dc.contributor.author | Young, JT | |
dc.contributor.author | Arnold-Reed, D | |
dc.contributor.author | Preen, D | |
dc.contributor.author | Bulsara, M | |
dc.contributor.author | Lennox, N | |
dc.contributor.author | Kinner, SA | |
dc.date.accessioned | 2017-07-26T00:32:17Z | |
dc.date.available | 2017-07-26T00:32:17Z | |
dc.date.issued | 2015 | |
dc.identifier.issn | 2044-6055 | |
dc.identifier.doi | 10.1136/bmjopen-2015-008021 | |
dc.identifier.uri | http://hdl.handle.net/10072/171768 | |
dc.description.abstract | Objective: To describe the association between
ex-prisoner primary care physician contact within
1 month of prison release and health service utilisation
in the 6 months following release.
Design: A cohort from the Passports study with a
mean follow-up of 219 (±44) days postrelease.
Associations were assessed using a multivariate
Andersen-Gill model, controlling for a range of other
factors.
Setting: Face-to-face, baseline interviews were
conducted in a sample of prisoners within 6 weeks of
expected release from seven prisons in Queensland,
Australia, from 2008 to 2010, with telephone follow-up
interviews 1, 3 and 6 months postrelease.
Participants: From an original population-based
sample of 1325 sentenced adult (≥18 years) prisoners,
478 participants were excluded due to not being
released from prison during follow-up (n=7, 0.5%),
loss to follow-up (n=257, 19.4%), or lacking exposure
data (n=214, 16.2%). A total of 847 (63.9%)
participants were included in the analyses.
Exposure: Primary care physician contact within 1
month of follow-up as a dichotomous measure.
Main outcome measures: Adjusted time-to-event
hazard rates for hospital, mental health, alcohol and
other drug and subsequent primary care physician
service utilisations assessed as multiple failure timeinterval
data.
Results: Primary care physician contact prevalence
within 1 month of follow-up was 46.5%. One-month
primary care physician contact was positively
associated with hospital (adjusted HR (AHR)=2.07;
95% CI 1.39 to 3.09), mental health (AHR=1.65; 95%
CI 1.24 to 2.19), alcohol and other drug (AHR=1.48;
95% CI 1.15 to 1.90) and subsequent primary care
physician service utilisation (AHR=1.47; 95% CI 1.26
to 1.72) over 6 months of follow-up.
Conclusions: Engagement with primary care
physician services soon after prison release increases
health service utilisation during the critical community
transition period for ex-prisoners. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | BMJ Publishing Group | |
dc.publisher.place | 10.1136/bmjopen-2015-008021 | |
dc.relation.ispartofpagefrom | e008021-1 | |
dc.relation.ispartofpageto | e008021-11 | |
dc.relation.ispartofissue | 6 | |
dc.relation.ispartofjournal | BMJ Open | |
dc.relation.ispartofvolume | 5 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Other health sciences | |
dc.subject.fieldofresearch | Criminology not elsewhere classified | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 4299 | |
dc.subject.fieldofresearchcode | 440299 | |
dc.title | Early primary care physician contact and health service utilisation in a large sample of recently released ex-prisoners in Australia: prospective cohort study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by/4.0/ | |
dc.description.version | Version of Record (VoR) | |
gro.rights.copyright | © The Author(s) 2015. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/ | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Kinner, Stuart A. | |