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Cited by 37Criminal Justice and Corrections AnalysisSubstance Abuse Treatment and OutcomesHealthcare Policy and Management

Health care needs and service use among male prison inmates in the United States: A multi-level behavioral model of prison health service utilization

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Nowotny, Kathryn M.·2017·Health & Justice
DOI 10.1186/s40352-017-0052-3PMC PMC5465228
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Abstract

BACKGROUND: The purpose of this study is to apply Andersen's Behavioral Model of Health Service Use to men's prisons to assess the direct and indirect effects of inmate predisposing characteristics through multiple types of need. Also examined are the effects of prison-specific enabling factors and the variation in use of health services across prisons. This study uses a nationally representative U.S. sample of men incarcerated in state prisons (n = 8816) and generalized structural equation and multilevel modeling. Five types of need-medical condition, illness, dental problem, unintentional injury, and intentional injury-are assessed for their association with use of health services. RESULTS: Findings indicate that a number of inmate predisposing (age, race, education) and vulnerability (mood/anxiety disorder,) characteristics are associated with use of health services but are partially mediated by enabling and need factors. Each type of medical need has strong direct effects with mood/anxiety disorder emerging as the strongest total effect (including both direct effects and indirect effects through need). There is significant variation in rates of health service utilization across prisons that is not accounted for by the prison-level factors included in the multilevel model. CONCLUSIONS: The varying patterns of health service use across prisons suggest that incarceration may be an important circumstance that shapes health. In other words, where someone is incarcerated may influence their ability to access and use services in response to medical need. It is important that prisons provide integrated services for inmates with mood/anxiety disorder given high comorbidity with other health conditions.

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  • Mental health conditions of prisoners can affect their chance of recidivism during post-incarceration.

    “Studies suggest that mental health conditions of prisoners can affect their chance of recidivism during post-incarceration, which underlines the importance of rehabilitation of prisoners in prisons, especially mental healthcare (1, 3, 4).”

    From Can Viewing Nature Through Windows Improve Isolated Living? A Pathway Analysis on Chinese Male Prisoners During the COVID-19 Epidemic (2021) · cites this paper as [3]

    The Background (page unavailable) says that diagnosis, treatment, and coordination of care after release can help reduce recidivism. The Discussion (page unavailable) recommends integrated care for inmates with mood/anxiety disorders. Neither passage says that prisoners’ mental health conditions themselves affect their chance of recidivism after release. (LLM, conf=0.78)

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Authors
Nowotny, K. M.
Affiliations
University of Miami (US)
Corresponding author
Nowotny, Kathryn M.
ORCID
Nowotny, Kathryn M.
Venue
Health & Justice
Publisher
Springer Science and Business Media LLC
Published
2017-06-08
Volume
5
Issue
1
Pages
9-9
ISSN
2194-7899 (ISSN-L)
DOI
10.1186/s40352-017-0052-3
PMC
PMC5465228
OpenAlex
W2623263696
Cited by
37
References
5
Citations by year
2026: 3 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 9 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 1
FWCI
9.11
Type
journal article
Language
en
Open access
Licence
Locations
  • Health & Justice (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • National Institute on Drug Abuse (F31 DA037645, R25 DA037190)
  • Directorate for Social, Behavioral and Economic Sciences (1401061)
Topics
  • Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords
prison health care, state prisons, incarcerated men, mood and anxiety disorders, medical needs, dental care, injuries, health care access, comorbidities

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