Veterans Integrated Service Network (VISN)-19 Mental Illness Research, Education, and Clinical Center (MIRECC), Denver Veterans Affairs Medical Center, Denver, CO 80209, USA.
J Am Acad Psychiatry Law. 2012;40(3):348-54.
We sought to determine, among veterans released from Washington state prisons from 1999 through 2003, the risk of death from all causes, whether those veterans have faced a higher risk of death than have nonveterans, and whether having VA benefits decreased the risk of death. We linked data from a retrospective cohort study to data from the Veterans Benefit Administration. Mortality rates were compared between veteran and nonveteran former inmates. The crude rate of veteran mortality was 1,195 per 100,000 person-years, significantly higher than that of nonveterans (p < .001), but adjustment for demographic factors demonstrated no significant increased risk. VA benefits were associated with a reduced risk for all-cause deaths (hazard ratio, .376; 95% confidence interval, 0.18-0.79). Veterans share the heightened risk of death after release from prison faced by all released inmates and should be included in efforts to reduce the risks associated with transitioning from prison to the community. VA benefits appear to offer a protective effect, particularly against medical deaths.
我们旨在确定在 1999 年至 2003 年间从华盛顿州监狱获释的退伍军人中，因各种原因导致死亡的风险，这些退伍军人是否比非退伍军人面临更高的死亡风险，以及是否拥有退伍军人事务部的福利会降低死亡风险。我们将回顾性队列研究的数据与退伍军人福利管理局的数据进行了关联。退伍军人和非退伍军人前囚犯的死亡率进行了比较。退伍军人的粗死亡率为每 10 万人 1195 人，明显高于非退伍军人（p<0.001），但调整人口统计学因素后并未显示出明显的风险增加。退伍军人事务部的福利与全因死亡的风险降低相关（危险比，0.376；95%置信区间，0.18-0.79）。退伍军人与所有获释囚犯在出狱后面临的死亡风险增加有关，应将他们纳入努力减少从监狱过渡到社区相关风险的范围。退伍军人事务部的福利似乎提供了一种保护作用，特别是对医疗死亡的保护。
