Das Gesundheitswesen
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Das Gesundheitswesen · Apr 1999
[Transmission of infectious diseases during imprisonment--results of a study and introduction of a model project for infection prevention in Lower Saxony].
The increasing imprisonment rate of drug users is linked to a spread of infectious diseases in prisons (HIV and Hepatitis B and C). Several studies indicate a close correlation of imprisonment and transmission of infectious diseases. An analysis of international studies showed that worldwide in several cases transmissions of HIV-infection during imprisonment have been discovered. ⋯ As the first provencial government, the state of Lower Saxony in Germany has started to develop infection prophylaxis offers in two prisons (in the women's prison in Vechta since April 15th 1996 and in the men's prison of Lingen I, department Gross Hesepe since July 15th 1996) in 1996. These offers include the provision of sterile injection equipment to intravenous drug addicts (ivDA). Modalities of the practice and first experiences documented by the schientific evaluation are presented.
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Using the method of multistate life-tables, the article presents results on active life expectancy on the basis of the German Socio-Economic Panel Survey (SOEP). Different determinants of mortality and morbidity are revealed by event-history analysis. Results show that men live a greater proportion of their lives without disability than do women. Results on the association between mortality/morbidity and socio-economic factors suggest that studies which usually focussed either on mortality or on morbidity cannot fully explain differences in active life expectancy.