Using multi-sectoral data linkage to inform whole-of-government responses for people who experience social exclusion
Social exclusion due to marginalisation, poverty, racism and/or stigma has been associated with profound health inequities and extreme levels of morbidity and mortality. One prominent form of exclusion is incarceration. Despite the large number of people who experience incarceration annually, our understanding of the health and health service experiences of justice-involved people remains poor. Longitudinal studies combining prospectively linked health and justice data provide unique opportunities to examine, understand, and improve the health of, and reduce the health inequities experienced by, justice-involved youth and adults.
This seminar will provide an overview of a program of work which has combined survey and extracted medical record data for around 2,700 adults who have experienced incarceration in two Australian states, with prospectively linked State-based health and correctional records, Medicare and PBS records, and the National Death Index. Examples of how these multi-sectoral data linkage studies have been used to answer novel public health questions, and inform whole-of-government responses, will be presented. Recommendations for future study design to improve our understanding of the health of people who experience social exclusion will be discussed.