Kevin Kai Wai Chan, Timothy Xianyi Yang, Albert Kam Ming Chan
The Impact of COVID-19 on the Training of Anesthesiologists in Hong Kong: Overcoming the Challenge
Journal of medical education and curricular development
women substanceuse issues overrepresented prison research womens recidivism often focuses offending behaviour rather health social circumstances women experiencing reimprisonment occurs study examines relationship social determinants health sdoh mental health substanceuse recidivism among women exiting prison histories substanceuse retrospective cohort study women exiting prison completed transitional support programme connections 2008 2018 recidivism measured two years postrelease womens support needs measured baseline 4 weeks prerelease followup four weeks postrelease ongoing needs relation wellestablished sdoh calculated 1 baseline women identified reentry need housing employment finances education domestic violence childcustody social support 2 followup women reported still needing help area womens selfreported substanceuse mental health since release captured followup descriptive statistics calculated measures associations sdoh mental health substanceuse recidivism estimated multiple logistic regression adjusting potential confounders also evaluated mediating effects mental health relationship sdoh substanceuse substanceuse associated increased odds recidivism adjusted odds ratio aor 18 95 confidence interval ci 1129 p 002 poor mental health aor 29 95 ci 1946 p 001 ongoing social support aor 30 95 ci 1950 p 001 childcustody aor 19 95 ci 1033 p 004 financial aor 20 95 ci 1332 p 001 housing aor 18 95 ci 1129 p 002 needs individually associated increased odds substanceuse mediation analysis found mental health fully mediated effects ongoing housing beta efficiency b 033 standard error se 001 p 005 financial b 015 se 007 p 005 childcustody b 018 se 001 p 005 social support b 036 se 01 p 005 needs onto substanceuse partially mediated effects domestic violence b 057 se 023 p 005 onto substanceuse study underscores critical importance addressing interplay sdoh mental health substanceuse recidivism approach targets sdoh holds potential reducing mental distress substanceuse related recidivism