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. 2021 Sep 28;9(3):E907–E914. doi: 10.9778/cmajo.20200243

Table 2:

Incidence and hazard of overdose-related death after release from prison, according to characteristics at release

Variable Incidence per 1000 person-years (95% CI) Unadjusted HR (95% CI) Adjusted HR* (95% CI)
Overall 11.2 (9.2–13.5)
Age group, yr
 18–34 11.2 (8.4–14.6) Ref. Ref.
 35–44 11.7 (7.8–16.7) 1.06 (0.67–1.66) 0.85 (0.54–1.34)
 ≥ 45 10.8 (6.9–16.0) 1.04 (0.65–1.66) 0.83 (0.51–1.35)
Sex
 Male 10.9 (8.7–13.3) Ref. Ref.
 Female 13.6 (7.9–21.8) 0.76 (0.45–1.28) 0.98 (0.57–1.68)
Length of most recent incarceration, d
 ≤ 3 12.1 (8.1–17.5) Ref. Ref.
 4–15 8.4 (5.4–12.7) 0.67 (0.38–1.16) 0.60 (0.34–1.04)
 16–60 14.0 (9.5–19.9) 1.03 (0.62–1.72) 0.80 (0.48–1.34)
 > 60 10.9 (7.1–15.9) 0.83 (0.48–1.41) 0.74 (0.43–1.26)
No. of previous incarcerations
 1 5.8 (3.6–8.9) Ref. Ref.
 2–3 10.1 (6.7–14.7) 1.71 (0.97–3.01) 1.28 (0.72–2.28)
 4–7 15.7 (10.8–22.1) 2.48 (1.43–4.30) 1.59 (0.90–2.82)
 ≥ 8 21.4 (14.1–31.1) 3.00 (1.67–5.39) 1.59 (0.86–2.95)
SUD and mental illness
 None 4.8 (3.1–7.1) Ref. Ref.
 SUD 13.5 (7.6–22.3) 2.74 (1.46–5.16) 1.26 (0.64–2.45)
 Mental illness 10.8 (5.6–18.9) 2.19 (1.10–4.36) 1.34 (0.66–2.72)
 SUD and mental illness 25.0 (18.9–32.5) 4.73 (2.94–7.62) 1.69 (0.97–2.97)
Comorbidity index
 0 9.5 (7.6–11.7) Ref. Ref.
 ≥ 1 31.1 (19.9–46.3) 3.10 (1.97–4.88) 1.61 (0.99–2.61)
Dispensed benzodiazepines
 No 6.8 (5.0–9.0) Ref. Ref.
 Yes 24.5 (18.6–31.6) 3.31 (2.27–4.84) 1.41 (0.91–2.18)
Dispensed opioids for pain
 No 2.8 (1.5–4.7) Ref. Ref.
 Yes 20.3 (16.4–24.8) 6.77 (3.86–11.89) 4.01 (2.14–7.52)

Note: CI = confidence interval, HR = hazard ratio, Ref. = reference, SUD = substance use disorder.

*

Adjusted for all other variables in this table.