title: Health care help seeking behaviour among prisoners in Norway.
abstract: BACKGROUND
  Prisoners are associated with high health care needs compared with the general population. This study aims to investigate prisoners' use of health service.
  
  
  METHODS
  A cross-sectional study of 29 prisons in central and southern parts of Norway. A questionnaire was distributed to 1, 454 prisoners (90% response rate). Multilevel analyses were employed to analyse help seeking behaviour among the prisoners.
  
  
  RESULTS
  Help seeking was substantially associated with sleep problems and drug problems. There was also a tendency for closed prisons as well as high staffing levels of healthcare professionals to be associated with elevated health care use.
  
  
  CONCLUSIONS
  This study suggests that sleep problems and drug use are most frequently associated with health service use. The differences in health care use between prisons suggest that the implementation of prison health care standards should be addressed.
authors: St. Olav's University Hospital, Division of Psychiatry, Forensic Dept, Brøset, Centre for Research and Education in Forensic Psychiatry, 7440 Trondheim, Norway. merete.b.nesset@ntnu.no
authors: Merete Berg
authors: MB
authors: Nesset
authors: Ase-Bente
authors: AB
authors: Rustad
authors: Ellen
authors: E
authors: Kjelsberg
authors: Roger
authors: R
authors: Almvik
authors: Johan Håkon
authors: JH
authors: Bjørngaard
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006302:Health Services Research; D006801:Humans; D008297:Male; D055361:Multilevel Analysis; D009664:Norway; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011329:Prisoners / Q000523:psychology*; D011330:Prisons / Q000458:organization & administration; D012893:Sleep Wake Disorders / Q000628:therapy; D019966:Substance-Related Disorders / Q000628:therapy; D011795:Surveys and Questionnaires