Young Aussies in the justice system go on to have a higher risk of death from disease

Publicly released:
Australia; VIC; QLD; WA; ACT
Photo by Daniel Bernard on Unsplash
Photo by Daniel Bernard on Unsplash

Young Australians who have contact with the justice system in their teens go on to die from non-communicable diseases at a higher rate than the general population, according to Australian research. The researchers compared nearly 50,000 Aussies who'd had contact with the justice system from the ages 10 to 18, then followed up about 10 years later to find a substantially higher rate of death from disease among the group compared to a sample of the general population. Heart and digestive diseases contributed the most to this, especially among Indigenous men. The researchers say more work needs to be done to prevent those with contact with the justice system from losing out when it comes to health literacy and access to health care throughout their lives.

Media release

From: James Cook University

Youth justice study shows fatal trend

A new study shows young people who have had contact with the youth justice system are at increased risk of early death, prompting researchers to call for more early intervention programs for at-risk youth.

Professor Alan Clough from James Cook University took part in the study. He said young people who have contact with the justice system are known to be more likely than other young people to experience suicidal behaviours, violence, and injury, which can lead to premature death.

“However, evidence about the burden of non-communicable diseases (NCDs)  – such as cardiovascular disease, diabetes and cancers - in young people with a history of involvement with the justice system is lacking,” said Professor Clough.

The researchers examined the histories of 48,670 individuals aged 10–18 years charged with a criminal offence in Queensland between 1993 and 2014.

Professor Clough said 1431 deaths occurred in that group during the study period, 932 had a known and attributed cause with 121 (13.0%) of these deaths from NCDs. The rate of deaths from NCDs in the cohort was 70% higher than the general population of the same age and sex in Australia.

“We found that rates of death due to cardiovascular and digestive diseases were particularly increased among those with a history of involvement with the youth justice system compared with the general population,” said Professor Clough.

He said mortality rates due to chronic respiratory diseases were actually lower among people with a history of contact with the youth justice system, and rates of other specific causes of NCD deaths did not differ significantly from the general population.

“Overall though, we found that first contact with the youth justice system before age 14 years was associated with a substantially increased NCD mortality rate compared with the general population.

“Improved health data surveillance, prevention efforts, and health care for young people with a history of involvement with the justice system, including during detention, is crucial to stopping this cycle of amplified social exclusion and disadvantage,” said Professor Clough.

Journal/
conference:
The Lancet Public Health
Research:Paper
Organisation/s: Murdoch Children's Research Institute (MCRI), The University of Melbourne, Curtin University, James Cook University, The Australian National University, Telethon Kids Institute, Griffith University, The University of Western Australia
Funder: This project was directly supported by funding from a National Health and Medical Research Council (NHMRC) Centre of Research Excellence grant (GNT1171981) on Driving Global Investment in Adolescent Health (chief investigators GCP, SMS, and SAK). The data used in this study were collected with financial support from an NHMRC project grant (GNT1098807, CI SAK). LCF received salary from the NHMRC (GNT1171981) and is supported by a Suicide Prevention Australia postdoctoral fellowship. JTY received salary and research support from an NHMRC investigator grant (GNT1178027). MJS is a recipient of an Australian Research Council Future Fellowship (FT180100075) funded by the Australian Government. RB received salary and research support from an NHMRC Emerging Leader Investigator Grant (EL2; GNT2008073). GCP was supported by an NHMRC investigator grant (GNT1196999). The Murdoch Children’s Research Institute was supported by the Victorian Government’s Operational Infrastructure Support Program.
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