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Health-state utilities in a prisoner population : a cross-sectional survey

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Chong, Christopher A. K. Y., Li, Sicong, Nguyen, Geoffrey C., Sutton, A. J., Levy, M. H. (Michael H.), Butler, Tony, Krahn, Murray and Thein, Hla-Hla. (2009) Health-state utilities in a prisoner population : a cross-sectional survey. Health and Quality of Life Outcomes, Vol.7 (No.78). ISSN 1477-7525

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Official URL: http://dx.doi.org/10.1186/1477-7525-7-78.

Abstract

Background: Health-state utilities for prisoners have not been described.
Methods: We used data from a 1996 cross-sectional survey of Australian prisoners (n = 734).
Respondent-level SF-36 data was transformed into utility scores by both the SF-6D and Nichol's
method. Socio-demographic and clinical predictors of SF-6D utility were assessed in univariate
analyses and a multivariate general linear model.
Results: The overall mean SF-6D utility was 0.725 (SD 0.119). When subdivided by various medical
conditions, prisoner SF-6D utilities ranged from 0.620 for angina to 0.764 for those with none/mild
depressive symptoms. Utilities derived by the Nichol's method were higher than SF-6D scores,
often by more than 0.1. In multivariate analysis, significant independent predictors of worse utility
included female gender, increasing age, increasing number of comorbidities and more severe
depressive symptoms.
Conclusion: The utilities presented may prove useful for future economic and decision models
evaluating prison-based health programs.

Item Type:

Journal Article

Subjects:

H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine

Divisions:

Faculty of Science > Life Sciences (2010- ) > Biological Sciences ( -2010)

Library of Congress Subject Headings (LCSH):

Prisoners -- Health and hygiene -- Australia, Medical care -- Research -- Australia

Journal or Publication Title:

Health and Quality of Life Outcomes

Publisher:

BioMed Central Ltd.

ISSN:

1477-7525

Official Date:

28 August 2009

Dates:

Date	Event
28 August 2009	Published

Volume:

Vol.7

Number:

No.78

Identification Number:

10.1186/1477-7525-7-78

Status:

Peer Reviewed

Access rights to Published version:

Open Access

Funder:

Corrections Health Service (N.S.W.) (CHS), New South Wales. Dept. of Health (DoH), Lakeridge Health Oshawa (LHO)

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