Structural Conditions and Health After Release From Prison

Recruiting

• Conditions: Cardiovascular Diseases; Health Care Utilization

• Registration Number: NCT05989282
• Lead Sponsor: Kaiser Permanente

Brief Summary

People released from prison experience two times higher cardiovascular (CV) mortality than the general population, have a high prevalence of poor CV health and increased risk of CV events within 2 years of release. Access to high quality healthcare following release from prison is key to preventing poor health and CV outcomes. Our study team will investigate facilitators and barriers to health care access experienced by people released from prison.

Detailed Description

Upon release from prison, people face numerous challenges including unstable housing, limited employment, stigma, and poor health. Structural conditions in healthcare systems, including policies, practices and attitudes around healthcare access, transition programs, culture, support of social determinants of health, and specialized services for people released from prison, may influence access and health outcomes for people released from prison. We will enroll people released from prison into a prospective cohort study to examine the association between exposure to structural conditions and 12-month primary outcomes of healthcare utilization (clinic visits, emergency visits, hospitalization) and secondary outcomes of CV hospitalization and all-cause mortality. Moderation by participant characteristics such as self-reported race, ethnicity, gender, age and baseline CV health will be tested.

Study Timeline

• Study First Submitted: 2023-08-03
• Study First Submitted QC: 2023-08-03
• Study Start: 2023-08-05
• Study First Posted: 2023-08-14
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-26
• Last Update Posted: 2025-02-28
• Primary Completion: 2027-06-30
• Study Completion: 2028-06-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

• Recenlty released from state prison into the Denver/Aurora Colorado metro area
• Age 18 and older
• Ability to understand study procedures in English or Spanish
• No plans to leave the area for six months

Exclusion Criteria

• On "current inmate" status or still under correctional observation (i.e., under locked confinement part of the day or night)
• Plans to leave area within six months
• Unable to consent

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Healthcare utilization	12 months	Clinic visits, emergency visits, hospitalization

Secondary Outcome Measures

Name	Time	Method
Death	12 months	All-cause death
Cardiovascular hospitalization	12 months	Hospitalization for a cardiovascular condition

Trial Locations

Locations (1)

Kaiser Permanente Institute for Health Research; 🇺🇸 Aurora, Colorado, United States