Chronic diseases are responsible for 60% of deaths and 75% of spending on public health. There are few works on the prevalence of this type of pathology in prison. Describe the prevalence of chronic major diseases in the population and the major risk factors observed. Multicenter transversal descriptive study. The sample size was 1,170 people, who were selected through sampling stratified with simple allocation by strata among 9 prisons in the country. There were interviews and physical examinations between May and June 2013. Variables were collected: socio-demographic, diagnostic, anthropometric, clinical-analytical and risk factors. A descriptive and subsequent comparative analysis was carried out using non-parametric tests for quantitative variables using the Mann-Whitney test and a Ji-square test for categorical variables. Subsequently, binary logistic regression models to evaluate the influence of factors of risk in major pathologies. The manuscript was approved by the Ethics Committee for clinical research of the University General Hospital of Castellon. 1 of every 2 inmates has some type of chronic disease out of the 1,077 participated (92.1). Median age of 37.4 years IQR (30.0 to 44.8). 95 males, 40.6 foreigners. Prevalence: dyslipidemias (34.8); arterial hypertension (17.8); Diabetes (5.3); asthma (4.6); COPD (2.2); ischaemic heart disease (1.8) and (1.5) cardio-circulatory pathologies. Main risk factors: smoking, obesity, abdominal fat distribution, consumption of cocaine and age. It would be interesting to establish early diagnosis, encourage giving up smoking, and physical activity and dietary advice to combat the major modifiable risk factors.

There are a few mortality researches in prisons. To know this measure can to be important for take decisions of Public Health. The aim of the paper is to describe mortality and its trend in our prison. This is a descriptive and retrospective study of the deaths between 01/01/1994 and 31/12/2009. Two periods of 8 years have been compared through exact test of Fisher in order to detect changes in causes of mortality. First of all, we made an indirect standardization of rates and compare mortality in our institution with other Spanish prisons. Through linear regression model we have settled in trends of mortality rates. Had 59 deaths, 58 in men with a median age 34.9 years old (28.7- 40.4). 64,4% were HIV+ . From 1994 to 2001 the main cause of mortality was VIH infection (48.6%) the second one was cardiovascular event (10.8%), while that between 2002 and 2009 this trend have change, cardiovascular event caused (31.8%) and VIH infection (22.07%) (p=0.026).The annual crude mortality rate decreased -0.485 deaths ‰ inmates/year (IC 95%: -0.864 to -0.107). Standardizing rates, we get 42 deaths expected for the wholly period, with Standarized Mortality Ratio of 1.407 (I.C. 95%: 1.071 to 1.816). The main cause of mortality has been no-HIV diseases, among these mainly cardiovascular events. The trend of mortality rate has been decreasing although we observe 40.7% plus of deaths than we would expect.

To study the prevalence of latent tuberculosis infection (LTBI) amongst inmates in Spanish prisons. Multi-centre, cross-sectional study; two stage sampling. Socio-demographic, prison and clinical variables were gathered. A univariate, bivariate and multivariate analysis was carried out using logistic regression with the variables that showed statistical significance. The odds ratio was calculated with a confidence interval of 95%. 378 patients. The Mantoux test (PPD) assessable in 90.2% was available. 91.2% men, 37.8% foreigners with average age of 35.9±10.3 years. Average stay in prison: 2 years, 28.7% had been > 5 years in prison. 49.6% entered prison in 2006 or before. 24.5% had a history of intravenous drug use (IDU). 50.4% presented LTBI that was associated with: age > 40 years (63.2 vs 43.8%; CI: 1.39-3.49; OR: 2.20; p=0.001); stay of > 5 years in prison (71.2 vs 41.3%; CI: 2.13-5.75; OR: 3.50; p 40 years (OR: 1.76; CI: 1.08-2.87; p=0.024); and length of prison stay > 5 years (OR: 2.50; CI: 1.41-4.43; p=0.002). The prevalence of LTBI in prison is very high, especially amongst inmates over 40 and those who have been in prison for more than five years. To prevent the risk of progression to tuberculosis, treatment is recommended for those who require it along with the maintenance of control programmes for this pathology.

Objetivos: Determinar el Sentido de Coherencia (SOC) en jóvenes de 2 Centros de Menores (CM) de la Comunidad Valenciana, conocer la opinión de sus profesionales sobre SOC y que estos jóvenes identifiquen activos para su salud. Material y método: 45 jóvenes autocumplimentaron el test SOC-13. Las variables categóricas se expresaron como frecuencias absolutas y relativas; las cuantitativas, mediante medias con intervalos de confianza (IC) al 95%. Se diseñó y realizó una entrevista grupal a 5 adolescentes internos y un cuestionario de preguntas abiertas a 6 profesionales. Se realizó análisis de contenido temático y por categorías. Resultados: La media de puntuación de SOC es 54,4 (IC 95%: 53,9 a 59,8). Respecto a las dimensiones del test, manejabilidad: 17,6 (IC 95%: 16,5 a 18,8); comprensibilidad: 19,6 (IC 95%: 18,1 a 21,1); y significatividad: 17,1 (IC 95%: 16,0 a 18,2). Los jóvenes identifican activos internos como "hacer deporte" y "ser positivos"; y externos como "personas (familia y amigos)" y "espacios relacionados con la actividad física". Los profesionales opinan que SOC valora aspectos relevantes para la vida del centro y que los jóvenes obtendrán una puntuación moderada. Discusión: El nivel de SOC obtenido es moderado y similar a otras poblaciones. Los resultados presentan limitaciones relacionadas con la obtención de la muestra, pero invitan a seguir investigando sobre SOC y diferencias socioculturales de jóvenes; y SOC y activos identificados. Los activos podrían dinamizarse por los propios jóvenes con el apoyo de profesionales y del entorno familiar y comunitario