Health Status and Health Care Utilization of US Adults Under Probation: 2015–2018.

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Title: Health Status and Health Care Utilization of US Adults Under Probation: 2015–2018.
Authors: Hawks, Laura (AUTHOR), Wang, Emily A. (AUTHOR), Howell, Benjamin (AUTHOR), Woolhandler, Steffie (AUTHOR), Himmelstein, David U. (AUTHOR), Bor, David (AUTHOR), McCormick, Danny (AUTHOR)
Source: American Journal of Public Health. Sep2020, Vol. 110 Issue 9, p1411-1417. 7p.
Subjects: Medical care use, Formerly incarcerated people, Probation, Substance abuse, Public health, Emergency medical services
Geographic Terms: United States
Abstract: Objectives. To compare the health and health care utilization of persons on and not on probation nationally. Methods. Using the National Survey of Drug Use and Health, a population-based sample of US adults, we compared physical, mental, and substance use disorders and the use of health services of persons (aged 18–49 years) on and not on probation using logistic regression models controlling for age, race/ethnicity, gender, poverty, and insurance status. Results. Those on probation were more likely to have a physical condition (adjusted odds ratio [AOR] = 1.3; 95% confidence interval [CI] = 1.2, 1.4), mental illness (AOR = 2.4; 95% CI = 2.1, 2.8), or substance use disorder (AOR = 4.2; 95% CI = 3.8, 4.5). They were less likely to attend an outpatient visit (AOR = 0.8; 95% CI = 0.7, 0.9) but more likely to have an emergency department visit (AOR = 1.8; 95% CI = 1.6, 2.0) or hospitalization (AOR = 1.7; 95% CI = 1.5, 1.9). Conclusions. Persons on probation have an increased burden of disease and receive less outpatient care but more acute services than persons not on probation. Public Health Implications. Efforts to address the health needs of those with criminal justice involvement should include those on probation. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Health Status and Health Care Utilization of US Adults Under Probation: 2015–2018.
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  Data: <searchLink fieldCode="AR" term="%22Hawks%2C+Laura%22">Hawks, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wang%2C+Emily+A%2E%22">Wang, Emily A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Howell%2C+Benjamin%22">Howell, Benjamin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Woolhandler%2C+Steffie%22">Woolhandler, Steffie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Himmelstein%2C+David+U%2E%22">Himmelstein, David U.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bor%2C+David%22">Bor, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McCormick%2C+Danny%22">McCormick, Danny</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Sep2020, Vol. 110 Issue 9, p1411-1417. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Formerly+incarcerated+people%22">Formerly incarcerated people</searchLink><br /><searchLink fieldCode="DE" term="%22Probation%22">Probation</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Emergency+medical+services%22">Emergency medical services</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Label: Abstract
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  Data: Objectives. To compare the health and health care utilization of persons on and not on probation nationally. Methods. Using the National Survey of Drug Use and Health, a population-based sample of US adults, we compared physical, mental, and substance use disorders and the use of health services of persons (aged 18–49 years) on and not on probation using logistic regression models controlling for age, race/ethnicity, gender, poverty, and insurance status. Results. Those on probation were more likely to have a physical condition (adjusted odds ratio [AOR] = 1.3; 95% confidence interval [CI] = 1.2, 1.4), mental illness (AOR = 2.4; 95% CI = 2.1, 2.8), or substance use disorder (AOR = 4.2; 95% CI = 3.8, 4.5). They were less likely to attend an outpatient visit (AOR = 0.8; 95% CI = 0.7, 0.9) but more likely to have an emergency department visit (AOR = 1.8; 95% CI = 1.6, 2.0) or hospitalization (AOR = 1.7; 95% CI = 1.5, 1.9). Conclusions. Persons on probation have an increased burden of disease and receive less outpatient care but more acute services than persons not on probation. Public Health Implications. Efforts to address the health needs of those with criminal justice involvement should include those on probation. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.2105/AJPH.2020.305777
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        Text: English
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        Type: general
      – SubjectFull: Formerly incarcerated people
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      – SubjectFull: Probation
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      – SubjectFull: Substance abuse
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      – SubjectFull: Public health
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      – SubjectFull: Emergency medical services
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      – SubjectFull: United States
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      – TitleFull: Health Status and Health Care Utilization of US Adults Under Probation: 2015–2018.
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              Text: Sep2020
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