Structural Conditions and Health After Release From Prison
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Cardiovascular Diseases, Health Care Utilization. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Healthcare Organizational Structural Conditions and the Health of People Recently Released From Prison
Overview
People released from prison experience two times higher cardiovascular (CV) mortality than the general population, have a high prevalence of poor CV health and increased risk of CV events within 2 years of release. Access to high quality healthcare following release from prison is key to preventing poor health and CV outcomes. Our study team will investigate facilitators and barriers to health care access experienced by people released from prison.
Detailed description
Upon release from prison, people face numerous challenges including unstable housing, limited employment, stigma, and poor health. Structural conditions in healthcare systems, including policies, practices and attitudes around healthcare access, transition programs, culture, support of social determinants of health, and specialized services for people released from prison, may influence access and health outcomes for people released from prison. We will enroll people released from prison into a prospective cohort study to examine the association between exposure to structural conditions and 12-month primary outcomes of healthcare utilization (clinic visits, emergency visits, hospitalization) and secondary outcomes of CV hospitalization and all-cause mortality. Moderation by participant characteristics such as self-reported race, ethnicity, gender, age and baseline CV health will be tested.
Primary outcome measures
- Healthcare utilization [Time frame: 12 months]
Secondary outcome measures (2)
- Cardiovascular hospitalization [Time frame: 12 months]
- Death [Time frame: 12 months]
Eligibility criteria
Inclusion criteria
- Recenlty released from state prison into the Denver/Aurora Colorado metro area
- Age 18 and older
- Ability to understand study procedures in English or Spanish
- No plans to leave the area for six months
Exclusion criteria
- On "current inmate" status or still under correctional observation (i.e., under locked confinement part of the day or night)
- Plans to leave area within six months
- Unable to consent
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
United States · 1 center
- Kaiser Permanente Institute for Health Research — Aurora
Identifiers
NCT: NCT05989282 · IRB# 00002931 · R01HL164106