Substance abuse and dependence in prisoners: a systematic review
Article first published online: 24 JAN 2006
Volume 101, Issue 2, pages 181–191, February 2006
How to Cite
Fazel, S., Bains, P. and Doll, H. (2006), Substance abuse and dependence in prisoners: a systematic review. Addiction, 101: 181–191. doi: 10.1111/j.1360-0443.2006.01316.x
- Issue published online: 24 JAN 2006
- Article first published online: 24 JAN 2006
- Submitted 27 August 2004; initial review completed 2 December 2004; final version accepted 16 August 2005
- Alcohol dependence;
- drug dependence;
- substance dependence;
- systematic review
Aims To review studies of the prevalence of substance abuse and dependence in prisoners on reception into custody.
Design and method A systematic review of studies measuring the prevalence of drug and alcohol abuse and dependence in male and female prisoners on reception into prison was conducted. Only studies using standardized diagnostic criteria were included. Relevant information, such as mean age, gender and type of prisoner, was recorded for eligible studies. The prevalence estimates were compared with those from large cross-sectional studies of prevalence in prison populations.
Findings Thirteen studies with a total of 7563 prisoners met the review criteria. There was substantial heterogeneity among the studies. The estimates of prevalence for alcohol abuse and dependence in male prisoners ranged from 18 to 30% and 10 to 24% in female prisoners. The prevalence estimates of drug abuse and dependence varied from 10 to 48% in male prisoners and 30 to 60% in female prisoners.
Conclusions The prevalence of substance abuse and dependence, although highly variable, is typically many orders of magnitude higher in prisoners than the general population, particularly for women with drug problems. This highlights the need for screening for substance abuse and dependence at reception into prison, effective treatment while in custody, and follow-up on release. Specialist addiction services for prisoners have the potential to make a considerable impact.