Social Environment and Hospitalisation after Release from Prison

A Prospective Cohort Study

Bibliographic Data

ID15469079
AuthorsAlexander Love (0000-0003-0650-4675, The University of Melbourne, corresponding author), Stuart A Kinner (0000-0003-3956-5343, Griffith University), J T Young (0000-0001-5702-372X, The University of Melbourne)
Year2017
Volume14
Issue11
Pages1406-1406
Publication date2017-11-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph14111406
PMID29149091
OpenAlexW2770793518
LanguageEN
Citations received2
References cited46

This study examined the association between remoteness and area disadvantage, and the rate of subsequent hospitalisation, in a cohort of adults released from prisons in Queensland. A baseline survey of 1267 adult prisoners within 6 weeks of expected release was prospectively linked with hospital, mortality and reincarceration records. Postcodes were used to assign remoteness and area disadvantage categories. Multivariate Andersen-Gill regression models were fitted to test for associations between remoteness, area disadvantage and hospitalisation after release from prison. Over a total of 3090.9 person-years of follow-up, the highest crude incidence rates were observed in areas characterised by remoteness and area disadvantage (crude incidence rate (IR) = 649; 95%CI: 526-791), followed by remoteness only (IR = 420; 95%CI: 349-501), severe area disadvantage only (IR = 403; 95%CI: 351-461), and neither of these factors (IR = 361; 95%CI: 336-388). Unadjusted analyses indicated that remoteness (hazard ratio (HR) = 1.32; 95%CI: 1.04-1.69; p = 0.024) was associated with increased risk of hospitalisation; however, this attenuated to the null after adjustment for covariate factors. The incidence of hospitalisation for those who live in remote or socio-economically disadvantaged areas is increased compared to their counterparts in more urban and less socio-economically disadvantaged areas. Experiencing both these factors together may compound the hospitalisation in the community

Cohort · Cohort study · Confidence interval · Disadvantage · Disadvantaged · Geography · Hazard ratio · Incidence (geometry · Prison · Social deprivation · Sociology · Criminal Justice and Corrections Analysis · Demography · Geriatric Care and Nursing Homes · Homelessness and Social Issues · Medicine · Internal Medicine