Health-state utilities in a prisoner population : a cross-sectional survey
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.
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
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.|
|Official Date:||28 August 2009|
|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)|
1. White P, Whiteford H: Prisons: mental health institutions of
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