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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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Universal health coverage and incarceration.

Tyler N A Winkelman1, Kayla C Dasrath2, Jesse T Young3

  • 1General Internal Medicine, Department of Medicine, Hennepin Healthcare, Minneapolis, MN, USA; Health, Homelessness, and Criminal Justice Lab, Hennepin Healthcare Research Institute, Minneapolis, MN, USA.

The Lancet. Public Health
|June 6, 2022
PubMed
Summary
This summary is machine-generated.

Excluding prisons from health coverage metrics may overestimate progress and hide inequalities. Including custodial settings is vital for accurate universal health coverage and SDG 3.8 goals.

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Area of Science:

  • Public Health
  • Health Equity
  • Sustainable Development Goals

Background:

  • Global progress towards universal health coverage is tracked using the WHO Service Coverage Index.
  • This index excludes essential data from prisons and youth detention centers.
  • Custodial settings face underinvestment and poor health outcomes, impacting released individuals.

Purpose of the Study:

  • To analyze how excluding custodial settings from coverage metrics affects SDG 3.8.1.
  • To highlight the contribution of this exclusion to health inequalities.
  • To advocate for the inclusion of custodial settings in future health coverage estimates.

Main Methods:

  • This viewpoint analyzes the implications of excluding custodial settings in health service coverage calculations.
  • It examines the potential for overestimation of progress towards SDG 3.8.1.
  • It discusses the masking of health inequalities due to data exclusion.

Main Results:

  • Excluding prisons and detention centers from coverage data may lead to an overestimation of progress towards universal health coverage.
  • This exclusion can obscure significant health disparities affecting incarcerated populations.
  • Failure to account for custodial settings impedes the achievement of Sustainable Development Goal 3.

Conclusions:

  • Explicitly including all custodial settings in future estimates is crucial for accurate universal health coverage measurement.
  • Addressing health inequalities in custodial settings is essential for achieving SDG 3.
  • Accurate data collection is necessary to monitor and improve health outcomes for all populations.