{"title":"Healthcare utilization and type of criminal-legal system contact: The importance of employment and health insurance","authors":"Alexander H. Lewis, Jason A. Ford","doi":"10.1016/j.jcrimjus.2024.102211","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>To examine the impact of employment and health insurance on healthcare utilization while delineating criminal-legal system (CLS) contact by type.</p></div><div><h3>Methods</h3><p>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 (<em>N</em> = 201,490).</p></div><div><h3>Results</h3><p>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.</p></div><div><h3>Discussion</h3><p>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.</p></div>","PeriodicalId":48272,"journal":{"name":"Journal of Criminal Justice","volume":"93 ","pages":"Article 102211"},"PeriodicalIF":3.3000,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Criminal Justice","FirstCategoryId":"90","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0047235224000606","RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CRIMINOLOGY & PENOLOGY","Score":null,"Total":0}
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.
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.
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