Physical Co morbidity and Functional Disability amongst Mentally Ill Inmates in Nigerian Prison
Comorbidity is the presence of more than one disorder/condition at the same time, and it is common among those with mental illness. Prisoners with multiple disorders are more disabled and consume more health resources than those with only one disorder. This study aimed at providing prevalence of physical comorbidity among inmates with mental illness and the relationship between physical comorbidity and functional disability among this group of inmates. The study was part of a comprehensive descriptive cross-sectional study carried out among 608 prisoners awaiting trial and convicted in Jos maximum security prison, Plateau state. Four sets of questionnaires were used namely Sociodemograhic Questionnaire (for demographic variable), General Health Questionnaire (GHQ-28) for screening the prisoners for a mental health problem, Composite International Diagnostic Interview (CIDI) which is a structured clinical interview for diagnosing mental health disorders while Physical and functional disabilities were evaluated using the PULSE profile Questionnaire. Out of 608 participants 347 (57.1%) had mental disorders of which 63 (18.2%) had physical comorbidity, with infectious diseases being the commonest physical challenge. Functional disability (level of functioning) was significantly associated with comorbidity cutting across all physical disorders found in the study. The study found high physical comorbidity among mentally ill inmates in the prison studied.