Risk of death in prisoners after release from jail
Abstract 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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2004-02-01
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| Series: | Australian and New Zealand Journal of Public Health |
| Online Access: | https://doi.org/10.1111/j.1467-842X.2004.tb00629.x |
| _version_ | 1827838698915364864 |
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| author | L. M. Stewart C. J. Henderson M. S. T. Hobbs S. C. Ridout M. W. Knuiman |
| author_facet | L. M. Stewart C. J. Henderson M. S. T. Hobbs S. C. Ridout M. W. Knuiman |
| author_sort | L. M. Stewart |
| collection | DOAJ |
| description | Abstract 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 w ere at greater than expected relative risk of death after release from prison, with female non‐Aboriginal prisoners at particularly high relative risk. |
| first_indexed | 2024-03-12T07:09:51Z |
| format | Article |
| id | doaj.art-150e10165e6a4e569300310fe4ed0247 |
| institution | Directory Open Access Journal |
| issn | 1326-0200 1753-6405 |
| language | English |
| last_indexed | 2024-03-12T07:09:51Z |
| publishDate | 2004-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Australian and New Zealand Journal of Public Health |
| spelling | doaj.art-150e10165e6a4e569300310fe4ed02472023-09-02T23:11:06ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052004-02-01281323610.1111/j.1467-842X.2004.tb00629.xRisk of death in prisoners after release from jailL. M. Stewart0C. J. Henderson1M. S. T. Hobbs2S. C. Ridout3M. W. Knuiman4School of Population Health, University of Western AustraliaFormerly Director of Prison Health Services, Department of Justice of Western AustraliaSchool of Population Health, University of Western AustraliaSchool of Population Health, University of Western AustraliaSchool of Population Health, University of Western AustraliaAbstract 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 w ere at greater than expected relative risk of death after release from prison, with female non‐Aboriginal prisoners at particularly high relative risk.https://doi.org/10.1111/j.1467-842X.2004.tb00629.x |
| spellingShingle | L. M. Stewart C. J. Henderson M. S. T. Hobbs S. C. Ridout M. W. Knuiman Risk of death in prisoners after release from jail Australian and New Zealand Journal of Public Health |
| title | Risk of death in prisoners after release from jail |
| title_full | Risk of death in prisoners after release from jail |
| title_fullStr | Risk of death in prisoners after release from jail |
| title_full_unstemmed | Risk of death in prisoners after release from jail |
| title_short | Risk of death in prisoners after release from jail |
| title_sort | risk of death in prisoners after release from jail |
| url | https://doi.org/10.1111/j.1467-842X.2004.tb00629.x |
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