The Impact of Incarceration on Health and Health Care Utilization: a System Perspective

被引:0
|
作者
Reimer, Sarah [1 ,2 ]
Pearce, Noah [1 ,2 ]
Marek, Andrew [1 ,2 ]
Heslin, Kayla [3 ]
Moreno, Ana Perez [1 ,2 ]
机构
[1] Advocate Aurora Hlth, Milwaukee, WI USA
[2] Advocate Aurora Hlth, Chicago, IL USA
[3] Ctr Urban Populat Hlth, Milwaukee, WI USA
关键词
Vulnerable populations; Emergency Medicine; Behavioral Health; Socioeconomic Status; Comorbidity; Gender; Social Determinants of Health; Geographic/spatial factors/small area variations; CORRECTIONAL FACILITIES; RISK; DISEASE; ACCESS; INDEX;
D O I
暂无
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background. Previously incarcerated individuals report high rates of chronic disease and reduced health care access. We characterized the impact of recent incarceration in jail or prison on chronic disease burden and health care utilization. Methods and Findings. Incarceration data over 10 years were matched to health system data and patients were classified by recent incarceration status. Each cohort was stratified by gender and neighborhood socioeconomic status for utilization analysis. Main outcomes were chronic disease incidence and health care utilization. Incarceration had a significant but small effect on chronic disease incidence. Incarceration had a moderate to large effect on emergency department and behavioral health utilization, with additional differences seen by gender and socioeconomic status. Conclusion. Incarceration's impact on quantity and type of health care utilization varies with socioeconomic status and gender. Future work should evaluate the impact of length or number of cycles of incarceration on health or health care utilization.
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页码:1403 / 1414
页数:12
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