TY - JOUR
T1 - African american female offender’s use of alternative and traditional health services after re-entry
T2 - Examining the behavioral model for vulnerable populations
AU - Oser, Carrie B.
AU - Bunting, Amanda M.
AU - Pullen, Erin
AU - Stevens-Watkins, Danelle
N1 - Publisher Copyright:
© Meharry Medical College.
PY - 2016/5
Y1 - 2016/5
N2 - This is the first known study to use the Gelberg-Andersen Behavioral Model for Vulnerable Populations to predict African American women’s use of three types of health services (alternative, hospitalization, and ambulatory) in the 18 months after release from prison. In the multivariate models, the most robust predictors of all three types of service utilization were in the vulnerable theoretical domains. Alternative health services were predicted by ethnic community membership, higher religiosity, and HIV/HCV. Hospitalizations were predicted by the lack of barriers to health care and disability. Ambulatory office visits were predicted by more experiences of gendered racism, a greater number of physical health problems, and HIV/HCV. Findings highlight the importance of cultural factors and HIV/HCV in obtaining both alternative and formal health care during community re-entry. Clinicians and policymakers should consider the salient role that the vulnerable domain plays in offender’s accessing health services.
AB - This is the first known study to use the Gelberg-Andersen Behavioral Model for Vulnerable Populations to predict African American women’s use of three types of health services (alternative, hospitalization, and ambulatory) in the 18 months after release from prison. In the multivariate models, the most robust predictors of all three types of service utilization were in the vulnerable theoretical domains. Alternative health services were predicted by ethnic community membership, higher religiosity, and HIV/HCV. Hospitalizations were predicted by the lack of barriers to health care and disability. Ambulatory office visits were predicted by more experiences of gendered racism, a greater number of physical health problems, and HIV/HCV. Findings highlight the importance of cultural factors and HIV/HCV in obtaining both alternative and formal health care during community re-entry. Clinicians and policymakers should consider the salient role that the vulnerable domain plays in offender’s accessing health services.
KW - African Americans
KW - Health services
KW - Prisoners
KW - Vulnerable populations
KW - Women
UR - http://www.scopus.com/inward/record.url?scp=84964706569&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84964706569&partnerID=8YFLogxK
U2 - 10.1353/hpu.2016.0052
DO - 10.1353/hpu.2016.0052
M3 - Article
C2 - 27133515
AN - SCOPUS:84964706569
SN - 1049-2089
VL - 27
SP - 120
EP - 148
JO - Journal of Health Care for the Poor and Underserved
JF - Journal of Health Care for the Poor and Underserved
IS - 2
ER -