Year: 2025
Type: article
Study design: Observational Study
Abstract: OBJECTIVES: To examine the excess deaths due to non-COVID-19 pathologies in Uruguayan prisons in 2021 vs. 2014-2023, and analyse the factors that contributed to them. MATERIAL AND METHOD: A non-experimental case study with quantitative and qualitative retrospective analysis was conducted. All available data on the causes and circumstances of prisoner deaths from the year 2021 vs. 2014-2023 were analysed. Contingency and risk tables were prepared. A care process analysis tool was used in the qualitative study. RESULTS: In 2021, a significant increase of deaths caused by diseases not due to COVID-19 was documented (rate person-years 296.35 vs. X̄ = 165.53 [P <0.001]). The risk was also significant for the period (OR = 2.01 [CI 1,42-2,83]) and there was also an association with prison security (P <0.05). A total of 63.4% of the deaths were associated with difficulties in the healthcare process. DISCUSSION: The excess non-COVID-19 mortality in Uruguay prisons in 2021 was mainly due to restrictions on movement in prison and priority in the care of respiratory patients, which generated difficulties in accessing prison health services, delays in diagnosis and treatment of other pathologies.
Source: PubMed
DOI: 10.18176/resp.00101
Author: José Priore
Institution: Universidad de la República de Uruguay
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W4409734412
