Show simple item record

dc.contributor.authorForsyth, Simon J.en_US
dc.contributor.authorAlati, Rosaen_US
dc.contributor.authorOber, Coralieen_US
dc.contributor.authorWilliams, Gail M.en_US
dc.contributor.authorKinner, Stuarten_US
dc.date.accessioned2018-07-23T12:30:43Z
dc.date.available2018-07-23T12:30:43Z
dc.date.issued2014en_US
dc.identifier.issn1360-0443en_US
dc.identifier.doi10.1111/add.12646en_US
dc.identifier.urihttp://hdl.handle.net/10072/171815
dc.description.abstractAims To compare the incidence, timing and risk factors for substance-related death between Indigenous and non-Indigenous ex-prisoners in Queensland, Australia. Design Retrospective cohort study. Setting All adult prisons in the state of Queensland, Australia, linked to deaths registered in Australia. Participants/cases We obtained records for all adults released from prison in Queensland, Australia from 1 January 1994 to 31 December 2007. Among this cohort of 42?015 individuals we observed 82?315 releases from prison and 2158 deaths in the community by the end of 2007, of which 661 were substance-related deaths. Measurements Incarceration data were obtained from Queensland Corrective Services and linked probabilistically with deaths recorded in the Australian National Death Index. Findings In the first year after release, Indigenous ex-prisoners were more likely to die from alcohol-related causes [hazard ratio (HR)?=?1.9, 95% confidence interval (CI)?=?1.1-3.1)] but less likely to die of drug-related causes (HR?=?0.34, 95%CI?=?0.21-0.53) than were non-Indigenous ex-prisoners. Among non-Indigenous prisoners only, the risk of substance-related death was significantly higher in the first 4 weeks [relative risk (RR)?=?5.1, 95% CI?=?3.7-6.9] when compared with the risk after 1 year post-release. Most evaluated risk factors for substance-related death were similar for Indigenous and non-Indigenous ex-prisoners; however, the hazard of death increased with age more for Indigenous ex-prisoners (HR?=?1.7 per decade of age, 95% CI?=?1.4-2.1) than for non-Indigenous ex-prisoners (HR?=?1.3, 95% CI?=?1.2-1.4). Conclusions In Australia, patterns of substance-related death in ex-prisoners differ markedly according to Indigenous status. Efforts to prevent substance-related deaths in ex-prisoners should consider heterogeneity in the target population and tailor responses accordingly.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherWiley Onlineen_US
dc.publisher.place10.1111/add.12646en_US
dc.relation.ispartofpagefrom1676en_US
dc.relation.ispartofpageto1683en_US
dc.relation.ispartofissue10en_US
dc.relation.ispartofjournalAddictionen_US
dc.relation.ispartofvolume109en_US
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classifieden_US
dc.subject.fieldofresearchcode111799en_US
dc.titleStriking subgroup differences in substance-related mortality after release from prisonen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.hasfulltextNo Full Text


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record