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dc.contributor.authorYoung, JT
dc.contributor.authorArnold-Reed, D
dc.contributor.authorPreen, D
dc.contributor.authorBulsara, M
dc.contributor.authorLennox, N
dc.contributor.authorKinner, SA
dc.date.accessioned2017-07-26T00:32:17Z
dc.date.available2017-07-26T00:32:17Z
dc.date.issued2015
dc.identifier.issn2044-6055
dc.identifier.doi10.1136/bmjopen-2015-008021
dc.identifier.urihttp://hdl.handle.net/10072/171768
dc.description.abstractObjective: 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.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBMJ Publishing Group
dc.publisher.place10.1136/bmjopen-2015-008021
dc.relation.ispartofpagefrome008021-1
dc.relation.ispartofpagetoe008021-11
dc.relation.ispartofissue6
dc.relation.ispartofjournalBMJ Open
dc.relation.ispartofvolume5
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchOther health sciences
dc.subject.fieldofresearchCriminology not elsewhere classified
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4299
dc.subject.fieldofresearchcode440299
dc.titleEarly primary care physician contact and health service utilisation in a large sample of recently released ex-prisoners in Australia: prospective cohort study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.description.versionVersion 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.hasfulltextFull Text
gro.griffith.authorKinner, Stuart A.


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