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

By Christopher A. K. Y. Chong, Sicong Li, Geoffrey C. Nguyen, A. J. Sutton, M. H. (Michael H.) Levy, Tony Butler, Murray Krahn and Hla-Hla Thein

Abstract

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

Topics: HV, RA
Publisher: BioMed Central Ltd.
Year: 2009
OAI identifier: oai:wrap.warwick.ac.uk:2170

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