Document Detail


Risk of death in prisoners after release from jail.
MedLine Citation:
PMID:  15108744     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the risk of death in a cohort of Western Australian released prisoners with the risk experienced by the general population of Western Australia. METHODS: A cohort study of prisoners in Western Australia whose last date of release ranged from 1 January 1994 to 1 January 1999. Overall mortality and cause of death were determined by data linkage to the Registrar General's record of deaths. RESULTS: Aboriginal prisoners had a significantly lower survival rate after release than non-Aboriginal prisoners (p < 0.0001). When compared with their peers in the Western Australian community, both Aboriginal and non-Aboriginal prisoners were found to have an increased relative risk of death. Female non-Aboriginal released prisoners aged between 20 and 40 years were 17.8 (95% CI 8.1-27.5) times more likely to die than other female non-Aboriginals in Western Australia in the same age range. Male non-Aboriginal prisoners aged 20-40 years were 6.3 (95% CI 5.2-7.4) times more likely to die than their counterparts in the WA community. Female Aboriginal released prisoners were 3.4 (95% CI 1.2-5.6) times more likely to die than their peers, while male Aboriginal released prisoners were 2.9 (95% CI 2.2-3.5) times more likely to die. In their first six months after release, female non-Aboriginal prisoners aged 20 to 40 years were 69.1 (95% CI 17.9-120.3) times more likely to die than their counterparts in the WA community. The main causes of excess death were related to drug and alcohol abuse. CONCLUSION: All prisoners were at greater than expected relative risk of death after release from prison, with female non-Aboriginal prisoners at particularly high relative risk.
Authors:
L M Stewart; C J Henderson; M S T Hobbs; S C Ridout; M W Knuiman
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Australian and New Zealand journal of public health     Volume:  28     ISSN:  1326-0200     ISO Abbreviation:  Aust N Z J Public Health     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-04-27     Completed Date:  2004-06-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9611095     Medline TA:  Aust N Z J Public Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  32-6     Citation Subset:  IM    
Affiliation:
School of Population Health, University of Western Australia, Crawley, Western Australia 6009.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cause of Death
Cohort Studies
Female
Follow-Up Studies
Humans
Male
Mortality*
Oceanic Ancestry Group / statistics & numerical data*
Prisoners / statistics & numerical data*
Prisons
Risk Assessment
Sex Distribution
Survival Analysis
Western Australia / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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