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dc.contributor.authorForsyth, Simon J
dc.contributor.authorCarroll, Megan
dc.contributor.authorLennox, Nicholas
dc.contributor.authorKinner, Stuart A
dc.date.accessioned2019-09-03T01:38:23Z
dc.date.available2019-09-03T01:38:23Z
dc.date.issued2018
dc.identifier.issn0965-2140
dc.identifier.doi10.1111/add.14106
dc.identifier.urihttp://hdl.handle.net/10072/386894
dc.description.abstract© 2017 Society for the Study of Addiction Aims: To estimate the incidence and identify risk factors for mortality in adults released from prisons in the state of Queensland, Australia. Design: Prospective cohort study, linking baseline survey data with a national death register. Setting: Selected prisons within Queensland, Australia. Participants: Adults (n = 1320) recruited in Queensland prisons within 6 weeks of expected release, between August 2008 and July 2010, followed for up to 4.7 years in the community. Measurements: Participants completed a comprehensive baseline survey covering psychosocial circumstances, physical and mental health, substance use and health risk behaviours. Clinical data were abstracted from prison medical records and obtained through probabilistic linkage with state-based, community health records. Dates of prison release and reincarceration were obtained from correctional records. Deaths were identified through probabilistic linkage with the National Death Index. Adjusted hazard ratios (AHR) were calculated using proportional hazards regression models. Standardized mortality ratios (SMR) were calculated using the population of Queensland as the reference. General population data were obtained from the Australian Bureau of Statistics. Findings: The rate of mortality in the cohort was higher than in the age- and sex-matched general population of Queensland for all causes [SMR = 4.0, 95% confidence interval (CI) = 2.9–5.4] and drug-related causes (SMR = 32, 95% CI = 19–55). In a multivariable model, adjusting for age, sex and Indigenous status, factors associated with increased mortality risk included expecting to have average or better funds available on release (AHR = 2.9, 99% CI = 1.2–7.1), poor mental health (AHR = 2.6, 99% CI = 1.1–6.1) and self-reported life-time history of overdose (AHR = 2.5, 99% CI = 1.04–6.2). Conclusions: People released from prison in Queensland, Australia are at increased risk of death, due particularly to drug-related causes. Those at greatest risk of death are characterized by poor physical and mental health and a history of risky substance use.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley Online
dc.publisher.placeUnited Kingdom
dc.relation.ispartofpagefrom937
dc.relation.ispartofpageto945
dc.relation.ispartofissue5
dc.relation.ispartofjournalAddiction
dc.relation.ispartofvolume113
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchCriminology not elsewhere classified
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode440299
dc.subject.fieldofresearchcode52
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsSubstance Abuse
dc.subject.keywordsPsychiatry
dc.subject.keywordsData linkage
dc.titleIncidence and risk factors for mortality after release from prison in Australia: A prospective cohort study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationForsyth, SJ; Carroll, M; Lennox, NG; Kinner, S, Incidence and risk factors for mortality after release from prison in Australia: A prospective cohort study, Addiction, 2017, 113 (5), pp. 937-945
dcterms.dateAccepted2017-11-12
dc.date.updated2019-09-03T01:34:32Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2018 Society for the Study of Addiction. This is the peer reviewed version of the following article: Incidence and risk factors for mortality after release from prison in Australia: a prospective cohort study, Addiction, Volume 113, Issue 5, Pages 937-945, which has been published in final form at https://doi.org/10.1111/add.14106. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorKinner, Stuart A.


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