Display options
Share it on

CMAJ Open. 2017 Sep 13;5(3):E717-E723. doi: 10.9778/cmajo.20160165.

Factors that support successful transition to the community among women leaving prison in British Columbia: a prospective cohort study using participatory action research.

CMAJ open

Patricia A Janssen, Mo Korchinski, Sarah L Desmarais, Arianne Y K Albert, Lara-Lisa Condello, Marla Buchanan, Alison Granger-Brown, Vivian R Ramsden, Lynn Fels, Jane A Buxton, Carl Leggo, Ruth Elwood Martin

Affiliations

  1. Affiliations: Child & Family Research Institute (Janssen); School of Population and Public Health (Janssen, Buxton, Elwood Martin); Collaborating Centre for Prison Health and Education (Korchinski, Condello, Elwood Martin), University of British Columbia, Vancouver, BC; Department of Psychology (Desmarais), North Carolina State University, Raleigh, NC; Women's Health Research Institute (Albert), BC Women's Hospital and Health Centre, Vancouver, BC; Nicola Valley Institute of Technology (Condello), Burnaby, BC; Counselling Psychology Program (Buchanan), Faculty of Education, and Centre for Group Counselling and Trauma, University of British Columbia, Vancouver, BC; Fielding Graduate University (Granger-Brown), Santa Barbara, Calif.; Academic Family Medicine (Ramsden), University of Saskatchewan, Saskatoon, Sask.; Arts Education (Fels) and International Centre of Arts for Social Change (Fels), Simon Fraser University; BC Centre for Disease Control (Buxton); Department of Language & Literacy Education (Leggo), University of British Columbia, Vancouver, BC.

PMID: 28928168 PMCID: PMC5621961 DOI: 10.9778/cmajo.20160165

Abstract

BACKGROUND: In Canada, the number of women sentenced to prison has almost doubled since 1995. In British Columbia, the rate of reincarceration is 70% within 2 years. Our aim was to identify factors associated with recidivism among women in British Columbia.

METHODS: We prospectively followed women after discharge from provincial corrections centres in British Columbia. We defined recidivism as participation in criminal activity disclosed by participants during the year following release. To identify predictive factors, we carried out a repeated-measures analysis using a logistic mixed-effect model.

RESULTS: Four hundred women completed a baseline interview, of whom 207 completed additional interviews during the subsequent year, contributing 395 interviews in total. Factors significantly associated in univariate analysis with recidivism included not having a family doctor or dentist, depression, not having children, less than high school education, index charge of drug offense or theft under $5000, poor general health, hepatitis C treatment, poor nutritional or spiritual health, and use of cannabis or cocaine. In multivariate analysis, good nutritional health (odds ratio [OR] 0.52 [95% confidence interval (CI) 0.35-0.76]), good spiritual health (OR 0.61 [95% CI 0.44-0.83]), high school education (OR 0.44 [95% CI 0.22-0.87]) and incarceration for a drug offence versus other crimes (OR 0.30 [95% CI 0.12-0.79]) were protective against recidivism.

INTERPRETATION: Our findings emphasize the relevance of health-related strategies as drivers of recidivism among women released from prison. Health assessment on admission followed by treatment for trauma and associated psychiatric disorders and for chronic medical and dental problems deserve consideration as priority approaches to reduce rates of reincarceration.

Copyright 2017, Joule Inc. or its licensors.

Conflict of interest statement

Competing interests: None declared.

References

  1. Am J Public Health. 2011 Jun;101(6):1126-32 - PubMed
  2. Am J Public Health. 2005 Oct;95(10):1725-36 - PubMed
  3. Can J Psychiatry. 1987 Dec;32(9):749-55 - PubMed
  4. Health Care Women Int. 2002 Jan;23(1):6-18 - PubMed
  5. Glob Health Promot. 2009 Dec;16(4):43-53 - PubMed
  6. Can J Public Health. 2005 Mar-Apr;96 Suppl 2:S45-61 - PubMed
  7. BMJ. 1999 Sep 18;319(7212):774-8 - PubMed
  8. J Midwifery Womens Health. 2000 Jul-Aug;45(4):292-300 - PubMed
  9. Soc Work Public Health. 2014;29(3):240-51 - PubMed
  10. Int J Offender Ther Comp Criminol. 2002 Apr;46(2):220-30 - PubMed
  11. Glob Health Promot. 2015 Dec;22(4):48-55 - PubMed
  12. Cien Saude Colet. 2016 Jun;21(7):2051-60 - PubMed
  13. J Nurs Scholarsh. 2014 Jul;46(4):229-34 - PubMed
  14. Can Fam Physician. 2016 Mar;62(3):215-22 - PubMed
  15. BMC Res Notes. 2016 Feb 29;9:131 - PubMed

Publication Types