Assessing Bias in Medication Administration in Relation to Incarceration History in a New Orleans Student Clinic Population
4 affiliations
- 1Deming Department of Medicine, Tulane University School of Medicine, New Orleans, LA USA
- 2Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD USA
- 3Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, MD USA
- 4Formerly Incarcerated Transitions (FIT) Clinic, New Orleans, LA USA
Abstract
Formerly incarcerated individuals experience a disproportionate burden of disease and face greater barriers to accessing healthcare. This population also represents a significant proportion of patients seen in New Orleans’ student-run clinics. This study examines the chief complaints among formerly incarcerated patients and evaluates whether prescribing patterns differ for this group, with the aim of identifying potential biases in treatment practices. Data for this study were obtained from REDCap surveys administered to patients at student-run clinics. Patients were categorized by chief complaint, and chi-square analysis was used to assess whether incarceration status was associated with initiation of the corresponding treatment. Analyses were performed in SPSS, with p-values < 0.05 considered statistically significant. Logistic regression was subsequently conducted to evaluate potential confounders and to confirm associations identified in the chi-square analysis. No significant differences were observed in overall chief complaints or overall medication prescribing between formerly incarcerated and non-incarcerated patients. However, after adjusting for demographic factors, formerly incarcerated patients presenting with respiratory symptoms were less likely to receive cough and cold medications. These findings suggest a potential bias in prescribing practices, as formerly incarcerated patients presenting with respiratory symptoms were less likely to receive cough and cold medications compared to their non-incarcerated counterparts.
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BibTeX
@article{watts2026assessing,
title = {{Assessing Bias in Medication Administration in Relation to Incarceration History in a New Orleans Student Clinic Population}},
author = {Haley Watts and Diane Hurwitz and Jonathan Hurley and Ellen Terry and Christopher Saker and Thomas Stall and Vidhatri Raturi and Anjali Niyogi and Helen Pope},
journal = {Journal of Community Health},
year = {2026},
month = sep,
doi = {10.1007/s10900-026-01633-3},
url = {https://doi.org/10.1007/s10900-026-01633-3},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Assessing Bias in Medication Administration in Relation to Incarceration History in a New Orleans Student Clinic Population
AU - Haley Watts
AU - Diane Hurwitz
AU - Jonathan Hurley
AU - Ellen Terry
AU - Christopher Saker
AU - Thomas Stall
AU - Vidhatri Raturi
AU - Anjali Niyogi
AU - Helen Pope
PY - 2026
DA - 2026/09/03
JO - Journal of Community Health
DO - 10.1007/s10900-026-01633-3
UR - https://doi.org/10.1007/s10900-026-01633-3
AB - Formerly incarcerated individuals experience a disproportionate burden of disease and face greater barriers to accessing healthcare. This population also represents a significant proportion of patients seen in New Orleans’ student-run clinics. This study examines the chief complaints among formerly incarcerated patients and evaluates whether prescribing patterns differ for this group, with the aim of identifying potential biases in treatment practices. Data for this study were obtained from REDCap surveys administered to patients at student-run clinics. Patients were categorized by chief complaint, and chi-square analysis was used to assess whether incarceration status was associated with initiation of the corresponding treatment. Analyses were performed in SPSS, with p-values < 0.05 considered statistically significant. Logistic regression was subsequently conducted to evaluate potential confounders and to confirm associations identified in the chi-square analysis. No significant differences were observed in overall chief complaints or overall medication prescribing between formerly incarcerated and non-incarcerated patients. However, after adjusting for demographic factors, formerly incarcerated patients presenting with respiratory symptoms were less likely to receive cough and cold medications. These findings suggest a potential bias in prescribing practices, as formerly incarcerated patients presenting with respiratory symptoms were less likely to receive cough and cold medications compared to their non-incarcerated counterparts.
SN - 0094-5145
SN - 1573-3610
ER -