RESUMO
INTRODUCTION: Living conditions in detention are particularly hard in sub-Saharan African countries. These conditions cause psychiatric illnesses, including depression. The purpose of this study was to determine the prevalence of major depressive disorders and to identify the associated factors in a sample of the prison population in the city of Cotonou. METHODS: A cross-sectional study in a penitentiary institution was conducted with 208 inmates. The data were collected during individual interviews conducted using a structured questionnaire. Depression was assessed using the Hamilton scale. RESULTS: The detainees interviewed were mostly men (86.5%) and in pre-trial detention (64.4%). The prevalence of depression was 32.2%. Depression was more prevalent among males, those with low education, those who had previously been convicted, and inmates who reported experiencing abuse within the prison. CONCLUSION: More attention should be given to the screening and management of inmate mental health issues.
INTRODUCTION: Les conditions de vie en détention sont particulièrement difficiles dans les pays d'Afrique subsaharienne. Ces condi-tions favorisent les maladies psychiatriques, dont la dépression. Cette étude avait pour objectif de déterminer la prévalence des troubles dépressifs majeurs et d'identifier les facteurs associés dans un échantillon de la population carcérale dans la ville de Cotonou. MÉTHODES: Une étude transversale en établissement a été conduite auprès de 208 détenus. Les données ont été collectées au cours d'entretiens individuels conduits à l'aide d'un questionnaire structuré. La dépression a été évaluée à l'aide de l'échelle de Hamilton. RÉSULTATS: Les détenus interrogés étaient majoritairement des hommes (86,5%) et en situation de détention préventive (64,4%). La prévalence de la dépression était de 32,2%. La dépression était plus fréquente chez les sujets de sexe masculin, chez les personnes peu instruites, chez celles qui avaient déjà été condamnées et chez les détenus qui affirmaient avoir subi des violences au sein de l'établissement carcéral. CONCLUSION: Une attention plus soutenue devrait être accordée au dépistage et à la prise en charge des problèmes de santé mentale des détenus.
RESUMO
INTRODUCTION: hepatitis B is a global public health problem. The purpose of this study was to determine the prevalence of hepatitis B virus (HBV) and its associated factors based on data from a mass screening in several localities across Benin. METHOD: we conducted a cross-sectional descriptive and analytical study with prospective data collection. Data collection was carried out during voluntary free hepatitis B screening organized by the Rotary Club in 23 localities across Benin from the 20th to 28th July 2019. Rapid test for diagnostic orientation was used for the detection of HBs antigen. RESULTS: a total of 9035 volunteers were included in the study. They were mostly of Benin origin (99%), with a mean age of 27 years; 51.1% of them were singles, mainly schoolchildren, pupils or students (37.9%). HBV seroprevalence was 6% (545/9035) [95%CI=5.5%-6.5%]. In univariate analysis, factors associated with HBs Ag colonization were: age, sex, marital status, education level, occupation and a history of diabetes, scarification and hepatitis C, while in multivariate analysis they were: sex, age and education level. CONCLUSION: HBV seroprevalence is 6% in the study population. HBV infection mainly affects male subjects over 17 years of age with secondary-level education.
