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Social Environment and Hospitalisation after Release from Prison: A Prospective Cohort Study

Author

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  • Alexander D. Love

    (Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Melbourne 3010, Australia)

  • Stuart A. Kinner

    (Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Melbourne 3010, Australia
    Centre for Adolescent Health, Murdoch Children’s Research Institute, Melbourne 3052, Australia
    Mater Research Institute-UQ, University of Queensland, Brisbane 4072, Australia
    Griffith Criminology Institute, Griffith University, Brisbane 4222, Australia)

  • Jesse T. Young

    (Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Melbourne 3010, Australia
    Centre for Health Services Research, School of Population and Global Health, The University of Western Australia, Perth 6009, Australia
    National Drug Research Institute, Curtin University, Perth 6008, Australia)

Abstract

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.

Suggested Citation

  • Alexander D. Love & Stuart A. Kinner & Jesse T. Young, 2017. "Social Environment and Hospitalisation after Release from Prison: A Prospective Cohort Study," IJERPH, MDPI, vol. 14(11), pages 1-15, November.
  • Handle: RePEc:gam:jijerp:v:14:y:2017:i:11:p:1406-:d:119385
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    References listed on IDEAS

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    1. Wang, E.A. & Hong, C.S. & Shavit, S. & Sanders, R. & Kessell, E. & Kushel, M.B., 2012. "Engaging individuals recently released from prison into primary care: A randomized trial," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 22-29.
    2. Krieger, J. & Higgins, D.L., 2002. "Housing and health: Time again for public health action," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 758-768.
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    Cited by:

    1. Anna Pękala-Wojciechowska & Andrzej Kacprzak & Krzysztof Pękala & Marta Chomczyńska & Piotr Chomczyński & Michał Marczak & Remigiusz Kozłowski & Dariusz Timler & Anna Lipert & Agnieszka Ogonowska & Pa, 2021. "Mental and Physical Health Problems as Conditions of Ex-Prisoner Re-Entry," IJERPH, MDPI, vol. 18(14), pages 1-17, July.

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