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Accepted for/Published in: JMIR Public Health and Surveillance

Date Submitted: Nov 30, 2025
Date Accepted: Jul 28, 2026

The final, peer-reviewed published version of this preprint can be found here:

Sociodemographic and Health-Related Predictors of Anxiety and Fear of COVID-19 in the Prison Population: Cross-Sectional Study

González-Riera FJ, Allande-Cussó R, El-Khoury-Moreno L, Yıldırım M, Goniewicz K, Ruger-Navarrete A, Mérida-Yáñez B, Torrejón-Martínez J, Fagundo-Rivera J, Gomez-Salgado J

Sociodemographic and Health-Related Predictors of Anxiety and Fear of COVID-19 in the Prison Population: Cross-Sectional Study

JMIR Public Health Surveill 2026;12:e88699

DOI: 10.2196/88699

PMID: 43002693

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Sociodemographic Predictors of Anxiety and Fear of Covid-19 In the Prison Population in Spain

  • Francisco Javier González-Riera; 
  • Regina Allande-Cussó; 
  • Luis El-Khoury-Moreno; 
  • Murat Yıldırım; 
  • Krzysztof Goniewicz; 
  • Azahara Ruger-Navarrete; 
  • Beatriz Mérida-Yáñez; 
  • Julio Torrejón-Martínez; 
  • Javier Fagundo-Rivera; 
  • Juan Gomez-Salgado

ABSTRACT

Background:

The COVID-19 pandemic generated a notable emotional impact on the general population, yet its effect on individuals deprived of liberty has been far less explored.

Objective:

The present study analysed levels of anxiety and fear related to COVID-19 in the Spanish prison population and identified sociodemographic predictors associated with greater emotional distress.

Methods:

A cross-sectional study was conducted with 711 inmates in Spanish prisons. The AMICO_Inmates scale was used to assess anxiety and fear related to COVID-19. Descriptive analyses, bivariate comparisons, and categorical regression (CATREG) were performed to examine the relationship between sociodemographic variables and the total scale score.

Results:

The sample presented a mean score of 5.58 (SD = 2.55), indicating moderate–high levels of anxiety and fear. Women showed significantly higher scores than men (6.57 vs. 5.42; p < 0.01). No significant differences were found for marital status, having children, receipt of a pension, degree of sentence, or sharing a cell. The CATREG model explained 17.4% of the variance (R² = 0.174), identifying female sex (β = 0.198; p < 0.001) and sharing a cell (β = 0.097; p < 0.01) as significant predictors.

Conclusions:

Individuals deprived of liberty experience substantial levels of anxiety and fear related to COVID-19, especially women and those sharing a cell. These findings underscore the need for targeted emotional-support strategies in prison settings, promoting sex equity and adapting interventions to living conditions. The study contributes evidence to strengthen health and psychosocial preparedness for future emergencies in structurally vulnerable contexts.


 Citation

Please cite as:

González-Riera FJ, Allande-Cussó R, El-Khoury-Moreno L, Yıldırım M, Goniewicz K, Ruger-Navarrete A, Mérida-Yáñez B, Torrejón-Martínez J, Fagundo-Rivera J, Gomez-Salgado J

Sociodemographic and Health-Related Predictors of Anxiety and Fear of COVID-19 in the Prison Population: Cross-Sectional Study

JMIR Public Health Surveill 2026;12:e88699

DOI: 10.2196/88699

PMID: 43002693

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