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BioMed Central, Health and Quality of Life Outcomes, 1(7), 2009

DOI: 10.1186/1477-7525-7-78

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

Journal article published in 2009 by Butler Tony, Christopher Aky K. Y. Chong, Sutton Andrew, Sicong Li, Geoffrey C. Nguyen, Andrew J. Sutton, Chong Christopher Aky, Michael H. (Michael H.) Levy, Murray D. Krahn ORCID, Thein Hla-Hla, Hla Thein ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

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.