Dataset Information

Association between incarceration and incident cardiovascular disease events: results from the CARDIA cohort study.

ABSTRACT:

Background

Incarceration has been associated with higher cardiovascular risk, yet data evaluating its association with cardiovascular disease events are limited. The study objective was to evaluate the association between incarceration and incident fatal and non-fatal cardiovascular disease (CVD) events.

Methods

Black and white adults from the community-based Coronary Artery Risk Development in Young Adult (CARDIA) study (baseline 1985-86, n?=?5105) were followed through August 2017. Self-reported incarceration was measured at baseline (1985-1986) and Year 2 (1987-1988), and fatal and non-fatal cardiovascular disease events, including coronary heart disease, stroke, and heart failure, and all-cause mortality, were captured through 2017. Analyses were completed in September 2019. Cumulative CVD incidence rates and Cox proportional hazards were compared overall by incarceration status. An interaction between incarceration and race was identified, so results were also analyzed by sex-race groups.

Results

351 (6.9%) CARDIA participants reported a history of incarceration. Over 29.0?years mean follow-up, CVD incidence rate was 3.52 per 1000 person-years in participants with a history of incarceration versus 2.12 per 1000 person-years in participants without a history of incarceration (adjusted HR?=?1.33 [95% CI, 0.90-1.95]). Among white men, incarceration was associated with higher risk of incident cardiovascular disease (adjusted HR?=?3.35 [95% CI, 1.54-7.29) and all-cause mortality (adjusted HR?=?2.52 [95% CI, 1.32-4.83]), but these associations were not statistically significant among other sex-race groups after adjustment.

Conclusions

Incarceration was associated with incident cardiovascular disease rates, but associations were only significant in one sex-race group after multivariable adjustment.

SUBMITTER: Coleman J

PROVIDER: S-EPMC7836455 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Association between incarceration and incident cardiovascular disease events: results from the CARDIA cohort study.

Coleman Jordan J Lloyd-Jones Donald M DM Ning Hongyan H Allen Norrina B NB Kiefe Catarina I CI Wang Emily A EA Huffman Mark D MD

BMC public health 20210126 1

<h4>Background</h4>Incarceration has been associated with higher cardiovascular risk, yet data evaluating its association with cardiovascular disease events are limited. The study objective was to evaluate the association between incarceration and incident fatal and non-fatal cardiovascular disease (CVD) events.<h4>Methods</h4>Black and white adults from the community-based Coronary Artery Risk Development in Young Adult (CARDIA) study (baseline 1985-86, n = 5105) were followed through August 20 ...[more]

PMID: 33499836

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Dataset Information

Association between incarceration and incident cardiovascular disease events: results from the CARDIA cohort study.

Background

Methods

Results

Conclusions

Publications

Association between incarceration and incident cardiovascular disease events: results from the CARDIA cohort study.

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