Uplifting the Social Determinants of Health of Adults Exiting Carceral Settings May Aid Health Care Access
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View abstract on PubMed
Summary
This summary is machine-generated.Adults exiting carceral settings face significant health care access barriers. Interventions addressing social determinants like education and transportation are crucial for improving health insurance and care access.
Area Of Science
- Public Health
- Health Services Research
- Criminology
Background
- Individuals exiting carceral settings experience disproportionately poor health outcomes.
- Access to healthcare is a critical determinant of health for this population.
- Understanding barriers to health care access is essential for developing effective interventions.
Purpose Of The Study
- To investigate health care access among adults recently released from carceral settings.
- To identify factors associated with health insurance coverage, usual source of care, and recent doctor visits.
- To inform policy and practice aimed at improving health care access for formerly incarcerated individuals.
Main Methods
- Cross-sectional study of 202 adults aged 18+ in San Diego, CA (2022-2024).
- Data collected via surveys on demographics and healthcare access (insurance, usual source of care, doctor visits).
- Logistic regression models used to assess factors associated with healthcare access.
Main Results
- 27% of participants were uninsured; 66% had Medicaid; 21% lacked a usual source of care.
- Factors associated with lower insurance included recent release from custody and lower educational attainment.
- Factors associated with having a usual source of care included older age, lower education, chronic conditions, and anxiety; recent release was associated with less access.
- Reliable transportation was linked to having had a doctor visit in the past 6 months.
Conclusions
- Adults exiting carceral settings face substantial challenges in accessing healthcare.
- Social determinants of health, including education, employment, and transportation, significantly impact healthcare access.
- Policy interventions, community outreach, and transportation support are vital to overcome financial and logistical barriers.
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