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 journalArticlepeer-review

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 number78
Pages (from-to)78
Number of pages1
JournalHealth and Quality of Life Outcomes
Volume7
DOIs
StatePublished - Aug 28 2009

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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