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

Christopher A K Y Chong, Sicong Li, Geoffrey C. Nguyen, Andrew Sutton, Michael H. Levy, Tony Butler, Murray D. Krahn, Hla Hla Thein

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Article number1477
Pages (from-to)78
Number of pages1
JournalHealth and Quality of Life Outcomes
Volume7
DOIs
StatePublished - Aug 28 2009

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Prisoners
Cross-Sectional Studies
Health
Multivariate Analysis
Depression
Population
Economic Models
Prisons
Comorbidity
Linear Models
Demography

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Chong, C. A. K. Y., Li, S., Nguyen, G. C., Sutton, A., Levy, M. H., Butler, T., ... Thein, H. H. (2009). Health-state utilities in a prisoner population: A cross-sectional survey. Health and Quality of Life Outcomes, 7, 78. [1477]. https://doi.org/10.1186/1477-7525-7-78

Health-state utilities in a prisoner population : A cross-sectional survey. / Chong, Christopher A K Y; Li, Sicong; Nguyen, Geoffrey C.; Sutton, Andrew; Levy, Michael H.; Butler, Tony; Krahn, Murray D.; Thein, Hla Hla.

In: Health and Quality of Life Outcomes, Vol. 7, 1477, 28.08.2009, p. 78.

Research output: Contribution to journalArticle

Chong, CAKY, Li, S, Nguyen, GC, Sutton, A, Levy, MH, Butler, T, Krahn, MD & Thein, HH 2009, 'Health-state utilities in a prisoner population: A cross-sectional survey', Health and Quality of Life Outcomes, vol. 7, 1477, pp. 78. https://doi.org/10.1186/1477-7525-7-78
Chong, Christopher A K Y ; Li, Sicong ; Nguyen, Geoffrey C. ; Sutton, Andrew ; Levy, Michael H. ; Butler, Tony ; Krahn, Murray D. ; Thein, Hla Hla. / Health-state utilities in a prisoner population : A cross-sectional survey. In: Health and Quality of Life Outcomes. 2009 ; Vol. 7. pp. 78.
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