An empirical assessment of the “healthy prisoner hypothesis”

Valerio Baćak and Christopher Wildeman

Social Science & Medicine, 2015, vol. 138, issue C, 187-191

Abstract: Lower mortality among inmates, compared to the general population, is typically ascribed to access to health care during incarceration and the low risk of death due to homicide, accidents, and drug overdose. In this study, we test an alternative explanation based on selection of healthy individuals into jails and prisons–“the healthy prisoner hypothesis.” According to this hypothesis, inmates have to be healthy to commit crimes and become incarcerated, which explains why they experience lower mortality than comparable segments of the general population. Using ten waves of data from the National Longitudinal Survey of Youth 1997, we compare individuals who become incarcerated the following year to those who do not on four measures of health—depression, self-rated health, functional limitations, and injury or illness requiring medical attention. Results from matched samples indicate that future inmates are hardly ever in significantly better health the year prior to their incarceration. These findings strongly suggest that the paradoxical mortality advantage of inmates is not due to health selection.

Keywords: USA; Incarceration; Health disparities; Longitudinal study (search for similar items in EconPapers)
Date: 2015
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0277953615003287
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:138:y:2015:i:c:p:187-191

Ordering information: This journal article can be ordered from
http://www.elsevier.com/wps/find/supportfaq.cws_home/regional
http://www.elsevier. ... _01_ooc_1&version=01

DOI: 10.1016/j.socscimed.2015.05.039

Access Statistics for this article

Social Science & Medicine is currently edited by Ichiro (I.) Kawachi and S.V. (S.V.) Subramanian

More articles in Social Science & Medicine from Elsevier
Bibliographic data for series maintained by Catherine Liu ().