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Table 3 Univariate and multivariate analysis of factors associated with rate of ED presentation

From: Physical multimorbidity, concurrent psychiatric morbidity, and emergency department presentation among adults released from prison: a prospective cohort study from Queensland, Australia

 

Unadjusted HR (95% CI)

Adjusted HR (95% CI)

  

Multimorbidity including psychiatric morbidity

Physical multimorbidity excluding psychiatric morbidity

CIRS score

   

No multimorbidity (0–1)

1.00 (ref)

1.00 (ref)

1.00 (ref)

Moderate multimorbidity (2)

1.40 (1.08–1.81)

1.23 (0.94–1.63)

1.26 (0.94–1.70)

Complex multimorbidity (3+)

1.59 (1.22–2.07)

1.65 (1.26–2.16)

1.31 (0.95–1.81)

Mental health status

   

No mental disorder

1.00 (ref)

-

1.00 (ref)

SUD only

1.44 (1.06–1.96)

-

1.11 (0.80–1.55)

Mental illness only

1.74 (1.27–2.39)

-

1.48 (1.08–2.03)

Dual diagnosis

2.51 (1.94–3.26)

-

1.78 (1.33–2.37)

Age

   

18–24

1.00 (ref)

1.00 (ref)

1.00 (ref)

25–40

1.08 (0.82–1.42)

1.03 (0.75–1.40)

1.01 (0.75–1.37)

41+

0.75 (0.55–1.02)

0.69 (0.50–0.94)

0.71 (0.52–0.98)

Sex

   

Male

1.00 (ref)

1.00 (ref)

1.00 (ref)

Female

1.32 (1.04–1.68)

1.21 (0.92–1.58)

1.17 (0.89–1.53)

Indigenous

   

No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Yes

1.25 (0.95–1.65)

0.85 (0.60–1.21)

0.92 (0.66–1.30)

Years of education

   

≤10 years

1.00 (ref)

1.00 (ref)

1.00 (ref)

> 10 years

0.78 (0.62–0.96)

0.96 (0.73–1.25)

0.96 (0.73–1.26)

Stable relationship&

   

No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Yes

0.78 (0.63–0.97)

0.86 (0.67–1.09)

0.90 (0.70–1.14)

Social visit&

   

No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Yes

0.71(0.57–0.89)

0.97 (0.75–1.25)

0.98 (0.76–1.26)

Stable accommodation&

   

No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Yes

0.76 (0.57–1.01)

0.97 (0.73–1.30)

0.94 (0.71–1.27)

Employment&

   

No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Yes

0.70 (0.56–0.87)

0.83 (0.66–1.05)

0.86 (0.68–1.10)

Intellectual disability

   

No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Yes

1.27 (0.79–2.04)

1.36 (0.78–2.37)

1.31 (0.74–2.32)

High risk of harmful substance use

   

Alcohol - No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Alcohol – Yes

1.67 (1.26–2.21)

1.39 (1.02–1.91)

1.28 (0.94–1.75)

Methamphetamine - No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Methamphetamine – Yes

1.42 (0.99–2.03)

1.09 (0.76–1.56)

1.06 (0.74–1.53)

Heroin - No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Heroin – Yes

1.25 (0.91–1.73)

1.01 (0.70–1.47)

0.99 (0.68–1.44)

PAM score

0.99 (0.97–1.01)

1.01 (0.99–1.03)

1.01 (0.99–1.04)

ESSI score

0.98 (0.97–0.99)

0.98 (0.97-1.00)

0.98 (0.97-1.00)

History of juvenile detention

   

No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Yes

1.49 (1.13–1.97)

1.33 (0.95–1.87)

1.30 (0.92–1.84)

Adult prison sentence

   

First

1.00 (ref)

1.00 (ref)

1.00 (ref)

Repeat

1.62 (1.27–2.06)

1.24 (0.92–1.67)

1.20 (0.90–1.61)

Release on parole

   

No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Yes

1.00 (0.80–1.24)

1.03 (0.80–1.31)

1.00 (0.78–1.29)

Days for current prison sentence

   

< 90

1.00 (ref)

1.00 (ref)

1.00 (ref)

90–365

0.81 (0.64–1.04)

0.82 (0.63–1.06)

0.84 (0.65–1.09)

> 365 days

0.76 (0.56–1.02)

0.74 (0.53–1.03)

0.78 (0.56–1.08)

Passports intervention

   

No

1.00 (ref)

1.00 (ref)

1.00 (ref)

Yes

1.01 (0.81–1.26)

0.96 (0.76–1.21)

0.97 (0.77–1.22)

  1. CIRS: Cumulative Illness Rating Scale; ED: Emergency department; & variables which relate to a time period prior to index incarcerated as described in methods