عنوان انگلیسی مقاله:
Non-fatal drug overdose after release from prison: A prospective data linkage study
ترجمه فارسی عنوان مقاله:
مصرف بیش از حد مواد مخدر غیر کشنده پس از آزادی از زندان: یک مطالعه پیوند داده ای آینده نگر
Sciencedirect - Elsevier - Drug and Alcohol Dependence, 206 (2020) 107707. doi:10.1016/j.drugalcdep.2019.107707
Claire Keena,*, Jesse T. Younga,b,c,d, Rohan Borschmanna,b,e,f, Stuart A. Kinnera,b,g,h,i
Background: Adults released from prison are at increased risk of poor health outcomes and preventable mortality,
including from overdose. Non-fatal overdose (NFOD) is a strong predictor of future overdose and associated
with considerable morbidity. This study aims to the determine the incidence, predictors and clinical
characteristics of NFOD following release from prison.
Methods: We used pre-release interview data collected for a randomised controlled trial in 2008–2010, and
linked person-level, state-wide ambulance, emergency department, and hospital records, from a representative
sample of 1307 adults incarcerated in Queensland, Australia. The incidence of NFOD following release from
prison was calculated. A multivariate Andersen-Gill model was used to identify demographic, health, social, and
criminal justice predictors of NFOD.
Results: The crude incidence rate (IR) of NFOD was 47.6 (95%CI 41.1–55.0) per 1000 person-years and was
highest in the first 14 days after release from prison (IR=296 per 1000 person-years, 95%CI 206–426). In
multivariate analyses, NFOD after release from prison was positively associated with a recent history of substance
use disorder (SUD), dual diagnosis of mental illness and SUD, lifetime history of injecting drug use,
lifetime history of NFOD, being dispensed benzodiazepines after release, a shorter index incarceration, and low
perceived social support. The risk of NFOD was lower for people with high-risk alcohol use and while incarcerated.
Conclusions: Adults released from prison are at high risk of non-fatal overdose, particularly in the first 14 days
after release. Providing coordinated transitional care between prison and the community is likely critical to
reduce the risk of overdose.
Keywords: Drug overdose | Prisons | Cohort studies | Ambulance | Hospital | Emergency medical services