Health care in prisons offers key opportunities and challenges for public health management. This study analyses the prevalence of chronic diseases, health differences between prisoners with and without a migration background, care deficits and preventive measures in German prisons. Based on a nationwide survey of 62 prisons (36% response rate), the results show that 41-50% of prisoners have at least one chronic illness, with significantly higher rates of depression (21-30%) and hepatitis C (11-20%) compared to the general population. Prisoners with a migration background also have a higher prevalence of infectious diseases and drug addiction. While the availability of medication is predominantly rated as good, there are deficits in the updating of positive lists and in transition management. Prevention was rated as effective, but challenges remain in the transition to extramural care. The results emphasise the need for targeted reforms in the prison system, including culturally sensitive approaches, improved prevention and aftercare and the integration of prisons into the public healthcare system.
Impact Factor
2022: 6.012
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