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Health Care Use and Health Behaviors Among Young Adults With History of Parental Incarceration.

Published on Sep 1, 2018in Pediatrics5.401
· DOI :10.1542/peds.2017-4314
Nia Jenee Heard-Garris3
Estimated H-index: 3
,
Tyler N. A. Winkelman7
Estimated H-index: 7
+ 4 AuthorsMatthew M. Davis49
Estimated H-index: 49
Sources
Abstract
OBJECTIVES: To determine if longitudinal associations exist between parental incarceration (PI) and health care use or health behaviors among a national sample of young adults. METHODS: We used the National Longitudinal Survey of Adolescent to Adult Health to examine associations between history of mother incarceration (MI) and father incarceration (FI), health care use, and 3 dimensions of health behaviors (eg, general health behaviors, substance use, and other risky behaviors) (N = 13 084). Multivariable logistic regression models accounted for individual, family, and geographic factors and generated adjusted odds ratios (aORs). RESULTS: Over 10% of the sample had a history of PI before the age of 18. History of MI and FI were both associated with forgone health care (aOR = 1.65 [95% confidence interval (CI), 1.20–2.27], aOR = 1.22 [95% CI, 1.02–1.47], respectively), prescription drug abuse (MI aOR = 1.61 [95% CI, 1.02–2.55], FI aOR = 1.46 [95% CI, 1.20–1.79]), and 10 or more lifetime sexual partners (MI aOR = 1.55 [95% CI, 1.08–2.22], FI aOR = 1.19 [95% CI, 1.01–1.41]). MI was associated with higher likelihood of emergency department use (aOR = 2.36 [95% CI, 1.51–3.68]), and FI was associated with illicit injection drug use (aOR = 2.54 [95% CI, 1.27–5.12]). CONCLUSIONS: The effects of incarceration extend beyond incarcerated individuals. PI histories are associated with lower health care use and unhealthy behaviors in young adulthood. By addressing barriers to health care and health-harming behaviors, health care providers and policy makers may reduce health disparities among this population.
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References36
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To estimate the number of parents in state prisons in Minnesota, 2,242 adults completed a brief survey. More than two thirds reported having minor children. More women than men reported being a par...
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#1Kristin Turney (UCI: University of California, Irvine)H-Index: 26
#2Yader R. Lanuza (UM: University of Miami)H-Index: 3
The growing literature on the intergenerational consequences of incarceration generally neglects to consider how paternal and maternal incarceration structures offspring's transition to adulthood, a fundamental life course stage that has become increasingly unequal. In this article, the authors use data from the National Longitudinal Study of Adolescent to Adult Health to explore the relationship between parental incarceration and both subjective (e.g., respondent feels older compared to others ...
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#1Dylan B. Jackson (UTSA: University of Texas at San Antonio)H-Index: 9
#2Michael G. Vaughn (SLU: Saint Louis University)H-Index: 45
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OBJECTIVE: This study tests the association between adverse childhood experiences (ACEs) and multidimensional well-being in early adulthood for a low-income, urban cohort, and whether a preschool preventive intervention moderates this association. METHODS: Follow-up data were analyzed for 1202 low-income, minority participants in the Chicago Longitudinal Study, a prospective investigation of the impact of early experiences on life-course well-being. Born between 1979 and 1980 in high-poverty nei...
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Importance Young adults with a childhood history of parental incarceration (PI) or juvenile justice involvement (JJI) are more likely to have worse mental health outcomes than their peers. However, the association between mental health and exposure to both PI and JJI (PI plus JJI) is unclear. Objective To determine the association of PI plus JJI exposure with mental health outcomes in young adulthood. Design, Setting, and Participants A cross-sectional study of the US National Longitudinal Surve...
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Importance In 2016, an estimated 8% of US children younger than 18 years had experienced the incarceration of a parent, and rates were substantially higher among children from racial and ethnic minority backgrounds and disadvantaged groups. Little is known about whether parental incarceration during childhood is associated with adult psychiatric problems and functional outcomes. Objective To examine whether parental incarceration is associated with increased levels of psychiatric diagnosis and p...
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#1Elizabeth S. Barnert (UCLA: University of California, Los Angeles)H-Index: 8
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In the article “Health Care Use and Health Behaviors Among Young Adults with History of Parental Incarceration,” Heard-Garris et al1 use the nationally representative longitudinal survey “Add Health” to demonstrate strong associations between parental incarceration before age 18 years and higher rates of forgone health care and unhealthy behaviors in early adulthood (ages 25–32 years). This work is valuable given the scope of parental incarceration and the social vulnerabilities of many justice-...
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