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2017 ; 12
(4
): e0175837
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Do people who experience incarceration age more quickly? Exploratory analyses
using retrospective cohort data on mortality from Ontario, Canada
#MMPMID28410398
Kouyoumdjian FG
; Andreev EM
; Borschmann R
; Kinner SA
; McConnon A
PLoS One
2017[]; 12
(4
): e0175837
PMID28410398
show ga
OBJECTIVES: We aimed to explore whether mortality data are consistent with the
view that aging is accelerated for people with a history of incarceration
compared to the general population, using data on mortality rates and life
expectancy for persons in Ontario, Canada. METHODS: We obtained data from the
Ontario Ministry of Community Safety and Correctional Services on all adults
admitted to provincial correctional facilities in Ontario in 2000, and linked
these data with death records from provincial vital statistics between January 1,
2000 and December 31, 2012. We used life table methods to calculate mortality
rates and life expectancies for this cohort by sex and 5-year age group. We
similarly generated population comparison rates using publicly available data for
the general population of Ontario in 2006 as the midpoint of the follow up
period. We compared these mortality indices between the 2000 Ontario prison
cohort and the general population by age group and sex. RESULTS: The difference
in all-cause mortality rates between the 2000 Ontario prison cohort and the
general population was greatest for younger adults, with the prison cohort
experiencing rates of death that would be expected for persons at least 15 years
older at ages 20 to 44 for men and ages 20 to 59 for women. Life expectancy in
the 2000 Ontario prison cohort was most similar to life expectancy of persons
five years older in the general population at age intervals 20 to 45 in men and
20 to 30 in women. CONCLUSIONS: For most of adulthood, life expectancy and
mortality rates are worse for adults with a history of incarceration than for the
general population in Ontario, Canada. However, the association between mortality
and incarceration status is modified by age, with the greatest relative burden of
mortality experienced by younger persons with a history of incarceration and
modified by sex, with worse relative mortality in women. Future research should
explore the association between incarceration status and markers of aging
including mortality, morbidity and physical appearance.