Healthcare utilization and type of criminal-legal system contact: The importance of employment and health insurance

IF 3.3 1区社会学 Q1 CRIMINOLOGY & PENOLOGY

Journal of Criminal Justice Pub Date : 2024-06-08 DOI:10.1016/j.jcrimjus.2024.102211

Alexander H. Lewis, Jason A. Ford

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引用次数: 0

Abstract

Purpose

To examine the impact of employment and health insurance on healthcare utilization while delineating criminal-legal system (CLS) contact by type.

Methods

We examined pooled data (2015–2019) from the National Survey on Drug Use and Health to assess the association between type of CLS contact (i.e., arrest, probation, or parole) and healthcare utilization (i.e., emergency room visit, overnight hospital stays, or doctor visit) among adults aged 18 and older (N = 201,490).

Results

Adults with any past-year CLS contact reported a higher prevalence of emergency room visits and hospital stays, but lower rates of doctor visits, compared to adults with no past-year CLS contact. Findings from logistic regression analyses highlight the importance of arrest. Among adults with past-year CLS contact, those with an arrest were more likely to report all forms of healthcare utilization compared to those on probation or parole. Lastly, findings clearly indicated that insurance was more strongly associated with healthcare utilization than employment.

Discussion

The current research contributes to literature that examines health conditions and healthcare utilization across type of CLS contact. Understanding how barriers to healthcare utilization vary by type of CLS contact should enable community resources and support services to reduce health disparities in this vulnerable population.

查看原文本刊更多论文

医疗保健的使用和刑事法律系统接触的类型：就业和医疗保险的重要性

目的研究就业和医疗保险对医疗保健利用率的影响，同时按类型划分与刑事法律系统（CLS）的接触情况。方法我们研究了来自全国药物使用和健康调查的汇总数据（2015-2019 年），以评估与刑事法律系统接触的类型（即逮捕、缓刑或假释）与医疗保健利用率（即急诊就诊、住院过夜或就医）之间的关联、结果与过去一年未接触过 CLS 的成年人相比，过去一年接触过 CLS 的成年人报告的急诊就诊率和住院率较高，但就诊率较低。逻辑回归分析的结果凸显了逮捕的重要性。在过去一年接触过 CLS 的成年人中，与缓刑或假释人员相比，被捕人员更有可能报告各种形式的医疗保健使用情况。最后，研究结果清楚地表明，与就业相比，保险与医疗保健利用率的关系更为密切。目前的研究为研究不同类型的 CLS 接触者的健康状况和医疗保健利用率的文献做出了贡献。了解不同类型的 CLS 接触者在使用医疗保健服务时遇到的障碍有何不同，将有助于社区资源和支持服务减少这一弱势群体的健康差距。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Criminal Justice CRIMINOLOGY & PENOLOGY-

CiteScore

6.90

自引率

9.10%

发文量

审稿时长

23 days

期刊介绍： The Journal of Criminal Justice is an international journal intended to fill the present need for the dissemination of new information, ideas and methods, to both practitioners and academicians in the criminal justice area. The Journal is concerned with all aspects of the criminal justice system in terms of their relationships to each other. Although materials are presented relating to crime and the individual elements of the criminal justice system, the emphasis of the Journal is to tie together the functioning of these elements and to illustrate the effects of their interactions. Articles that reflect the application of new disciplines or analytical methodologies to the problems of criminal justice are of special interest. Since the purpose of the Journal is to provide a forum for the dissemination of new ideas, new information, and the application of new methods to the problems and functions of the criminal justice system, the Journal emphasizes innovation and creative thought of the highest quality.