Risk of overdose‐related death for people with a history of incarceration.
Background and aims: Reported associations between previous incarceration and the risk of overdose‐related death are substantially heterogeneous, and previous studies are limited by an inability to control for confounding factors in risk assessment. This study investigated the associations of overdo...
| Publicado en: | Addiction Vol. 116; no. 6; pp. 1460 - 1472 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150368186&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 150368186 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Jun2021 vid: 116 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 150368186 148580141 150368186 150368186 10.1111/add.15293 150368186 ppf: 1460 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Risk of overdose‐related death for people with a history of incarceration. aug: au: Gan, Wen Qi Kinner, Stuart A. Nicholls, Tonia L. Xavier, Chloé G. Urbanoski, Karen Greiner, Leigh Buxton, Jane A. Martin, Ruth E. McLeod, Katherine E. Samji, Hasina Nolan, Seonaid Meilleur, Louise Desai, Roshni Sabeti, Soha Slaunwhite, Amanda K. affil: British Columbia Centre for Disease Control, Vancouver BC,, Canada sug: subj: Overdose Mortality Overdose Prevention and Control Correctional Facilities Time Factors Residence Characteristics Public Offenders Psychosocial Factors Risk Assessment Sex Factors Human Prospective Studies Descriptive Statistics Random Sample British Columbia Young Adult Adult Middle Age Aged Aged, 80 and Over Male Female Confidence Intervals Substance Use Disorders Prisoners Antianxiety Agents, Benzodiazepine Poisoning Opiate Overdose Mortality Comparative Studies Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background and aims: Reported associations between previous incarceration and the risk of overdose‐related death are substantially heterogeneous, and previous studies are limited by an inability to control for confounding factors in risk assessment. This study investigated the associations of overdose‐related death with previous incarceration and the number or cumulative duration of previous incarcerations, and individual or neighborhood characteristics that may potentially modify the associations. Design and setting: A cohort study using a 20% random sample of residents in British Columbia, Canada. Participants: A total of 765 690 people aged 23 years or older at baseline as of 1 January 2015. Mean age was 50 years; 49% were males. Measurements Previous incarcerations that occurred during the 5‐year exposure period (January 2010 to December 2014) were identified using provincial incarceration records. Overdose‐related deaths that occurred during the 3‐year follow‐up period (January 2015 to December 2017) were identified using linked administrative health data. Baseline individual and neighborhood characteristics were retrieved from the provincial health insurance data. Findings In the cohort, 5743 people had an incarceration history during the exposure period, and 634 people died from drug overdose during the follow‐up period. The mortality rate was 897 and 22 per 100 000 person‐years for people who did and did not have an incarceration history, respectively. After adjusting for baseline individual and neighborhood characteristics (without any interaction term), people who had an incarceration history were 4.04 times (95% confidence interval 3.23–5.06) more likely to die from drug overdose compared with people without an incarceration history. The association was stronger for females, people without diagnoses of substance use disorder and people without dispensation of opioids for pain or benzodiazepines (P < 0.001 for each interaction term). There was no discernible linear trend between the number or cumulative duration of previous incarcerations and the risk of overdose‐related death. Conclusions: Previous incarceration appears to be a major risk factor for overdose‐related death. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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