needs of diverse prisoner groups and the societal demand for rehabilitation. RESEARCH LIMITATIONS/IMPLICATIONS: This study primarily relied on questionnaire-based data from participants in basic professional training courses, which may introduce subjective bias and limited scope. This research focused on the Czech Republic's prison system, and findings may not be directly generalisable to other contexts. Further studies could benefit from longitudinal data collection, in-depth qualitative interviews and comparative analyses across different countries. The implications emphasise the need for more comprehensive evaluation frameworks to ensure that training programmes are continuously updated in line with emerging challenges, such as increasing prisoner diversity and evolving security risks, thereby enhancing the global relevance of these findings. PRACTICAL IMPLICATIONS: Implementing this study's recommendations can improve the overall quality and effectiveness of prison service training. Regular updates to curricula, inclusion of modern technologies and collaboration with external experts can address the evolving needs of the prison environment. Enhanced training in crisis management, ethics and human rights will better equip staff for real-life challenges. In addition, targeted specialisation programmes can help address the specific needs of prisoner subgroups, including those with mental disorders or cultural differences. These practical changes will contribute to safer prisons, better re-socialisation outcomes and increased public trust in the prison system. SOCIAL IMPLICATIONS: By improving the quality of prison staff training, this study supports broader societal goals of reducing recidivism and promoting the successful reintegration of former prisoners. Enhanced training fosters a more humane and ethical approach to incarceration, reducing stigma and fostering public understanding of rehabilitation's value. Addressing social exclusion through effective prisoner re-socialisation directly benefits communities by reducing crime rates and improving social cohesion. The findings also underline the importance of public-private partnerships and community involvement in supporting re-entry programmes, thus contributing to a more inclusive and equitable society. ORIGINALITY/VALUE: This paper offers a comprehensive analysis of the transformation of prison service training in the Czech Republic, highlighting the shift from a repressive to a rehabilitative approach. Its originality lies in combining historical, sociological and practical perspectives to assess training effectiveness. By focusing on ethical education, modern pedagogical methods and international standards, this study provides valuable insights for policymakers and practitioners aiming to enhance prison systems. The findings contribute to the global discourse on prison reform by showcasing how investment in education and professional development can lead to safer prisons and more effective reintegration of prisoners into society.
OBJECTIVE: The objective of this study was to evaluate the Pap smear and colposcopy findings in female inmates in a prison unit in the state of São Paulo, Brazil. METHODS: A retrospective cross-sectional study was carried out by analyzing the Pap smear and colposcopy examinations of female inmates in a prison unit. The following socio-demographic data were assessed: age, nationality, level of education, marital status, height, weight, ethnicity, occupation, religion, sexual orientation, and presence of tattoos. RESULTS: The sample consisted of 894 women who had a Pap smear, the majority of whom were Brazilian (93.6%), 41.1% had an incomplete primary education, 58.5% were single, 50.1% were white, 60.7% had tattoos, and the predominant religion was Catholicism at 42.8%. Regarding sexual orientation, 124 (13.9%) women identified as bisexual, 640 (71.6%) as heterosexual, and 127 (14.2%) as homosexual. Most Pap smears showed benign findings (86.5%). Of the female inmates who had a Pap smear, 121 (13.5%) were referred for colposcopy. Altered colposcopy findings occurred in 95 (10.6%), with the most common findings being high-grade squamous intraepithelial lesions 36 (4.0%) and low-grade squamous intraepithelial lesions 27 (3.0%). The majority of women (96.0%) had no clinical signs of human papillomavirus - HPV (anogenital verrucous lesions) and only 36 (4.0%) had lesions suggestive of HPV on Pap smears. There were more HIV cases in the group with HPV verrucous lesions (P = 0.013). CONCLUSION: We observed 13.5% and 78.5% of abnormal findings in Pap smears and colposcopy, resp.), in female inmates in a prison unit in the state of São Paulo, Brazil.
