Using Linked Data to Examine the Epidemiology of All-Cause and Cause-Specific Mortality Following Release from Incarceration in Eleven Countries
Introduction More than 30 million adults are released from incarceration globally each year. Many experience complex physical and mental health problems, and are at markedly increased risk of preventable mortality. Despite this, evidence regarding the global epidemiology of mortality following rele...
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doaj-fa2f2bc36ffb4a2a85d79bfa59f913c12021-02-10T16:43:01ZengSwansea UniversityInternational Journal of Population Data Science2399-49082020-12-015510.23889/ijpds.v5i5.1478Using Linked Data to Examine the Epidemiology of All-Cause and Cause-Specific Mortality Following Release from Incarceration in Eleven CountriesRohan Borschmann0Claire Keen1Jesse T Young2Alexander D Love3Matthew Spittal4David Preen5Sarah Larney6Jane Pirkis7David Rosen8Stuart A Kinner9Justice Health Unit, Centre for Health Equity; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3052, AustraliaJustice Health Unit, Centre for Health Equity; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3052, AustraliaJustice Health Unit, Centre for Health Equity; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3052, AustraliaJustice Health Unit, Centre for Health Equity; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3052, AustraliaCentre for Mental Health; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3052, AustraliaThe Centre for Health Services Research, University of Western AustraliaUniversité de Montréal and Centre de Recherche du CHUMCentre for Mental Health; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3052, AustraliaCentre for Mental Health; Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC 3052, AustraliaCentre for Adolescent Health, Murdoch Children’s Research Institute, 50 Flemington Road, Melbourne, VIC 3052, Australia Introduction More than 30 million adults are released from incarceration globally each year. Many experience complex physical and mental health problems, and are at markedly increased risk of preventable mortality. Despite this, evidence regarding the global epidemiology of mortality following release from incarceration is insufficient to inform the development of targeted, evidence-based responses. Many previous studies have suffered from inadequate power and poor precision, and even large studies have limited capacity to disaggregate data by specific causes of death, sub-populations or time since release to answer questions of clinical and public health relevance. Objectives and Approach We aimed to comprehensively document the incidence, timing, causes and risk factors for mortality in adults released from incarceration. We created the Mortality After Release from Incarceration Consortium (MARIC), a multi-disciplinary collaboration representing 29 cohorts of adults who have experienced incarceration from 11 countries. Findings across cohorts will be analysed using a two-step, individual participant data meta-analysis methodology. Results Using linked data from the 29 individual cohorts, the combined sample includes 1,337,993 individuals (89% male), with 75,795 deaths recorded over 9,191,393 person-years of follow-up. Preliminary analyses indicate a marked elevation in mortality risk following release from incarceration, with this risk beginning on the day of release. At the time of writing, more detailed analyses are underway regarding all-cause and cause-specific deaths – along with risk and protective factors – and findings will be presented at the IPDLN conference in October. Conclusion / Implications The MARIC consortium represents an important advancement in the field, bringing international attention to this problem. It will provide internationally relevant evidence to guide policymakers and clinicians in reducing preventable deaths in this marginalised population. https://ijpds.org/article/view/1478 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rohan Borschmann Claire Keen Jesse T Young Alexander D Love Matthew Spittal David Preen Sarah Larney Jane Pirkis David Rosen Stuart A Kinner |
spellingShingle |
Rohan Borschmann Claire Keen Jesse T Young Alexander D Love Matthew Spittal David Preen Sarah Larney Jane Pirkis David Rosen Stuart A Kinner Using Linked Data to Examine the Epidemiology of All-Cause and Cause-Specific Mortality Following Release from Incarceration in Eleven Countries International Journal of Population Data Science |
author_facet |
Rohan Borschmann Claire Keen Jesse T Young Alexander D Love Matthew Spittal David Preen Sarah Larney Jane Pirkis David Rosen Stuart A Kinner |
author_sort |
Rohan Borschmann |
title |
Using Linked Data to Examine the Epidemiology of All-Cause and Cause-Specific Mortality Following Release from Incarceration in Eleven Countries |
title_short |
Using Linked Data to Examine the Epidemiology of All-Cause and Cause-Specific Mortality Following Release from Incarceration in Eleven Countries |
title_full |
Using Linked Data to Examine the Epidemiology of All-Cause and Cause-Specific Mortality Following Release from Incarceration in Eleven Countries |
title_fullStr |
Using Linked Data to Examine the Epidemiology of All-Cause and Cause-Specific Mortality Following Release from Incarceration in Eleven Countries |
title_full_unstemmed |
Using Linked Data to Examine the Epidemiology of All-Cause and Cause-Specific Mortality Following Release from Incarceration in Eleven Countries |
title_sort |
using linked data to examine the epidemiology of all-cause and cause-specific mortality following release from incarceration in eleven countries |
publisher |
Swansea University |
series |
International Journal of Population Data Science |
issn |
2399-4908 |
publishDate |
2020-12-01 |
description |
Introduction
More than 30 million adults are released from incarceration globally each year. Many experience complex physical and mental health problems, and are at markedly increased risk of preventable mortality. Despite this, evidence regarding the global epidemiology of mortality following release from incarceration is insufficient to inform the development of targeted, evidence-based responses. Many previous studies have suffered from inadequate power and poor precision, and even large studies have limited capacity to disaggregate data by specific causes of death, sub-populations or time since release to answer questions of clinical and public health relevance.
Objectives and Approach
We aimed to comprehensively document the incidence, timing, causes and risk factors for mortality in adults released from incarceration. We created the Mortality After Release from Incarceration Consortium (MARIC), a multi-disciplinary collaboration representing 29 cohorts of adults who have experienced incarceration from 11 countries. Findings across cohorts will be analysed using a two-step, individual participant data meta-analysis methodology.
Results
Using linked data from the 29 individual cohorts, the combined sample includes 1,337,993 individuals (89% male), with 75,795 deaths recorded over 9,191,393 person-years of follow-up. Preliminary analyses indicate a marked elevation in mortality risk following release from incarceration, with this risk beginning on the day of release. At the time of writing, more detailed analyses are underway regarding all-cause and cause-specific deaths – along with risk and protective factors – and findings will be presented at the IPDLN conference in October.
Conclusion / Implications
The MARIC consortium represents an important advancement in the field, bringing international attention to this problem. It will provide internationally relevant evidence to guide policymakers and clinicians in reducing preventable deaths in this marginalised population.
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url |
https://ijpds.org/article/view/1478 |
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