Reliability of prisoners' survey responses: comparison of self-reported health and biomedical data from an australian prisoner cohort.
Biomedical
Blood borne viruses
Health surveys
Hepatitis
Objective tests
Reliability
Self-reported
Sexual transmissible infections
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
10 01 2022
10 01 2022
Historique:
received:
20
08
2021
accepted:
12
11
2021
entrez:
11
1
2022
pubmed:
12
1
2022
medline:
12
4
2022
Statut:
epublish
Résumé
Prisoner health surveys primarily rely on self-report data. However, it is unclear whether prisoners are reliable health survey respondents. This paper aimed to determine the level of agreement between self-report and biomedical tests for a number of chronic health conditions. This study was a secondary analysis of existing data from three waves (1996, 2001, 2009) of the New South Wales (NSW) Inmate Health Survey. The health surveys were cross-sectional in nature and included a stratified random sample of men (n=2,114) from all NSW prisons. Self-reported histories of hepatitis, sexually transmissible infections, and diabetes were compared to objective biomedical measures of these conditions. Overall, the sensitivity (i.e., the respondents who self-reported having the condition also had markers indicative of the condition using biomedical tests) was high for hepatitis C (96%) and hepatitis B (83%), but low for all other assessed conditions (ranging from 9.1% for syphilis using RPR to 64% for diabetes). However, Kappa scores indicated substantial agreement only for hepatitis C. That is, there were false positives and false negatives which occurred outside of chance leading to poor agreement for all other assessed conditions. Prisoners may have been exposed to serious health conditions while failing to report a history of infection. It may be possible that prisoners do not get tested given the asymptomatic presentation of some conditions, were unaware of their health status, have limited health-service usage preventing the opportunity for detection, or are subject to forgetting or misunderstanding prior test results. These findings demonstrate the importance of the custodial environment in screening for health conditions and referral for treatment should this be needed. Testing on entry, periodically during incarceration, and prior to release is recommended.
Identifiants
pubmed: 35012501
doi: 10.1186/s12889-021-12460-7
pii: 10.1186/s12889-021-12460-7
pmc: PMC8747873
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
64Informations de copyright
© 2022. The Author(s).
Références
BMC Med Res Methodol. 2014 Apr 09;14:50
pubmed: 24716525
BMC Health Serv Res. 2016 Aug 19;16(1):411
pubmed: 27542604
Am J Obstet Gynecol. 2017 Apr;216(4):393.e1-393.e7
pubmed: 27988270
BMJ. 1999 Jul 31;319(7205):290-1
pubmed: 10426739
Brain Inj. 2011;25(1):74-82
pubmed: 21117913
Am J Public Health. 2015 Dec;105(12):e26-32
pubmed: 26469659
Infect Dis (Lond). 2015 Aug;47(8):517-22
pubmed: 25831259
Am J Trop Med Hyg. 2017 Oct;97(4):1078-1084
pubmed: 28820706
AIDS Care. 2012;24(12):1496-503
pubmed: 22452446
Clin Lab Sci. 2003 Spring;16(2):99-106
pubmed: 12757189
BMC Public Health. 2015 Jan 29;15:28
pubmed: 25630218
Eur J Clin Nutr. 2016 Feb;70(2):212-6
pubmed: 26081491
J Occup Environ Med. 2009 Jul;51(7):786-96
pubmed: 19528832
J Clin Epidemiol. 2004 Oct;57(10):1096-103
pubmed: 15528061
BMJ Open. 2016 Jan 04;6(1):e009836
pubmed: 26729390
Drug Alcohol Rev. 2009 Nov;28(6):669-75
pubmed: 19930022
Age Ageing. 2019 Mar 1;48(2):204-212
pubmed: 30590404