Medication use and knowledge in a sample of Indigenous and non‐Indigenous prisoners

Abstract Objective: To (a) characterise medication use and knowledge, according to Indigenous status, and (b) identify independent correlates of medication knowledge in a sample of adult prisoners. Methods: Cross‐sectional survey of 1,231 adult prisoners in Queensland, interviewed within six weeks o...

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Main Authors: Megan Carroll, Stuart A. Kinner, Edward B. Heffernan
Format: Article
Language:English
Published: Elsevier 2014-04-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12203
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author Megan Carroll
Stuart A. Kinner
Edward B. Heffernan
author_facet Megan Carroll
Stuart A. Kinner
Edward B. Heffernan
author_sort Megan Carroll
collection DOAJ
description Abstract Objective: To (a) characterise medication use and knowledge, according to Indigenous status, and (b) identify independent correlates of medication knowledge in a sample of adult prisoners. Methods: Cross‐sectional survey of 1,231 adult prisoners in Queensland, interviewed within six weeks of release. Measures included self‐reported demographic and health‐related characteristics, self‐reported use of medications, the Hayes Ability Screening Index (HASI) and the Short‐Form Health Survey (SF‐36). Objective medication data were abstracted from prison medical records. A medication knowledge score was calculated to reflect the agreement between self‐reported and objective medication use. Results: 46% of participants were taking at least one medication. The most common class of medication was Central Nervous System (30% of participants). Medication knowledge was generally poor, with one quarter of prisoners unable to accurately identify any of their medications. Independent correlates of poor medication knowledge included not taking Central Nervous System medications, identifying as Indigenous and age >54. Conclusions and Implications: Around half prisoners are taking medications in prison, but most have poor knowledge of what these medications are. Medication knowledge is associated with better adherence and may contribute to improved health outcomes post‐release. Changes to prescribing and dispensing practices in prison may improve medication knowledge and health outcomes in this profoundly marginalised group.
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spelling doaj.art-7caa6e67db974aebbfa743ba6514bc782023-09-03T04:07:17ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052014-04-0138214214610.1111/1753-6405.12203Medication use and knowledge in a sample of Indigenous and non‐Indigenous prisonersMegan Carroll0Stuart A. Kinner1Edward B. Heffernan2Melbourne School of Population and Global Health The University of Melbourne VictoriaMelbourne School of Population and Global Health The University of Melbourne VictoriaDepartment of Psychiatry, University of QueenslandAbstract Objective: To (a) characterise medication use and knowledge, according to Indigenous status, and (b) identify independent correlates of medication knowledge in a sample of adult prisoners. Methods: Cross‐sectional survey of 1,231 adult prisoners in Queensland, interviewed within six weeks of release. Measures included self‐reported demographic and health‐related characteristics, self‐reported use of medications, the Hayes Ability Screening Index (HASI) and the Short‐Form Health Survey (SF‐36). Objective medication data were abstracted from prison medical records. A medication knowledge score was calculated to reflect the agreement between self‐reported and objective medication use. Results: 46% of participants were taking at least one medication. The most common class of medication was Central Nervous System (30% of participants). Medication knowledge was generally poor, with one quarter of prisoners unable to accurately identify any of their medications. Independent correlates of poor medication knowledge included not taking Central Nervous System medications, identifying as Indigenous and age >54. Conclusions and Implications: Around half prisoners are taking medications in prison, but most have poor knowledge of what these medications are. Medication knowledge is associated with better adherence and may contribute to improved health outcomes post‐release. Changes to prescribing and dispensing practices in prison may improve medication knowledge and health outcomes in this profoundly marginalised group.https://doi.org/10.1111/1753-6405.12203prisonermedicationIndigenous
spellingShingle Megan Carroll
Stuart A. Kinner
Edward B. Heffernan
Medication use and knowledge in a sample of Indigenous and non‐Indigenous prisoners
Australian and New Zealand Journal of Public Health
prisoner
medication
Indigenous
title Medication use and knowledge in a sample of Indigenous and non‐Indigenous prisoners
title_full Medication use and knowledge in a sample of Indigenous and non‐Indigenous prisoners
title_fullStr Medication use and knowledge in a sample of Indigenous and non‐Indigenous prisoners
title_full_unstemmed Medication use and knowledge in a sample of Indigenous and non‐Indigenous prisoners
title_short Medication use and knowledge in a sample of Indigenous and non‐Indigenous prisoners
title_sort medication use and knowledge in a sample of indigenous and non indigenous prisoners
topic prisoner
medication
Indigenous
url https://doi.org/10.1111/1753-6405.12203
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