David L Rosen1, Andrew L Kavee2, Lauren Brinkley-Rubinstein3. 1. Division of Infectious Diseases, Department of Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill. Electronic address: drosen@med.unc.edu. 2. UNC Cecil G. Sheps Center for Health Services, Chapel Hill, NC. 3. Center for Health Equity Research, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill; Department of Social Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill.
Abstract
PURPOSE: Health and mortality of people released from incarceration have received increased attention, and yet little is known about the postrelease experiences of those hospitalized during incarceration. METHODS: For persons incarcerated and released from the North Carolina (NC) state prison system between January 1, 2008, and June 30, 2015, we examined postrelease mortality from 2008 to 2016 by history of prison hospitalization. RESULTS: Among 111,479 released persons, 0.9% (n = 1010) were hospitalized during their incarceration, and of those, 10.5% (n = 106) died during follow-up compared with 3.2% (3511/110,469) of other released persons. Those hospitalized in prison had a higher postrelease death rate (adjusted hazard ratio: 2.44), a lower 8-year conditional probability of survival (0.80 vs. 0.94), and were more likely to die from chronic causes (79.2% vs. 51.0%) than other released persons. The postrelease standardized mortality rate among men hospitalized in prison was 3.1 times higher than that of those not hospitalized and 7.1 times the rate of all NC men. CONCLUSIONS: People hospitalized during incarceration constitute a particularly vulnerable, yet relatively easily identifiable priority population to focus health interventions supporting continuity of care after prison release. Yet such efforts may be particularly challenging in NC and other Medicaid non-expansion states.
PURPOSE: Health and mortality of people released from incarceration have received increased attention, and yet little is known about the postrelease experiences of those hospitalized during incarceration. METHODS: For persons incarcerated and released from the North Carolina (NC) state prison system between January 1, 2008, and June 30, 2015, we examined postrelease mortality from 2008 to 2016 by history of prison hospitalization. RESULTS: Among 111,479 released persons, 0.9% (n = 1010) were hospitalized during their incarceration, and of those, 10.5% (n = 106) died during follow-up compared with 3.2% (3511/110,469) of other released persons. Those hospitalized in prison had a higher postrelease death rate (adjusted hazard ratio: 2.44), a lower 8-year conditional probability of survival (0.80 vs. 0.94), and were more likely to die from chronic causes (79.2% vs. 51.0%) than other released persons. The postrelease standardized mortality rate among men hospitalized in prison was 3.1 times higher than that of those not hospitalized and 7.1 times the rate of all NC men. CONCLUSIONS:People hospitalized during incarceration constitute a particularly vulnerable, yet relatively easily identifiable priority population to focus health interventions supporting continuity of care after prison release. Yet such efforts may be particularly challenging in NC and other Medicaid non-expansion states.
Authors: Emily A Wang; Clemens S Hong; Liz Samuels; Shira Shavit; Ronald Sanders; Margot Kushel Journal: Public Health Rep Date: 2010 Mar-Apr Impact factor: 2.792
Authors: Ingrid A Binswanger; Marc F Stern; Richard A Deyo; Patrick J Heagerty; Allen Cheadle; Joann G Elmore; Thomas D Koepsell Journal: N Engl J Med Date: 2007-01-11 Impact factor: 91.245
Authors: David L Rosen; Catherine A Grodensky; Anna R Miller; Carol E Golin; Marisa E Domino; Wizdom Powell; David A Wohl Journal: J Urban Health Date: 2018-04 Impact factor: 3.671
Authors: Shabbar I Ranapurwala; Meghan E Shanahan; Apostolos A Alexandridis; Scott K Proescholdbell; Rebecca B Naumann; Daniel Edwards; Stephen W Marshall Journal: Am J Public Health Date: 2018-07-19 Impact factor: 9.308
Authors: Catherine A Grodensky; David L Rosen; Colleen M Blue; Anna R Miller; Steve Bradley-Bull; Wizdom A Powell; Marisa E Domino; Carol E Golin; David A Wohl Journal: J Urban Health Date: 2018-08 Impact factor: 3.671