Abstract
Little is known about the patterns of health care utilization in the U.S. prison population. Hemodialysis access-related health care utilization has been well investigated in non-incarcerated samples and therefore, maximizes opportunity for comparison with the incarcerated and non-incarcerated subgroups of our study cohort. To examine the independent and interaction effects of incarceration status and hemodialysis access-related risk factors on health care utilization outcomes, 149 males with end stage renal disease (ESRD) who received treatment at the University of Texas Medical Branch were examined in a retrospective cohort study. In multivariate analyses controlling for age, race, comorbid conditions, disease stage, hygiene, and incarceration status, only having diabetes proved predictive of hemodialysis access-related hospitalization and emergency department (ER) visits. Evaluation of interaction terms indicated that the effects of the covariates did not differ significantly according to incarceration...
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