A Comparison of Liver Disease Mortality With HIV and Overdose Mortality Among Georgia Prisoners and Releasees

A 2-Decade Cohort Study of Prisoners Incarcerated in 1991

Bibliographic Data

ID11032636
AuthorsAnne C Spaulding (0000-0002-0281-0248, At the time of the study, Anne C. Spaulding, Lauren C. Messina, and Maria Zlotorzynska were with and Akshay Sharma was a doctoral student in the Department of Epidemiology, Rollins School of Public Health, and Lesley Miller was with the Division of General Medicine, School of Medicine, Emory University, Atlanta, GA. Ingrid A. Binswanger is with the University of Colorado School of Medicine, Aurora.), Akshay Sharma (0009-0003-5175-0530, At the time of the study, Anne C. Spaulding, Lauren C. Messina, and Maria Zlotorzynska were with and Akshay Sharma was a doctoral student in the Department of Epidemiology, Rollins School of Public Health, and Lesley Miller was with the Division of General Medicine, School of Medicine, Emory University, Atlanta, GA. Ingrid A. Binswanger is with the University of Colorado School of Medicine, Aurora.), Lauren C Messina (At the time of the study, Anne C. Spaulding, Lauren C. Messina, and Maria Zlotorzynska were with and Akshay Sharma was a doctoral student in the Department of Epidemiology, Rollins School of Public Health, and Lesley Miller was with the Division of General Medicine, School of Medicine, Emory University, Atlanta, GA. Ingrid A. Binswanger is with the University of Colorado School of Medicine, Aurora.), Maria Zlotorzynska (0000-0002-3245-0175, At the time of the study, Anne C. Spaulding, Lauren C. Messina, and Maria Zlotorzynska were with and Akshay Sharma was a doctoral student in the Department of Epidemiology, Rollins School of Public Health, and Lesley Miller was with the Division of General Medicine, School of Medicine, Emory University, Atlanta, GA. Ingrid A. Binswanger is with the University of Colorado School of Medicine, Aurora.), Lesley Miller (0000-0002-8660-8732, At the time of the study, Anne C. Spaulding, Lauren C. Messina, and Maria Zlotorzynska were with and Akshay Sharma was a doctoral student in the Department of Epidemiology, Rollins School of Public Health, and Lesley Miller was with the Division of General Medicine, School of Medicine, Emory University, Atlanta, GA. Ingrid A. Binswanger is with the University of Colorado School of Medicine, Aurora.), Ingrid Binswanger (0000-0001-8862-8078, Emory University), Ingrid A Binswanger (At the time of the study, Anne C. Spaulding, Lauren C. Messina, and Maria Zlotorzynska were with and Akshay Sharma was a doctoral student in the Department of Epidemiology, Rollins School of Public Health, and Lesley Miller was with the Division of General Medicine, School of Medicine, Emory University, Atlanta, GA. Ingrid A. Binswanger is with the University of Colorado School of Medicine, Aurora.)
Year2015
Volume105
Issue5
Pagese51-e57
Publication date2015-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302546
PMID25790417
PMCIDPMC4386519
OpenAlexW1988215365
LanguageEN
Citations received2
References cited27

Objectives. We investigated whether eventual causes of death among a cohort of inmates imprisoned in the southeastern United States differed from those in previous prisoner studies. Methods. We matched 23 510 prisoners in Georgia, a state with historically low levels of heroin consumption but moderate amounts of injection drug use, who were incarcerated on June 30, 1991, to death registries through 2010. Main exposure was 4-year time intervals over 2 decades of observation; main outcome was mortality from liver disease, HIV, and overdose. Results. Although the HIV-related mortality rate exceeded that from liver-related conditions before 2003, liver disease subsequently surpassed HIV as a cause of death. Among 3863 deaths, 22 (0.6%) occurred within 2 weeks after release from prison. Of these, only 2 were caused by accidental poisoning (likely drug overdose). Cardiovascular disease and cancer were the most frequent causes of death in this aging cohort. Conclusions. Our study design deemphasized immediate deaths but highlighted long-term sequelae of exposure to viral hepatitis and alcohol. Treating hepatitis C and implementing interventions to manage alcohol use disorders may improve survival among prisoners in the Southeast

Accidental · Cause of death · Cohort · Cohort study · Disease · Drug · Drug overdose · Environmental health · Hepatitis · Hepatitis C · Heroin · Liver disease · Mortality rate · Poison control · Psychiatry · Substance abuse · Criminal Justice and Corrections Analysis · Demography · HIV, Drug Use, Sexual Risk · Homelessness and Social Issues · Internal Medicine · Medicine · Surgery

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