A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper
Abstract Background People who have been incarcerated have high rates of cardiovascular risk factors, such as hypertension and smoking, and cardiovascular disease (CVD) is a leading cause of hospitalizations and mortality in this population. Despite this, little is known regarding what pathways medi...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-02-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-12688-x |
| _version_ | 1819279643465744384 |
|---|---|
| author | Benjamin A. Howell Lisa B. Puglisi Jenerius Aminawung Kirsten Bibbins- Domingo Johanna Elumn Colleen Gallagher Nadine Horton Dhruv S. Kazi Harlan M. Krumholz Hsiu-Ju Lin Brita Roy Emily A. Wang |
| author_facet | Benjamin A. Howell Lisa B. Puglisi Jenerius Aminawung Kirsten Bibbins- Domingo Johanna Elumn Colleen Gallagher Nadine Horton Dhruv S. Kazi Harlan M. Krumholz Hsiu-Ju Lin Brita Roy Emily A. Wang |
| author_sort | Benjamin A. Howell |
| collection | DOAJ |
| description | Abstract Background People who have been incarcerated have high rates of cardiovascular risk factors, such as hypertension and smoking, and cardiovascular disease (CVD) is a leading cause of hospitalizations and mortality in this population. Despite this, little is known regarding what pathways mediate the association between incarceration exposure and increased rates of CVD morbidity and especially what incarceration specific factors are associated with this risk. The objective of this study is to better understand CVD risk in people exposed to incarceration and the pathways by which accumulate cardiovascular risk over time. Methods and Analysis The Justice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE) study is a prospective cohort study of individuals released from incarceration with known cardiovascular risk factors. We are recruiting 500 individuals within three months after release from jail/prison. At baseline we are assessing traditional risk factors for CVD, including diet, exercise, and smoking, and exposure to incarceration-related policies, psychosocial stress, and self-efficacy. Cardiovascular risk factors are measured at baseline through point of care testing. We are following these individuals for the 12 months following the index release from incarceration with re-evaluation of psychosocial factors and clinical risk factors every 6 months. Using these data, we will estimate the direct and indirect latent effects of incarceration on cardiovascular risk factors and the paths via which these effects are mediated. We will also model the anticipated 10-year burden of CVD incidence, health care use, and mortality associated with incarceration. Discussion Our study will identify factors associated with CVD risk factor control among people released from incarceration. Our measurement of incarceration-related exposures, psychosocial factors, and clinical measures of cardiovascular risk will allow for identification of unique targets for intervention to modify CVD risk in this vulnerable population. |
| first_indexed | 2024-12-24T00:31:10Z |
| format | Article |
| id | doaj.art-0007f2a42b5f42a7b3a35fd29e33ebd3 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-24T00:31:10Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-0007f2a42b5f42a7b3a35fd29e33ebd32022-12-21T17:24:15ZengBMCBMC Public Health1471-24582022-02-0122111110.1186/s12889-022-12688-xA prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paperBenjamin A. Howell0Lisa B. Puglisi1Jenerius Aminawung2Kirsten Bibbins- Domingo3Johanna Elumn4Colleen Gallagher5Nadine Horton6Dhruv S. Kazi7Harlan M. Krumholz8Hsiu-Ju Lin9Brita Roy10Emily A. Wang11SEICHE Center for Health and Justice, Yale School of MedicineSEICHE Center for Health and Justice, Yale School of MedicineSEICHE Center for Health and Justice, Yale School of MedicineDepartment of Epidemiology, University of CaliforniaSEICHE Center for Health and Justice, Yale School of MedicineConnecticut Department of CorrectionSEICHE Center for Health and Justice, Yale School of MedicineRichard A. and Susan F. Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical CenterCenter for Outcomes Research and EvaluationDepartment of Social Work, University of ConnecticutSEICHE Center for Health and Justice, Yale School of MedicineSEICHE Center for Health and Justice, Yale School of MedicineAbstract Background People who have been incarcerated have high rates of cardiovascular risk factors, such as hypertension and smoking, and cardiovascular disease (CVD) is a leading cause of hospitalizations and mortality in this population. Despite this, little is known regarding what pathways mediate the association between incarceration exposure and increased rates of CVD morbidity and especially what incarceration specific factors are associated with this risk. The objective of this study is to better understand CVD risk in people exposed to incarceration and the pathways by which accumulate cardiovascular risk over time. Methods and Analysis The Justice-Involved Individuals Cardiovascular Disease Epidemiology (JUSTICE) study is a prospective cohort study of individuals released from incarceration with known cardiovascular risk factors. We are recruiting 500 individuals within three months after release from jail/prison. At baseline we are assessing traditional risk factors for CVD, including diet, exercise, and smoking, and exposure to incarceration-related policies, psychosocial stress, and self-efficacy. Cardiovascular risk factors are measured at baseline through point of care testing. We are following these individuals for the 12 months following the index release from incarceration with re-evaluation of psychosocial factors and clinical risk factors every 6 months. Using these data, we will estimate the direct and indirect latent effects of incarceration on cardiovascular risk factors and the paths via which these effects are mediated. We will also model the anticipated 10-year burden of CVD incidence, health care use, and mortality associated with incarceration. Discussion Our study will identify factors associated with CVD risk factor control among people released from incarceration. Our measurement of incarceration-related exposures, psychosocial factors, and clinical measures of cardiovascular risk will allow for identification of unique targets for intervention to modify CVD risk in this vulnerable population.https://doi.org/10.1186/s12889-022-12688-xIncarcerationPrisonCardiovascular DiseaseProspective Cohort Study |
| spellingShingle | Benjamin A. Howell Lisa B. Puglisi Jenerius Aminawung Kirsten Bibbins- Domingo Johanna Elumn Colleen Gallagher Nadine Horton Dhruv S. Kazi Harlan M. Krumholz Hsiu-Ju Lin Brita Roy Emily A. Wang A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper BMC Public Health Incarceration Prison Cardiovascular Disease Prospective Cohort Study |
| title | A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper |
| title_full | A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper |
| title_fullStr | A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper |
| title_full_unstemmed | A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper |
| title_short | A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper |
| title_sort | prospective cohort study examining exposure to incarceration and cardiovascular disease justice involved individuals cardiovascular disease epidemiology justice study a protocol paper |
| topic | Incarceration Prison Cardiovascular Disease Prospective Cohort Study |
| url | https://doi.org/10.1186/s12889-022-12688-x |
| work_keys_str_mv | AT benjaminahowell aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT lisabpuglisi aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT jeneriusaminawung aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT kirstenbibbinsdomingo aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT johannaelumn aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT colleengallagher aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT nadinehorton aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT dhruvskazi aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT harlanmkrumholz aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT hsiujulin aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT britaroy aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT emilyawang aprospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT benjaminahowell prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT lisabpuglisi prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT jeneriusaminawung prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT kirstenbibbinsdomingo prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT johannaelumn prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT colleengallagher prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT nadinehorton prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT dhruvskazi prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT harlanmkrumholz prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT hsiujulin prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT britaroy prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper AT emilyawang prospectivecohortstudyexaminingexposuretoincarcerationandcardiovasculardiseasejusticeinvolvedindividualscardiovasculardiseaseepidemiologyjusticestudyaprotocolpaper |