Universal health coverage and incarceration

Winkelman, Tyler N.A.; Dasrath, Kayla C; Young, Jesse T; Kinner, Stuart A

doi:10.1016/s2468-2667(22)00113-x

Cited by 10 publications

(12 citation statements)

References 19 publications

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“…While data from California suggest that psychotropic medication use has increased proportionate with the burden of mental illness in carceral facilities, there is a lack of national data on trends in prevalence and medication use . Targeted initiatives, including additional oversight from health care agencies, to further characterize and abate any undertreatment of mental health disorders among this population are needed …”

Section: Discussionmentioning

confidence: 99%

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Estimated Use of Prescription Medications Among Individuals Incarcerated in Jails and State Prisons in the US

et al. 2023

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ImportanceAlthough incarcerated individuals experience higher rates of chronic conditions, little is known regarding the use of prescription medications in jails and prisons in the US.ObjectiveTo characterize treatment with prescription medications in jails and state prisons relative to noncorrectional settings in the US.Design, Setting, and ParticipantsThis cross-sectional analysis using 2018 to 2020 data from the National Survey on Drug Use and Health (NSDUH) estimated the prevalence of disease among recently incarcerated and nonincarcerated adults in the US. The study used 2018 to 2020 IQVIA’s National Sales Perspective (NSP) to quantify the distribution of medications to incarcerated and nonincarcerated populations. The NSP provides national dollar and unit sales of prescription medications across multiple distribution channels, including prisons and jails. The study population included incarcerated and nonincarcerated individuals from NSDUH. Seven common chronic conditions were assessed. Data were analyzed in May 2022.ExposuresMedications being sent to correctional facilities vs all other settings in the US.Main Outcomes and MeasuresThe main outcomes were distribution of medications to treat diabetes, asthma, hypertension, hepatitis B and C, human immunodeficiency virus (HIV), depression, and severe mental illness to incarcerated and nonincarcerated populations.ResultsThe proportion of pharmaceuticals distributed to jails and state prisons to treat type 2 diabetes (0.15%), asthma (0.15%), hypertension (0.18%), hepatitis B or C (1.68%), HIV (0.73%), depression (0.36%), and severe mental illness (0.48%) was much lower compared with the relative burden of disease among this population. The incarcerated population in state prisons and jails accounted for 0.44% (95% CI, 0.34%-0.56%) of estimated individuals with diabetes, 0.85% (95% CI, 0.67%-1.06%) of individuals with asthma, 0.42% (95% CI, 0.35%-0.51%) of hypertension, 3.13% (95% CI, 2.53%-3.84%) of hepatitis B or C, 2.20% (95% CI, 1.51%-3.19%) of HIV, 1.46% (95% CI, 1.33%-1.59%) of depression, and 1.97% (95% CI, 1.81%-2.14%) of severe mental illness. After adjusting for disease prevalence, the relative disparity was 2.9-fold for diabetes, 5.5-fold for asthma, 2.4-fold for hypertension, 1.9-fold for hepatitis B or C, 3.0-fold for HIV, 4.1-fold for depression, and 4.1-fold for severe mental illness.Conclusions and RelevanceIn this cross-sectional, descriptive study of the distribution of prescription medications for chronic conditions in jails and state prisons, the findings suggest that there may be underuse of pharmacological treatment in correctional facilities relative to the nonincarcerated population. These findings, which require further investigation, may reflect inadequate care in jails and prisons and represent a critical public health issue.

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Section: Discussionmentioning

confidence: 99%

“…50 Targeted initiatives, including additional oversight from health care agencies, to further characterize and abate any undertreatment of mental health disorders among this population are needed. 51 …”

Section: Discussionmentioning

confidence: 99%

Estimated Use of Prescription Medications Among Individuals Incarcerated in Jails and State Prisons in the US

et al. 2023

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show abstract

Section: Introductionmentioning

confidence: 99%

“…According to Winkelman et al [ 7 ] reviewed the universal health coverage and incarceration, they concluded that the health care in prisons was often below the community standard and was independent of health coverage and financing in the general population. In the USA and Australia, where individuals in prison are excluded from public health insurance programmes [ 7 – 9 ]. In USA, there is a great challenge for the delivery of health care for incarcerated individuals is that many correctional systems require high co-payments for health care which will be a barrier for accessibility [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the importance of prison health care, little is known about how prison health services and governance in the previous studies [ 9 ]. Generally, the data of healthcare for the prisoners is inadequate, even in high-income countries, prison health information systems are often archaic in nature, relying on paper-based records and needed to restructure [ 7 ]. However, as the United Nations Basic Principles for the Treatment of Prisoners [ 10 ] indicate that: “Prisoners shall have access to the health services available in the country without discrimination on the grounds of their legal situation” (Principle 9).…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with patient satisfaction towards a prison detention Clinic Care among male drug-using inmates

Hsieh

Lin

et al. 2022

BMC Health Serv Res

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This study assessed patient satisfaction and its associated factors among male drug-using inmates utilizing a prison detention clinic in Taiwan. A cross-sectional design and structured questionnaire were employed to recruit 580 drug-using inmates into the study. The Patient Satisfaction Questionnaire Short Form (PSQ-18), developed by the RAND Corporation, was used as the basis for the short scale of patient satisfaction, and the research data were analyzed using the SPSS for Windows 20.0 statistical software package. The results showed that the research subjects had low patient satisfaction in all the factors assessed compared with the scale’s general norms. Among the original seven satisfaction subscales in this study, the highest score was for the financial aspects, and the lowest was for the amount of time spent with doctors. This study also investigated satisfaction with medical lab exams and the pharmacy at the prison’s clinic, and the satisfaction scores were higher than the original seven subscales. In multiple logistic regression analyses, the final model indicated that the inmates undergoing observed rehabilitation (OR = 13.837, 95% CI = 2.736–69.983) were more likely satisfied with prison detention clinic c than those serving prison sentences. Those inmates with custodial deposits (high vs. low; OR = 1.813, 95% CI = 1.038–3.168), and meet their physical health needs (met vs. unmet; OR = 4.872, 95% CI = 2.054–11.560) had significant correlated with detention clinic care satisfactory level. Although there is only one study setting cannot give a generalizability for people who are incarcerated in Taiwan, this study highlights that the prison authorities should scrutinize factors associated with detention clinic care satisfaction, such as the type of inmate, economic status in the prison, self-reported health status, and their physical health needs, to increase the level of patient satisfaction.

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“They talked to me like I was dirt under their feet:” Treatment and withdrawal experiences of incarcerated pregnant people with opioid use disorder in four U.S. states

Sufrin,

Ziv,

Dayton

et al. 2024

SSM - Qualitative Research in Health

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Universal health coverage and incarceration

Cited by 10 publications

References 19 publications

Estimated Use of Prescription Medications Among Individuals Incarcerated in Jails and State Prisons in the US

Estimated Use of Prescription Medications Among Individuals Incarcerated in Jails and State Prisons in the US

Factors Associated with patient satisfaction towards a prison detention Clinic Care among male drug-using inmates

“They talked to me like I was dirt under their feet:” Treatment and withdrawal experiences of incarcerated pregnant people with opioid use disorder in four U.S. states

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