Jordan Coleman1, Donald M Lloyd-Jones1, Hongyan Ning1, Norrina B Allen1, Catarina I Kiefe2, Emily A Wang3, Mark D Huffman4,5. 1. Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 N, 710 N Lake Shore Drive, Suite 800, Chicago, IL, 60611, USA. 2. University of Massachusetts Medical School, 368 Plantation Street, AS7-1077, Worcester, MA, 01605, USA. 3. Department of Internal Medicine, Yale School of Medicine, PO Box 208056, 333 Cedar Street, New Haven, CT, 06520, USA. 4. Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 N, 710 N Lake Shore Drive, Suite 800, Chicago, IL, 60611, USA. m-huffman@northwestern.edu. 5. The George Institute for Global Health, 1 King Street, 5th floor, Sydney, NSW, 2042, Australia. m-huffman@northwestern.edu.
Abstract
BACKGROUND: Incarceration has been associated with higher cardiovascular risk, yet data evaluating its association with cardiovascular disease events are limited. The study objective was to evaluate the association between incarceration and incident fatal and non-fatal cardiovascular disease (CVD) events. METHODS: Black and white adults from the community-based Coronary Artery Risk Development in Young Adult (CARDIA) study (baseline 1985-86, n = 5105) were followed through August 2017. Self-reported incarceration was measured at baseline (1985-1986) and Year 2 (1987-1988), and fatal and non-fatal cardiovascular disease events, including coronary heart disease, stroke, and heart failure, and all-cause mortality, were captured through 2017. Analyses were completed in September 2019. Cumulative CVD incidence rates and Cox proportional hazards were compared overall by incarceration status. An interaction between incarceration and race was identified, so results were also analyzed by sex-race groups. RESULTS: 351 (6.9%) CARDIA participants reported a history of incarceration. Over 29.0 years mean follow-up, CVD incidence rate was 3.52 per 1000 person-years in participants with a history of incarceration versus 2.12 per 1000 person-years in participants without a history of incarceration (adjusted HR = 1.33 [95% CI, 0.90-1.95]). Among white men, incarceration was associated with higher risk of incident cardiovascular disease (adjusted HR = 3.35 [95% CI, 1.54-7.29) and all-cause mortality (adjusted HR = 2.52 [95% CI, 1.32-4.83]), but these associations were not statistically significant among other sex-race groups after adjustment. CONCLUSIONS: Incarceration was associated with incident cardiovascular disease rates, but associations were only significant in one sex-race group after multivariable adjustment.
BACKGROUND: Incarceration has been associated with higher cardiovascular risk, yet data evaluating its association with cardiovascular disease events are limited. The study objective was to evaluate the association between incarceration and incident fatal and non-fatal cardiovascular disease (CVD) events. METHODS: Black and white adults from the community-based Coronary Artery Risk Development in Young Adult (CARDIA) study (baseline 1985-86, n = 5105) were followed through August 2017. Self-reported incarceration was measured at baseline (1985-1986) and Year 2 (1987-1988), and fatal and non-fatal cardiovascular disease events, including coronary heart disease, stroke, and heart failure, and all-cause mortality, were captured through 2017. Analyses were completed in September 2019. Cumulative CVD incidence rates and Cox proportional hazards were compared overall by incarceration status. An interaction between incarceration and race was identified, so results were also analyzed by sex-race groups. RESULTS: 351 (6.9%) CARDIAparticipants reported a history of incarceration. Over 29.0 years mean follow-up, CVD incidence rate was 3.52 per 1000 person-years in participants with a history of incarceration versus 2.12 per 1000 person-years in participants without a history of incarceration (adjusted HR = 1.33 [95% CI, 0.90-1.95]). Among white men, incarceration was associated with higher risk of incident cardiovascular disease (adjusted HR = 3.35 [95% CI, 1.54-7.29) and all-cause mortality (adjusted HR = 2.52 [95% CI, 1.32-4.83]), but these associations were not statistically significant among other sex-race groups after adjustment. CONCLUSIONS: Incarceration was associated with incident cardiovascular disease rates, but associations were only significant in one sex-race group after multivariable adjustment.
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: Emily A Wang; Nicole Redmond; Cheryl R Dennison Himmelfarb; Becky Pettit; Marc Stern; Jue Chen; Susan Shero; Erin Iturriaga; Paul Sorlie; Ana V Diez Roux Journal: J Am Coll Cardiol Date: 2017-06-20 Impact factor: 24.094
Authors: Matthew L Topel; Heval M Kelli; Tené T Lewis; Sandra B Dunbar; Viola Vaccarino; Herman A Taylor; Arshed A Quyyumi Journal: Ann Epidemiol Date: 2018-02-02 Impact factor: 3.797
Authors: Emily A Wang; Jenerius A Aminawung; Christopher Wildeman; Joseph S Ross; Harlan M Krumholz Journal: Health Aff (Millwood) Date: 2014-05 Impact factor: 6.301
Authors: Hedwig Lee; Christopher Wildeman; Emily A Wang; Niki Matusko; James S Jackson Journal: Am J Public Health Date: 2014-01-16 Impact factor: 9.308
Authors: Emily A Wang; Mark Pletcher; Feng Lin; Eric Vittinghoff; Stefan G Kertesz; Catarina I Kiefe; Kirsten Bibbins-Domingo Journal: Arch Intern Med Date: 2009-04-13
Authors: Constantin Bondolfi; Patrick Taffe; Aurélie Augsburger; Cécile Jaques; Mary Malebranche; Carole Clair; Patrick Bodenmann Journal: BMJ Open Date: 2020-10-16 Impact factor: 2.692
Authors: 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 Journal: BMC Public Health Date: 2022-02-16 Impact factor: 4.135