Evidence map›Paper›PMID 38525526›Full record

ArticleJournal of the American Geriatrics Society2024

Comorbidities, healthcare use, and contact with healthcare transition services in older veterans after incarceration.

Alison R Hwong, Lisa C Barry, Yixia Li, Amy L Byers

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Alison R HwongDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-7443-8019
Lisa C BarryDepartment of Psychiatry, UCONN School of Medicine, Farmington, Connecticut, USA.ORCID 0000-0002-2639-906X
Yixia LiSan Francisco VA Healthcare System, San Francisco, California, USA.
Amy L ByersDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, California, USA.
University of California, San Francisco · USSan Francisco VA Health Care System · USUniversity of Connecticut · US

Funding

Advancing Health Disparities Research in Aging: The Aging Research in Criminal Justice & Health (ARCH) NetworkR24AG065175 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LISA C BARRY, BRIE A WILLIAMS · 2019 to 2026
$3.3M
Precursors of Suicide in Older Adults Transitioning from Prison to CommunityRF1MH117604 · NIMH · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI BARRY, LISA C, BYERS, AMY LYNN · 2018 to 2020
$2.0M
CSRD Research Career Scientist Award ApplicationIK6CX002386 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI Amy Lynn Byers · 2022 to 2026
–
CSRD VA IK6 CX002386NIA NIH HHS R24 AG065175NIMH NIH HHS RF1 MH117604NIMH NIH HHS RF1MH117604U.S. Department of Veterans Affairs IK6CX002386
6 · The paper itself

Abstract

backgroundThe Health Care for Reentry Veterans (HCRV) program was established to support community reintegration for veterans after incarceration. Yet, it is unclear how those with and without HCRV contact differ. We sought to evaluate differences in medical and psychiatric conditions and healthcare utilization among mid-to late-life reentry veterans who did and did not receive HCRV outreach.

methodsStudy participants were veterans aged ≥50 years who qualified for Medicare fee-for-service, had experienced incarceration for ≥1 year, and were released from incarceration between October 1, 2006, and September 30, 2018 (N = 9733). Using VA and Medicare claims data, we compared prevalence of medical and psychiatric diagnoses, and use of emergency, inpatient, and outpatient medical and mental health services up to 12 months after release between those with and without HCRV contact.

resultsVeterans with HCRV contact (35.5%) had significantly higher rates of psychiatric conditions and medical conditions related to substance use (e.g., liver disease) compared to veterans without HCRV contact. Average time between release and first healthcare service use was significantly lower for HCRV veterans (36.5 ± SD 59.5 days) versus non-HCRV veterans (58.9 ± SD 77.5 days) and HCRV veterans were more likely to utilize the emergency department, inpatient and outpatient mental health services, and inpatient medical services.

conclusionHCRV reaches older reentry veterans with a large burden of mental health and substance use disorders. However, levels of multimorbidity were high among all older reentry veterans, pointing to a need to develop specialized geriatric models of care for this reentry population.

Indexed as

ComorbidityPatient Acceptance of Health CareVeteransAgedFemaleHumansIncarcerationMaleMedicareMental DisordersMiddle AgedPrisonersUnited StatesUnited States Department of Veterans Affairshealthcare services usemental healtholder adultsprisonersveterans

Identifiers

PMID38525526
PMCPMC11187764
OpenAlexW4393150498

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.