Evidence map›Paper›PMID 24817280›Full record

ArticleJournal of general internal medicine2014

Increased hospital and emergency department utilization by individuals with recent criminal justice involvement: results of a national survey.

Joseph W Frank, Jeffrey A Linder, William C Becker, David A Fiellin, Emily A Wang

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03799315 (Reducing Tobacco-Related Health Disparities Among Incarcerated Individuals in Hennepin County), which is not on this map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
12.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03799315 nacompletednot on this mapstarted 2019, after this paper: background citation

Reducing Tobacco-Related Health Disparities Among Incarcerated Individuals in Hennepin County

TypeinterventionalSponsorHennepin Healthcare Research InstituteRan2019 to 2020Enrolled66ConditionsTobacco UseArmsNicotine Replacement Therapy, Counseling
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 91 citations in OpenAlex.

  1. Article
  2. Legal Financial Obligations: An Understudied Public Health Exposure.American journal of preventive medicine · 2026
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  16. Nonurgent Emergency Department Use Among Women Sentenced to Probation.Journal of correctional health care : the official journal of the National Commission on Correctional Health Care · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Joseph W FrankDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, USA, joseph.frank@ucdenver.edu.
Jeffrey A Linder
William C Becker
David A Fiellin
Emily A Wang
Yale University · USHarvard University · USUniversity of Colorado Denver · USVA Connecticut Healthcare System · US

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Improving Cardiovascular Outcomes in Individuals with a History of IncarcerationK23HL103720 · NHLBI · YALE UNIVERSITY · PI WANG, EMILY AI-HUA · 2010 to 2014
$692k
NCATS NIH HHS UL1 TR001082NHLBI NIH HHS K23 HL103720NIMH NIH HHS P30 MH062294PHS HHS T32 HP10251
6 · The paper itself

Abstract

backgroundIndividuals involved with the criminal justice system have increased health needs and poor access to primary care.

objectiveTo examine hospital and emergency department (ED) utilization and related costs by individuals with recent criminal justice involvement.

designCross-sectional survey.

participantsNon-institutionalized, civilian U.S. adult participants (n = 154,356) of the National Survey on Drug Use and Health (2008-2011). MAIN MEASURES: Estimated proportion of adults who reported past year 1) hospitalization or 2) ED utilization according to past year criminal justice involvement, defined as 1) parole or probation, 2) arrest without subsequent correctional supervision, or 3) no criminal justice involvement; estimated annual expenditures using unlinked data from the Medical Expenditure Panel Survey. KEY

resultsAn estimated 5.7 million adults reported parole or probation and an additional 3.9 million adults reported an arrest in the past year. Adults with recent parole or probation and those with a recent arrest, compared with the general population, had higher rates of hospitalization (12.3 %, 14.3 %, 10.5 %; P < 0.001) and higher rates of ED utilization (39.3 %, 47.2 %, 26.9 %; P < 0.001). Recent parole or probation was an independent predictor of hospitalization (adjusted odds ratio [AOR], 1.21; 95 % confidence interval [CI], 1.02-1.44) and ED utilization (AOR, 1.35; 95 % CI, 1.12-1.63); Recent arrest was an independent predictor of hospitalization (AOR, 1.26; 95 % CI, 1.08-1.47) and ED utilization (AOR, 1.81; 95 % CI, 1.53-2.15). Individuals with recent criminal justice involvement make up 4.2 % of the U.S. adult population, yet account for an estimated 7.2 % of hospital expenditures and 8.5 % of ED expenditures.

conclusionsRecent criminal justice involvement is associated with increased hospital and ED utilization and costs. The criminal justice system may offer an important point of contact for efforts to improve the healthcare utilization patterns of a large and vulnerable population.

Indexed as

CriminalsPatient Acceptance of Health CareAdolescentAdultCohort StudiesCross-Sectional StudiesEmergency Service, HospitalHospitalizationHumansMaleMiddle AgedYoung Adult

Identifiers

PMID24817280
PMCPMC4139534
OpenAlexW2092211137

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.