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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

Author

Listed:
  • Spaulding, A.C.
  • Sharma, A.
  • Messina, L.C.
  • Zlotorzynska, M.
  • Miller, L.
  • Binswanger, I.A.

Abstract

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: Wematched 23510 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.

Suggested Citation

  • Spaulding, A.C. & Sharma, A. & Messina, L.C. & Zlotorzynska, M. & Miller, L. & Binswanger, I.A., 2015. "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," American Journal of Public Health, American Public Health Association, vol. 105(5), pages 51-57.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302546_2
    DOI: 10.2105/AJPH.2014.302546
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