{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T18:07:10Z","timestamp":1771006030234,"version":"3.50.1"},"reference-count":37,"publisher":"American Public Health Association","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:p> Objectives. We examined older jail inmates\u2019 predetainment acute care use (emergency department or hospitalization in the 3 months before arrest) and their plans for using acute care after release. <\/jats:p><jats:p> Methods. We performed a cross-sectional study of 247 jail inmates aged 55 years or older assessing sociodemographic characteristics, health, and geriatric conditions associated with predetainment and anticipated postrelease acute care use. <\/jats:p><jats:p> Results. We found that 52% of older inmates reported predetainment acute care use and 47% planned to use the emergency department after release. In modified Poisson regression, homelessness was independently associated with predetainment use (relative risk\u2009=\u20091.42; 95% confidence interval\u2009=\u20091.10, 1.83) and having a primary care provider was inversely associated with planned use (relative risk\u2009=\u20090.69; 95% confidence interval\u2009=\u20090.53, 0.89). <\/jats:p><jats:p> Conclusions. The Affordable Care Act has expanded Medicaid eligibility to all persons leaving jail in an effort to decrease postrelease acute care use in this high-risk population. Jail-to-community transitional care models that address the health, geriatric, and social factors prevalent in older adults leaving jail, and that focus on linkages to housing and primary care, are needed to enhance the impact of the act on acute care use for this population. <\/jats:p>","DOI":"10.2105\/ajph.2014.301952","type":"journal-article","created":{"date-parts":[[2014,7,17]],"date-time":"2014-07-17T19:58:38Z","timestamp":1405627118000},"page":"1728-1733","source":"Crossref","is-referenced-by-count":31,"title":["Older Jail Inmates and Community Acute Care Use"],"prefix":"10.2105","volume":"104","author":[{"given":"Anna H.","family":"Chodos","sequence":"first","affiliation":[{"name":"Anna H. Chodos, Cyrus Ahalt, Irena Stijacic Cenzer, and Brie A. Williams are with the Division of Geriatrics, University of California, San Francisco. Janet Myers is with the Center for AIDS Prevention Studies, University of California, San Francisco. Joe Goldenson is with Jail Health Services, San Francisco Department of Public Health. Brie A. Williams is also with San Francisco VA Medical Center."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cyrus","family":"Ahalt","sequence":"additional","affiliation":[{"name":"Anna H. Chodos, Cyrus Ahalt, Irena Stijacic Cenzer, and Brie A. Williams are with the Division of Geriatrics, University of California, San Francisco. Janet Myers is with the Center for AIDS Prevention Studies, University of California, San Francisco. Joe Goldenson is with Jail Health Services, San Francisco Department of Public Health. Brie A. Williams is also with San Francisco VA Medical Center."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irena Stijacic","family":"Cenzer","sequence":"additional","affiliation":[{"name":"Anna H. Chodos, Cyrus Ahalt, Irena Stijacic Cenzer, and Brie A. Williams are with the Division of Geriatrics, University of California, San Francisco. Janet Myers is with the Center for AIDS Prevention Studies, University of California, San Francisco. Joe Goldenson is with Jail Health Services, San Francisco Department of Public Health. Brie A. Williams is also with San Francisco VA Medical Center."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Myers","sequence":"additional","affiliation":[{"name":"Anna H. Chodos, Cyrus Ahalt, Irena Stijacic Cenzer, and Brie A. Williams are with the Division of Geriatrics, University of California, San Francisco. Janet Myers is with the Center for AIDS Prevention Studies, University of California, San Francisco. Joe Goldenson is with Jail Health Services, San Francisco Department of Public Health. Brie A. Williams is also with San Francisco VA Medical Center."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joe","family":"Goldenson","sequence":"additional","affiliation":[{"name":"Anna H. Chodos, Cyrus Ahalt, Irena Stijacic Cenzer, and Brie A. Williams are with the Division of Geriatrics, University of California, San Francisco. Janet Myers is with the Center for AIDS Prevention Studies, University of California, San Francisco. Joe Goldenson is with Jail Health Services, San Francisco Department of Public Health. Brie A. Williams is also with San Francisco VA Medical Center."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brie A.","family":"Williams","sequence":"additional","affiliation":[{"name":"Anna H. Chodos, Cyrus Ahalt, Irena Stijacic Cenzer, and Brie A. Williams are with the Division of Geriatrics, University of California, San Francisco. Janet Myers is with the Center for AIDS Prevention Studies, University of California, San Francisco. Joe Goldenson is with Jail Health Services, San Francisco Department of Public Health. Brie A. Williams is also with San Francisco VA Medical Center."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"bib1","unstructured":"Profile of jail inmates 2002. Washington, DC: Department of Justice, Office of Justice Programs, Bureau of Justice Statistics. Available at:http:\/\/bjs.ojp.usdoj.gov\/index.cfm?ty=pbdetail&iid=1118. Accessed September 17, 2012."},{"key":"bib2","unstructured":"Beck AJ, Berzofsky M. Sexual victimization in prison and jails reported by inmates, 2008\u20132009. Washington, DC: Department of Justice, Office of Justice Programs, Bureau of Justice Statistics; 2010:91. Table 6. NCJ 231169."},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2007.119669"},{"key":"bib5","doi-asserted-by":"crossref","unstructured":"Mancuso D, Felver B. Health care reform, Medicaid expansion and access to alcohol\/drug treatment: opportunities for disability prevention. Olympia, WA: Washington State Department of Social and Health Services, Research and Data Analysis Division; 2010. Available at:http:\/\/www.dshs.wa.gov\/pdf\/ms\/rda\/research\/4\/84.pdf. Accessed June 24, 2013.","DOI":"10.1037\/e644022010-001"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2007.58.6.794"},{"key":"bib8","volume-title":"County Jails and the Affordable Care Act: Enrolling Eligible Individuals in Health Coverage","author":"Cardwell A","year":"2012"},{"key":"bib9","unstructured":"Regenstein M, Christie-Maples J. Medicaid coverage for individuals in jail pending disposition: opportunities for improved health and health care at lower costs. Washington, DC: Department of Health Policy, School of Public Health and Health Services, George Washington University; 2012. Available at:http:\/\/www.cochs.org\/files\/GWU\/MedicaidCoverage.pdf. 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