Evidence map›Paper›PMID 25642407›Full record

ArticleHealth & justice2014

Discrimination based on criminal record and healthcare utilization among men recently released from prison: a descriptive study.

Joseph W Frank, Emily A Wang, Marcella Nunez-Smith, Hedwig Lee, Megan Comfort

Registry-linked trialAbstract read
In one paragraph

Article in Health & justice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04878328 (Leveraging Community Health Workers to Improve COVID-19 Testing and Mitigation Among Criminal Justice-involved Individuals Accessing a Corrections-focused Community-based Organization), which is not on this map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

NCT04878328 nacompletednot on this mapstarted 2022, after this paper: background citation

Leveraging Community Health Workers to Improve COVID-19 Testing and Mitigation Among Criminal Justice-involved Individuals Accessing a Corrections-focused Community-based Organization

TypeinterventionalSponsorMontefiore Medical CenterRan2022 to 2025Enrolled250ConditionsCovid19ArmsOnsite Point-of-care
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  15. Characterizing Emergency Department Care for Patients With Histories of Incarceration.Journal of the American College of Emergency Physicians open · 2025
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Joseph W FrankDivision of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, US ; Denver Veterans Affairs Medical Center, Denver, CO, USA.
Emily A WangSection of General Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Marcella Nunez-SmithSection of General Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Hedwig LeeDepartment of Sociology, University of Washington, Seattle, WA, USA.
Megan ComfortDepartment of Medicine, University of California San Francisco, San Francisco, CA, USA ; Urban Health Program, RTI International, San Francisco, CA, USA.

Funding

HIV Risk among Male Parolees and their Female PartnersR01MH078743 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BINSON, DIANE · 2007 to 2010
$1.6M
Improving Cardiovascular Outcomes in Individuals with a History of IncarcerationK23HL103720 · NHLBI · YALE UNIVERSITY · PI WANG, EMILY AI-HUA · 2010 to 2014
$692k
NHLBI NIH HHS K23 HL103720NIMH NIH HHS R01 MH078743
6 · The paper itself

Abstract

backgroundHealthcare discrimination based on race/ethnicity is associated with decreased healthcare access and utilization among racial/ethnic minority patients. Discrimination based on criminal record may also negatively impact healthcare access and utilization among ex-prisoners.

methodsWe conducted a secondary analysis of data from a cross-sectional survey of 172 men recently released from state prison. We examined the association between self-reported criminal record discrimination by healthcare workers and utilization of 1) emergency department (ED) and 2) primary care services. We created staged logistic regression models, adjusting for sociodemographic characteristics and self-reported racial/ethnic discrimination.

resultsAmong 172 male participants, 42% reported a history of criminal record discrimination by healthcare workers. Participants who reported discrimination were older (mean, 42 vs. 39 years; p = .01), more likely to be college educated (26% vs. 11%; p = .03), and had more extensive incarceration histories (median years incarcerated, 16 vs. 9; p = .002) compared to those who did not report discrimination. Self-reported criminal record discrimination by healthcare workers was significantly associated with frequent ED utilization [odds ratio (OR) = 2.7, 95% confidence interval 24 (CI) 1.2-6.2] but not infrequent primary care utilization [OR = 1.6, 95% CI 0.7-3.8].

conclusionsRecently released prisoners report criminal record discrimination by healthcare workers, and this experience may impact healthcare utilization. Future studies should seek to further characterize criminal record discrimination by healthcare workers and prospectively examine its impact on health outcomes.

Identifiers

PMID25642407
PMCPMC4308970

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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.