The prevalence of substance use disorders among people in Norwegian, Danish and Swedish prisons: A multi-national cohort study, 2010-19.

Journal: Addiction (Abingdon, England)

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Affiliated Institutions:  Norwegian Centre for Addiction Research, University of Oslo, Oslo, Norway. Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden. Centre for Alcohol and Drug Research, Aarhus University, Aarhus, Denmark.

Abstract summary 

We estimated the prevalence of substance use disorders (SUDs) in the Norwegian, Danish and Swedish prison populations and compared the prevalence of SUDs in the national prison populations with country-specific general population prevalence rates.A multi-national cohort study using data from the National Prison Registries linked to the National Patient Registries in Norway, Denmark and Sweden.We used data from the PriSUD-Nordic study, including national prison populations aged 19 years and older in Norway (2010-19), Denmark (2010-18) and Sweden (2010-13). A total of 119 507 Individuals (108 971 men and 10 536 women) contributing to 191 507 incarcerations were included in the study (Norway: 45432 men; 5429 women, Denmark: 42 162 men; 3370 women, Sweden: 21 377 men; 1737 women).We calculated a study prevalence and prevalence at entry to prison for all types of SUDs before imprisonment each consecutive year of observation in each prison population. We also extracted country-specific 1-year prevalence rates from the Global Burden of Diseases database to calculate comparative national prevalence ratios.The study prevalence of any SUD was approximately 40% [Norway: 44.0%, 95% confidence interval (CI) = 43.6-44.5%; Denmark: 39.9%, CI = 39.5-40.4%; Sweden: 39.1%, CI = 38.4-39.7%] in all three countries. Women had a significantly higher study prevalence of any SUD compared with men (Norway: 55.8 versus 42.6%, P < 0.001; Denmark 43.1 versus 39.7%, P = 0.004; Sweden: 51.7 versus 38.0%, P < 0.001). Prevalence estimates were higher for SUDs among people in prison than in the general population. We observed an increasing proportion of people with SUDs entering prison in Norway (P = 0.003), while the proportion was more stable in Denmark and Sweden.Substance use disorders (SUDs) appear to be highly prevalent among the Scandinavian prison populations compared with the general population, especially among women. In Norway, there was a relative increase in SUDs from 2010 to 2019.

Authors & Co-authors:  Bukten Virtanen Hesse Thylstrup Kvamme Seid Chang Skjærvø Tverborgvik Stavseth

Study Outcome 

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Statistics
Citations :  Butler A, Nicholls T, Samji H, Fabian S, Lavergne MR. Prevalence of mental health needs, substance use, and co‐occurring disorders among people admitted to prison. Psychiatric Serv. 2022;73:737–744.
Authors :  10
Identifiers
Doi : 10.1111/add.16477
SSN : 1360-0443
Study Population
Men,Women
Mesh Terms
Other Terms
Alcohol;corrections;criminal justice;drug use;jail;prison;substance use disorder
Study Design
Cohort Study
Study Approach
Country of Study
Publication Country
England