{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T23:26:48Z","timestamp":1782516408945,"version":"3.54.5"},"reference-count":32,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2016,8,20]],"date-time":"2016-08-20T00:00:00Z","timestamp":1471651200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:p>Most women in prison are poor and suffer from health problems prior to and during incarceration. Policies that impose inmate medical co-payment fees do not consider gender-specific health needs or other financial stressors faced by women in prison. We examine the financial needs and concerns of incarcerated women through the lens of gender and behavioral economics. We conducted individual interviews with 95 women incarcerated in a medium\/maximum security prison in the United States. Women described several common financial stressors during confinement: paying for medical care, \u201cworking for pennies,\u201d staying in contact with loved ones, and relying on others. In an attempt to remain gender neutral, prison polices often do not consider gender-based differences between male and female prisoners. When gender neutrality is applied to financial policies surrounding access to healthcare, incarcerated women are profoundly disadvantaged and left to make consequential trade-offs with scarce financial resources. Our findings provide important insight into financial stressors facing incarcerated women and provide evidence to support the elimination of mandatory medical co-payment fees for incarcerated women.<\/jats:p>","DOI":"10.1177\/1049732316664460","type":"journal-article","created":{"date-parts":[[2016,8,19]],"date-time":"2016-08-19T20:19:22Z","timestamp":1471637962000},"page":"688-699","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["\u201cPrison Ain\u2019t Free Like Everyone Thinks\u201d"],"prefix":"10.1177","volume":"27","author":[{"given":"Holly M.","family":"Harner","sequence":"first","affiliation":[{"name":"La Salle University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian R.","family":"Wyant","sequence":"additional","affiliation":[{"name":"La Salle University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Da Silva","sequence":"additional","affiliation":[{"name":"La Salle University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,8,20]]},"reference":[{"key":"bibr1-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1300\/J015v29n03_1"},{"key":"bibr2-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1016\/S0160-2527(99)00011-4"},{"key":"bibr3-1049732316664460","unstructured":"Carson E. A. (2014). Prisoners in 2013. Advance counts. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Retrieved from http:\/\/www.bjs.gov\/content\/pub\/pdf\/p13.pdf"},{"key":"bibr4-1049732316664460","unstructured":"Centers for Disease Control and Prevention. (2003). Methicillin-resistant staphylococcus aureus infections in correctional facilities\u2014Georgia, California, and Texas, 2001\u20132003. Morbidity and Mortality Weekly Report (MMWR), 52, 992\u2013996. Retrieved from http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm5241a4.htm"},{"key":"bibr5-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61053"},{"key":"bibr6-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2010.01.005"},{"key":"bibr7-1049732316664460","unstructured":"Frost N., Greene J., Pranis K. (2006). The punitiveness report-HARD HIT: The growth in imprisonment of women, 1977-2004. Retrieved from http:\/\/csdp.org\/research\/HardHitReport4.pdf"},{"key":"bibr8-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1177\/10783458960030020"},{"key":"bibr9-1049732316664460","unstructured":"Glaze L., Maruschak L. (2010). Parents in prison and their minor children. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Retrieved from http:\/\/repositories.lib.utexas.edu\/bitstream\/handle\/2152\/15171\/BJS_IncParents.pdf?sequence=2"},{"key":"bibr10-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1177\/107834589900600105"},{"key":"bibr11-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2003.10.001"},{"key":"bibr12-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1037\/a0032508"},{"key":"bibr13-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2013.0059"},{"key":"bibr14-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1177\/1049732312461452"},{"key":"bibr15-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1300\/J013v44n01_07"},{"key":"bibr16-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"bibr17-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1177\/107834580300900402"},{"key":"bibr18-1049732316664460","unstructured":"James D. J., Glaze L. E. (2006). Mental health problems of prison and jail inmates. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Retrieved from http:\/\/www.bjs.gov\/content\/pub\/pdf\/mhppji.pdf"},{"key":"bibr19-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1136\/jech.55.10.693"},{"key":"bibr20-1049732316664460","unstructured":"Krippendorff K. (1989). Content analysis. In Barnouw E., Gerbner G., Schramm W., Worth T. L., Gross L. (Eds.), International encyclopedia of communication (Vol. 1, pp. 403\u2013407). New York: Oxford University Press. Retrieved from http:\/\/repository.upenn.edu\/asc_papers\/226"},{"key":"bibr21-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1136\/jech.55.5.364"},{"key":"bibr22-1049732316664460","unstructured":"Maruschak L. M., Berzofsky M., Unangst J. (2015). Medical problems of state and federal prisoners and jail inmates, 2011\u201312. Washington, DC: U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Retrieved from http:\/\/www.bjs.gov\/content\/pub\/pdf\/mpsfpji1112.pdf"},{"key":"bibr23-1049732316664460","volume-title":"Scarcity: Why having too little means so much","author":"Mullainathan S.","year":"2013"},{"key":"bibr24-1049732316664460","unstructured":"National Commission on Correctional Health Care. (2012). Charging inmates a fee for health care services. Retrieved from http:\/\/www.ncchc.org\/charging-inmates-a-fee-for-health-care-services"},{"key":"bibr25-1049732316664460","unstructured":"National Institutes of Health. (2013). Module 1, Part 1: The scope of health economics. Retrieved from http:\/\/www.nlm.nih.gov\/nichsr\/edu\/healthecon\/01_he_02.html"},{"key":"bibr26-1049732316664460","doi-asserted-by":"crossref","unstructured":"Owens G. M. (2008). Gender differences in health care expenditures, resource utilization, and quality of care. Journal of Managed Care Pharmacy, 14, S2. Retrieved from http:\/\/www.amcp.org\/data\/jmcp\/JMCPSupp_April08_S2-S6.pdf","DOI":"10.18553\/jmcp.2008.14.S3-A.2"},{"key":"bibr27-1049732316664460","unstructured":"Perella A., Ammar N. (2007). How co-payments affect access to prison health care services: The experiences of women in two Ohio prisons. Corrections Compendium, 32, 6\u20138. Retrieved from http:\/\/www.aca.org\/ACA_Prod_IMIS\/ACA_Member\/Publications\/Corrections_Compendium_Journal\/ACA_Member\/Publications\/Corrections_Compendium\/CorrCompendium_Home.aspx?hkey=ab902b4a-b32a-47eb-9867-092c43031a79"},{"key":"bibr28-1049732316664460","unstructured":"The Pew Charitable Trusts and John D. and Catherine T. MacArthur Foundation. (2014). State prison health care spending: An examination. 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Retrieved from http:\/\/www.bop.gov\/policy\/progstat\/6031_002.pdf"},{"key":"bibr31-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2011.2876"},{"key":"bibr32-1049732316664460","doi-asserted-by":"publisher","DOI":"10.1080\/19371918.2012.629875"}],"container-title":["Qualitative Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732316664460","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1049732316664460","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1049732316664460","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:40:00Z","timestamp":1777686000000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1049732316664460"}},"subtitle":["Financial Stressors Faced by Incarcerated Women"],"short-title":[],"issued":{"date-parts":[[2016,8,20]]},"references-count":32,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1177\/1049732316664460"],"URL":"https:\/\/doi.org\/10.1177\/1049732316664460","relation":{},"ISSN":["1049-7323","1552-7557"],"issn-type":[{"value":"1049-7323","type":"print"},{"value":"1552-7557","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,8,20]]}}}