Diabetes and hypertension care among male prisoners in Mexico City: exploring transition of care and the equivalence principle.
OBJECTIVE
To document the performance of diabetes and hypertension care in two large male prisons in Mexico City.


METHODS
We analyzed data from a cross-sectional study carried out during July-September 2010, including 496 prisoners with hypertension or diabetes in Mexico City. Bivariate and multivariable logistic regressions were used to assess process-of-care indicators and disease control status.


RESULTS
Hypertension and diabetes prevalence were estimated on 2.1 and 1.4 %, respectively. Among prisoners with diabetes 22.7 % (n = 62) had hypertension as comorbidity. Low achievement of process-of-care indicators-follow-up visits, blood pressure and laboratory assessments-were observed during incarceration compared to the same prisoners in the year prior to incarceration. In contrast to nonimprisoned diabetes population from Mexico City and from the lowest quintile of socioeconomic status at the national level, prisoners with diabetes had the lowest performance on process-of-care indicators.


CONCLUSIONS
Continuity of care for chronic diseases, coupled with the equivalence of care principle, should provide the basis for designing chronic disease health policy for prisoners, with the goal of consistent transition of care from community to prison and vice versa.
Centre for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico.
Omar
O
Silverman-Retana
Centre for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico. eservan@insp.mx.
Edson
E
Servan-Mori
Centre for Population Health Research, National Institute of Public Health, Mexico City, Mexico.
Ruy
R
Lopez-Ridaura
Centre for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico.
Sergio
S
Bautista-Arredondo
D000328:Adult; D001795:Blood Pressure Determination; D002908:Chronic Disease / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000379:methods*; D003920:Diabetes Mellitus / Q000453:epidemiology*; D006291:Health Policy; D006801:Humans; D006973:Hypertension / Q000453:epidemiology*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D010360:Patient Transfer / Q000379:methods*; D015995:Prevalence; D011329:Prisoners
Diabetes; Health care; Hypertension; Mexico City; Prisoners