African american female offender’s use of alternative and traditional health services after re-entry: Examining the behavioral model for vulnerable populations

Carrie B. Oser, Amanda M. Bunting, Erin Pullen, Danelle Stevens-Watkins

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)120-148
Number of pages29
JournalJournal of Health Care for the Poor and Underserved
Volume27
Issue number2
DOIs
StatePublished - May 2016

Bibliographical note

Funding Information:
This research is funded by the National Institute on Drug Abuse (R01-DA022967, PI: Oser; K02-DA035116, PI: Oser; and K08-DA032296, PI: Stevens- Watkins).

Publisher Copyright:
© Meharry Medical College.

Keywords

  • African Americans
  • Health services
  • Prisoners
  • Vulnerable populations
  • Women

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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