- Klíčová slova
- HPV, Pap smear, colposcopy, female inmates, prison,
- MeSH
- dospělí MeSH
- kolposkopie * statistika a číselné údaje MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- nádory děložního čípku virologie patologie diagnóza epidemiologie MeSH
- Papanicolaouův test * MeSH
- průřezové studie MeSH
- retrospektivní studie MeSH
- vaginální stěr * MeSH
- vězni * statistika a číselné údaje MeSH
- věznice MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Brazílie epidemiologie MeSH
BACKGROUND: A large proportion of the prison population experiences substance use disorders (SUDs), which are associated with poor physical and mental health, social marginalization, and economic disadvantage. Despite the global situation characterized by the incarceration of large numbers of people with SUD and the health problems associated with SUD, people in prison are underrepresented in public health research. OBJECTIVE: The overall objective of the PriSUD (Diagnosing and Treating Substance Use Disorders in Prison)-Nordic project is to develop new knowledge that will contribute to better mental and physical health, improved quality of life, and better life expectancies among people with SUD in prison. METHODS: PriSUD-Nordic is based on a multidisciplinary mixed method approach, including the methodological perspectives of both quantitative and qualitative methods. The qualitative part includes ethnographic fieldwork and semistructured interviews. The quantitative part is a registry-based cohort study including national registry data from Norway, Denmark, and Sweden. The national prison cohorts will comprise approximately 500,000 individuals and include all people imprisoned in Norway, Sweden, and Demark during the period from 2000 to 2019. The project will investigate the prison population during three different time periods: before imprisonment, during imprisonment, and after release. RESULTS: PriSUD-Nordic was funded by The Research Council of Norway in December 2019, and funding started in 2020. Data collection is ongoing and will be completed in the first quarter of 2022. Data will be analyzed in spring 2022 and the results will be disseminated in 2022-2023. The PriSUD-Nordic project has formal ethical approval related to all work packages. CONCLUSIONS: PriSUD-Nordic will be the first research project to investigate the epidemiology and the lived experiences of people with SUD in the Nordic prison population. Successful research in this field will have the potential to identify significant areas of benefit and will have important implications for ongoing policy related to interventions for SUD in the prison population. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/35182.
- Klíčová slova
- criminal justice, epidemiology, harm reduction, mixed methods, prison, substance use disorders, treatment,
- Publikační typ
- časopisecké články MeSH
HIV and hepatitis C virus (HCV) monitoring among prison inmates is instrumental in countries with concentrated HIV/AIDS epidemics. Knowledge on these dynamics in imprisoned women in Portugal is scarce. The HIV and HCV prevalence was estimated among inmates in the largest Portuguese prison for women, which holds 57% of all female inmates in Portugal, according to sociodemographic and behavioural variables and characterised attitudes towards HIV/AIDS according to serological status. Collected variables included age, education, country of birth, penal status, and accumulated time in prison. Drug injection and sharing of injection material were inquired, as well as age at first sexual intercourse. Inmates also characterised their attitudes towards HIV/AIDS. A venous blood sample was collected and tested for anti-HIV and anti-HCV antibodies. In this sample of 445 female inmates, 10% were HIV-positive, while 11% were HCV-positive. Longer imprisonment periods were associated with relatively higher HCV prevalence and women with later ages at first sexual intercourse were less frequently HIV-positive, regardless of drug injecting behaviour. HIV prevalence was 44% in women who had ever injected drugs and 6% in those who had never injected. HCV frequency was 69% among injecting drug users (IDUs) and 4% among non-IDUs. In women who injected drugs both HIV and HCV were more frequent when the number of injections was higher and when women reported sharing of injection material. Similar attitudes towards HIV/AIDS were found for HIV-positive and negative women, but those living with HIV had more tolerant positions. This study emphasizes the role of injecting drug use in the transmission of HIV and HCV in women in Portuguese prisons and reinforces the need for the systematic adoption of harm reduction measures.
- MeSH
- hepatitida C epidemiologie MeSH
- HIV infekce epidemiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
- vězni * MeSH
- zdravotnické přehledy MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Portugalsko epidemiologie MeSH
An estimated number of HIV infected individuals in Yugoslavia might be about 3000. I.v. drug users are by far the most affected population group. Prevalence of HIV seropositivity among imprisoned drug users in Belgrade approaches 50%. An effective control of unvoluntary homosexual contacts in prisons is not feasible. Having in mind a moral obligation of the society to preserve the health of its confined members, we advocate the right of (voluntary or on request screened) HIV seronegative individuals to chose to share the cell with inmates shown to be HIV seronegative as well.
- MeSH
- ELISA MeSH
- HIV séropozitivita epidemiologie MeSH
- lidé MeSH
- poruchy spojené s užíváním psychoaktivních látek epidemiologie MeSH
- prevalence MeSH
- vězni * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Jugoslávie epidemiologie MeSH
Prisons were places where prisoners lost a part of their freedom and sometimes also health or even life. If they returned to normal life, re-socialization was not the worst problem. For many of them, it was challenging to find a way how to live on despite permanent health issues that led to decreased workability or even invalidity. In infectious illnesses like tuberculosis or typhoid fever, a released prisoner acted as a source of infection for their relatives, possibly causing worst health issues than he underwent himself. The cruel reality of historical penology can be demonstrated through death registries of two prisons of Prague - St. Wenceslas Prison and Pankrác Prison.
