By Jill Curran, Brendan Saloner, Tyler N.A. Winkelman, et al

Question: How commonly are medications for chronic conditions used in jails and state prisons compared with community settings in the US? Findings In this cross-sectional descriptive study of incarcerated and non-incarcerated populations in the US from 2018 to 2020, use of prescription medications for chronic conditions was consistently lower in jails and state prisons compared with community settings. After adjusting for disease prevalence, the relative disparity was 2.9-fold for diabetes, 5.5-fold for asthma, 2.4-fold for hypertension, 1.9-fold for hepatitis B or C, 3.0-fold for human immunodeficiency virus, 4.1-fold for depression, and 4.1-fold for severe mental illness. Meaning This analysis suggests that prescription medications for chronic conditions may be substantially underused in jails and state prisons in the US relative to the non-incarcerated population, after accounting for the differential burden of disease in these settings.

JAMA Health Forum. 2023;4(4):e230482. doi:10.1001/jamahealthforum.2023.0482