Historique
Périodique
Drug use and initiation in prison: results from a national prison survey in England and Wales
(Consommation de drogues et initiation en prison : résultats d'une enquête nationale dans les prisons de l'Angleterre et du Pays de Galles)
Auteur(s) :
BOYS, A. ;
FARRELL, M. ;
BEBBINGTON, P. ;
BRUGHA T. ;
COID J. ;
JENKINS, R. ;
LEWIS, G. ;
MARSDEN, J. ;
MELTZER H. ;
SINGLETON, N. ;
TAYLOR, C.
Année :
2002
Page(s) :
1551-1560
Langue(s) :
Anglais
Refs biblio. :
30
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
HEROINE
;
COCAINE
;
PRISON
;
INITIATION
;
POPULATION A RISQUE
;
EPIDEMIOLOGIE DESCRIPTIVE
Thésaurus géographique
ANGLETERRE
;
PAYS DE GALLES
;
ROYAUME-UNI
Note générale :
Addiction, 2002, 97, (12), 1551-1560
Note de contenu :
tabl.
Résumé :
FRANÇAIS :
En Angleterre et au Pays de Galle, 3142 prisonniers ont été soumis à une enquête par questionnaire concernant leurs caractéristiques démographiques, leur trajectoire sociale, leurs problèmes psychiatriques et leurs consommations de drogues. Plus de 60 % des usagers réguliers d'héroïne et de cannabis en avaient consommé en prison, contre mois de 40 % pour les usagers de cocaïne. Plus d'un quart des usagers d'héroïne ont déclaré avoir été initiés en prison. Aucun facteur de risque n'était spécifiquement associé à cette consommation, hormis l'expérience même de la vie carcérale.
ENGLISH :
Aims. To investigate heroin and cocaine use in a sample of British prisoners, and to explore the characteristics of inmates who use these drugs for the first time while in prison. Design, participants. A cross-sectional survey of all prisons in England and Wales conducted as part of a major national study of psychiatric morbidity. A total of 3142 prisoners (88.2% of those selected) completed a structured interviewer-administered questionnaire. Measurements. Interview measures of personal demographics, social history, psychiatric morbidity and drug use. Personality disorders were diagnosed via the Structured Clinical Interview for DSM-IV (SCID-II) and neurotic symptoms were assessed using the revised Clinical Interview Schedule (CIS-R). Findings. More than 60% of the heroin users and cannabis users reported that they had used these drugs in prison compared with less than a quarter of the life-time cocaine users. More than a quarter of the heroin users reported that they had initiated use of this drug in prison. The extent of an individual's experience of prison was related more consistently to heroin and/or cocaine use in and out of prison than other personal background, social history or psychiatric variables assessed. Conclusions. The findings indicate that prisons are a high-risk environment for heroin and other drug initiation and use. Although related to drug use, psychiatric variables were not generally associated with initiation in prison, which was dominated by prison exposure. There is a need to explore ways of reducing heroin initiation in prison as part of a broader risk-prevention strategy. (Author' s abstract)
En Angleterre et au Pays de Galle, 3142 prisonniers ont été soumis à une enquête par questionnaire concernant leurs caractéristiques démographiques, leur trajectoire sociale, leurs problèmes psychiatriques et leurs consommations de drogues. Plus de 60 % des usagers réguliers d'héroïne et de cannabis en avaient consommé en prison, contre mois de 40 % pour les usagers de cocaïne. Plus d'un quart des usagers d'héroïne ont déclaré avoir été initiés en prison. Aucun facteur de risque n'était spécifiquement associé à cette consommation, hormis l'expérience même de la vie carcérale.
ENGLISH :
Aims. To investigate heroin and cocaine use in a sample of British prisoners, and to explore the characteristics of inmates who use these drugs for the first time while in prison. Design, participants. A cross-sectional survey of all prisons in England and Wales conducted as part of a major national study of psychiatric morbidity. A total of 3142 prisoners (88.2% of those selected) completed a structured interviewer-administered questionnaire. Measurements. Interview measures of personal demographics, social history, psychiatric morbidity and drug use. Personality disorders were diagnosed via the Structured Clinical Interview for DSM-IV (SCID-II) and neurotic symptoms were assessed using the revised Clinical Interview Schedule (CIS-R). Findings. More than 60% of the heroin users and cannabis users reported that they had used these drugs in prison compared with less than a quarter of the life-time cocaine users. More than a quarter of the heroin users reported that they had initiated use of this drug in prison. The extent of an individual's experience of prison was related more consistently to heroin and/or cocaine use in and out of prison than other personal background, social history or psychiatric variables assessed. Conclusions. The findings indicate that prisons are a high-risk environment for heroin and other drug initiation and use. Although related to drug use, psychiatric variables were not generally associated with initiation in prison, which was dominated by prison exposure. There is a need to explore ways of reducing heroin initiation in prison as part of a broader risk-prevention strategy. (Author' s abstract)
Affiliation :
Natl Addiction Centre, Inst. Psychiatry, Kings Coll. London, 4 Windsor Walk, London SE5 4AF, M.Farrelliop.kcl.ac.uk
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.