PURPOSE: The aim of the paper is to emphasize the importance of physical activity in prisons, its link to mental health and the potential for desistance bringing the perspective of two Eastern European countries - Czechia and Hungary. The paper aims to show that sport in prison has to be seriously considered as an activity that has the potential to positively contribute to the physical and mental health of prison inmates. The aim of the paper is to show that sport in prison is a very potential rehabilitative tool. Doing sport in prison presents an opportunity for meaningful leisure and contributes to the development of good leisure habits. DESIGN/METHODOLOGY/APPROACH: The methodology integrates a literature review and legal analysis, complemented by practical experiences, which provide both theoretical and empirical understanding of the research topic; the review covers international research papers regarding sports activities in prisons and also the legal framework of the topic, both the international one and the national (Czech and Hungarian) ones providing the experience with concrete activities from the Czech and Hungarian prisons as well. FINDINGS: Sport in prison has to be seriously considered as an activity that has the potential to positively contribute to the physical and mental health of prison inmates. Sport in prison is a very potential rehabilitative tool. Doing sport in prison presents an opportunity for meaningful leisure and contributes to the development of good leisure habits. The possibility for prison inmates to do sports activities corresponds to a comprehensive approach to prison treatment and rehabilitation which works with leisure time as a pro-desistance factor. RESEARCH LIMITATIONS/IMPLICATIONS: This is not extensive research, rather it is a theoretical mapping with national (Czech and Hungarian) experience. PRACTICAL IMPLICATIONS: Physical activity in prisons should be officially recognised (politically and systematically) as an activity with significant potential to improve both the physical and mental health of inmates, serving as an effective rehabilitative tool. From a systemic perspective, allowing physical activities in prisons reflects the trend towards normalising prison life, addressing issues related to prisonisation. Engaging in physical activity can bridge the gap between prison and post-release life, helping individuals maintain and cultivate pro-social habits developed during incarceration. For that reason, it should be considered as relevant part of prison throughcare and aftercare. SOCIAL IMPLICATIONS: Improvement of physical and mental health of prison inmates, as well as their socialisation. Increasing the rehabilitation potential of the prison system. Contribution to desistance from crime through leisure-time physical activity as a pro-desistance factor. ORIGINALITY/VALUE: It is a theoretical analysis of the research topic focused on two Eastern European countries, Czechia and Hungary, including examples of national practices, which is interesting for international readers.
- Klíčová slova
- Desistance, Mental health, Physical activity, Prison, Rehabilitation, Sport,
- Publikační typ
- časopisecké články MeSH
- MeSH
- kriminální psychologie MeSH
- lidé MeSH
- psychiatrie * MeSH
- věznice * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- District of Columbia MeSH
In 2016, the WHO announced a plan to eliminate viral hepatitis as a public health threat by 2030. In this narrative review, experts from Bulgaria, Croatia, the Czech Republic, Hungary, Latvia, Lithuania, Poland and Slovakia assessed the feasibility of achieving the WHO 2030 target for HCV infections in Central Europe. They focused mainly on HCV micro-elimination in prisons, where the highest incidence of HCV infections is usually observed, and the impact of the COVID-19 pandemic on the detection and treatment of HCV infections. According to the presented estimates, almost 400,000 people remain infected with HCV in the analyzed countries. Interferon-free therapies are available ad libitum, but the number of patients treated annually in the last two years has halved compared to 2017-2019, mainly due to the COVID-19 pandemic. None of the countries analyzed had implemented a national HCV screening program or a prison screening program. The main reason is a lack of will at governmental and prison levels. None of the countries analyzed see any chance of meeting the WHO targets for removing viral hepatitis from the public threat list by 2030, unless barriers such as a lack of political will and a lack of screening programs are removed quickly.
- Klíčová slova
- HCV, WHO, epidemiology, hepatitis, screening, therapy,
- MeSH
- COVID-19 * epidemiologie prevence a kontrola MeSH
- hepatitida C * diagnóza epidemiologie prevence a kontrola MeSH
- lidé MeSH
- pandemie prevence a kontrola MeSH
- věznice MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Geografické názvy
- Evropa epidemiologie MeSH
