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Do people who experience incarceration age more quickly? Exploratory analyses using retrospective cohort data on mortality from Ontario, Canada
Open accessAbstract
OBJECTIVES: We aimed to explore whether mortality data are consistent with the view that aging is accelerated for people with a history of incarceration compared to the general population, using data on mortality rates and life expectancy for persons in Ontario, Canada. METHODS: We obtained data from the Ontario Ministry of Community Safety and Correctional Services on all adults admitted to provincial correctional facilities in Ontario in 2000, and linked these data with death records from provincial vital statistics between January 1, 2000 and December 31, 2012. We used life table methods to calculate mortality rates and life expectancies for this cohort by sex and 5-year age group. We similarly generated population comparison rates using publicly available data for the general population of Ontario in 2006 as the midpoint of the follow up period. We compared these mortality indices between the 2000 Ontario prison cohort and the general population by age group and sex. RESULTS: The difference in all-cause mortality rates between the 2000 Ontario prison cohort and the general population was greatest for younger adults, with the prison cohort experiencing rates of death that would be expected for persons at least 15 years older at ages 20 to 44 for men and ages 20 to 59 for women. Life expectancy in the 2000 Ontario prison cohort was most similar to life expectancy of persons five years older in the general population at age intervals 20 to 45 in men and 20 to 30 in women. CONCLUSIONS: For most of adulthood, life expectancy and mortality rates are worse for adults with a history of incarceration than for the general population in Ontario, Canada. However, the association between mortality and incarceration status is modified by age, with the greatest relative burden of mortality experienced by younger persons with a history of incarceration and modified by sex, with worse relative mortality in women. Future research should explore the association between incarceration status and markers of aging including mortality, morbidity and physical appearance.
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Incarceration reduces life expectancy at age 45 by four to five years.
“Daza and colleagues (2020) determined that incarceration reduces life expectancy at age 45 by four to five years (see also, Kouyoumdjian et al., 2017).”
From Innocence Mortality Tax: The Impact of Wrongful Conviction on Lifespan (2023) · cites this paper as Kouyoumdjian et al., 2017
The Results report lower life expectancy in the Ontario prison cohort and say that, at age 45, men’s life expectancy was most similar to that of men five years older in the general population. That is not a reported four-to-five-year reduction in remaining life expectancy for everyone at age 45. The Discussion also explicitly says the study did not assess incarceration’s specific contribution, so it does not establish that incarceration caused the reduction. (LLM, conf=0.87)
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Metadata
- Authors
- Kouyoumdjian, F. G., Andreev, E. M., Borschmann, R., Kinner, S. A., & McConnon, A.
- Affiliations
- St. Michael's Hospital (CA)
- Royal Children's Hospital (AU)
- Griffith University (AU)
- McMaster University (CA)
- Corresponding author
- Kouyoumdjian, Fiona G.
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2017-04-14
- Volume
- 12
- Issue
- 4
- Pages
- e0175837
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC5391969
- OpenAlex
- W2607255329
- Cited by
- 38
- References
- 26
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 1 · 2023: 3 · 2022: 3 · 2021: 5 · 2020: 6 · 2019: 7 · 2018: 1 · 2017: 1
- FWCI
- 10.51
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Monash University Research Portal (Monash University) (submittedVersion, other-oa)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Griffith Research Online (submittedVersion, cc-by)
- Funders
- University of Toronto Postgraduate Research Award
- Topics
- Social Sciences › Sociology and Political Science › Criminal Justice and Corrections Analysis
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Law › Criminal Justice and Penology
- Keywords
- incarceration, accelerated aging, mortality, life expectancy, prisons, all-cause mortality, sex differences, age differences, older adults, Ontario
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Life Expectancy, Male, Middle Aged, Prisoners, Retrospective Studies, Sex Factors, Cohort Studies, Life Tables, Databases, Factual, Young Adult
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