{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T15:50:07Z","timestamp":1779205807871,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T00:00:00Z","timestamp":1675036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Criminal Behav Ment Health"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Research shows that the prevalence of substance use disorders among the prison population is high globally. Although prisons are highly controlled environments, access to drugs and other substances in prison remains a major problem. Yet, previous research is focussed mainly on the Western context, with the studies generally reporting on lifetime prevalence without reference to whether the disorders are manifest even within the controlled environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To estimate the prevalence of substance use disorders evident while in prison in Ghana and associated risk indicators. For these purposes, substance use disorder was defined by any indication of dependency, or escalating use or socially problematic use during the 12\u00a0months of imprisonment prior to the interview.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study involved 500 adults (443 men and 57 women) in a medium\u2010security prison in Ghana who had served at least 1\u00a0year of a prison sentence. Participants' alcohol use disorder was assessed separately from other substance use disorders which included cannabis, cocaine and other stimulants using the Mini International Neuropsychiatric Interview (MINI); it is a structured interview and diagnostic tool for major psychiatric and substance use disorders in\u00a0DSM\u20105 and ICD\u201010.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two percent of the 500 participants had used alcohol to the level of alcohol use disorder, and 6% had other substance use disorders in 12\u00a0months prior to interview and while in prison. Cannabis (4%) and stimulants (3%) were the most frequently reported substance use disorders. Logistic regression model estimates indicate that younger age, prior offending and alcohol use dependence were significantly associated with such disorders in prison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In spite of efforts to prevent substance use in prison, nearly one in 10 of these prisoners were using alcohol or illicit drugs to a level indicative of substance use disorders. Our findings suggest that prioritising brief assessment may help identify those in most need of clinical help to limit their alcohol and illicit substance use problems.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cbm.2273","type":"journal-article","created":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T13:19:39Z","timestamp":1675084779000},"page":"62-71","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Substance use disorders among adults during imprisonment in a medium security prison: Prevalence and risk indicators"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3859-8015","authenticated-orcid":false,"given":"Gordon M.","family":"Donnir","sequence":"first","affiliation":[{"name":"School of Medicine and Public Health College of Health, Medicine and Wellbeing The University of Newcastle  Callaghan New South Wales Australia"},{"name":"The Canberra Hospital  Garran ACT Australia"},{"name":"Komfo Anokye Teaching Hospital  Kumasi Ghana"},{"name":"The Department of Psychological Medicine and Mental Health School of Medical Sciences University of Cape Coast  Cape Coast Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9907-3511","authenticated-orcid":false,"given":"Winifred","family":"Asare\u2010Doku","sequence":"additional","affiliation":[{"name":"National Drug and Alcohol Research Centre University of New South Wales  Sydney New South Wales Australia"},{"name":"Centre for Suicide and Violence Research University of Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2715-3301","authenticated-orcid":false,"given":"Kofi E.","family":"Boakye","sequence":"additional","affiliation":[{"name":"Centre for Suicide and Violence Research University of Ghana  Accra Ghana"},{"name":"School of Humanities and Social Sciences Anglia Ruskin University  Cambridge UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.15640\/ijhs.v8n3a2"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0924\u20109338(97)86748\u2010x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2008.02.001"},{"key":"e_1_2_10_5_1","unstructured":"Bird L.(2019).Domestic Drug Consumption in Ghana: An Under\u2010Reported Phenomenon. 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