The Health and Development of Young Children Who Witnessed Their Parent's Arrest Prior to Parental Jail Incarceration.
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SUBMITTER: Poehlmann-Tynan J
PROVIDER: S-EPMC8123032 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:Research on incarceration has focused on prisons, but jail detention is far more common than imprisonment. Jails are local institutions that detain people before trial or incarcerate them for short sentences for low-level offenses. Research from the 1970s and 1980s viewed jails as "managing the rabble," a small and deeply disadvantaged segment of urban populations that struggled with problems of addiction, mental illness, and homelessness. The 1990s and 2000s marked a period of mass criminalization in which new styles of policing and court processing produced large numbers of criminal cases for minor crimes, concentrated in low-income communities of color. In a period of widespread criminal justice contact for minor offenses, how common is jail incarceration for minority men, particularly in poor neighborhoods? We estimate cumulative risks of jail incarceration with an administrative data file that records all jail admissions and discharges in New York City from 2008 to 2017. Although New York has a low jail incarceration rate, we find that 26.8% of Black men and 16.2% of Latino men, in contrast to only 3% of White men, in New York have been jailed by age 38 y. We also find evidence of high rates of repeated incarceration among Black men and high incarceration risks in high-poverty neighborhoods. Despite the jail's great reach in New York, we also find that the incarcerated population declined in the study period, producing a large reduction in the prevalence of jail incarceration for Black and Latino men.
| S-EPMC8072250 | biostudies-literature
Project description:ImportanceIn 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.ObjectiveTo examine whether parental incarceration is associated with increased levels of psychiatric diagnosis and poor outcomes in health, legal, financial, and social domains in adulthood.Design, setting, and participantsThis cohort study used data from the community-representative, prospective, longitudinal Great Smoky Mountains Study. Children and their parents were interviewed up to 8 times from January 1993 to December 2000 (ages 9-16 years; 6674 observations of 1420 participants) using the Child and Adolescent Psychiatric Assessment, which assessed parental incarceration, childhood psychiatric diagnoses, and other adversities. Young adults were followed up at ages 19, 21, 25, and 30 years from January 1999 to December 2015 (4556 observations of 1334 participants) to assess psychiatric diagnoses and functional outcomes indicative of a disrupted transition to adulthood. Data analysis was conducted from June 2018 to June 2019.ResultsBy age 16 years, 475 participants (weighted percentage, 23.9%) had a parental figure who had been incarcerated, including 259 young men (22.2%) and 216 young women (25.5%). Parental incarceration was associated with higher prevalence of childhood psychiatric diagnoses (eg, any depressive diagnosis: adjusted odds ratio [aOR], 2.5; 95% CI, 1.3-4.6; P?=?.006; attention-deficit/hyperactivity disorder: aOR, 2.3; 95% CI, 1.0-5.5; P?=?.06; and conduct disorder: aOR, 2.5; 95% CI, 1.4-4.3; P?=?.001). After accounting for childhood psychiatric diagnoses and adversity exposure, parental incarceration remained associated with increased odds of having an adult anxiety disorder (aOR, 1.7; 95% CI, 1.0-3.0; P?=?.04), having an illicit drug use disorder (aOR, 6.6; 95% CI, 2.6-17.0; P?<?.001), having a felony charge (aOR, 3.4; 95% CI, 1.8-6.5; P?<?.001), incarceration (aOR, 2.8; 95% CI, 1.4-5.4; P?=?.003), not completing high school (aOR, 4.4; 95% CI, 2.2-8.8; P?<?.001), early parenthood (aOR, 1.7; 95% CI, 1.0-3.0; P?=?.04), and being socially isolated (aOR, 2.2; 95% CI, 1.2-4.0; P?=?.009).Conclusions and relevanceThis study suggests that parental incarceration is associated with a broad range of psychiatric, legal, financial, and social outcomes during young adulthood. Parental incarceration is a common experience that may perpetuate disadvantage from generation to generation.
| S-EPMC6714027 | biostudies-literature
Project description:BackgroundCongregate settings, such as jails, may be a location where colonized detainees transmit methicillin-resistant Staphylococcus aureus (MRSA). We examined MRSA acquisition during incarceration and characterized the genomic epidemiology of MRSA entering the jail and isolated during incarceration.MethodsMales incarcerated at the Cook County Jail were enrolled within 72 h of intake and MRSA surveillance cultures collected. Detainees in jail at Day 30 were re-cultured to determine MRSA acquisition. A survey was administered to identify acquisition predictors. Genomic sequencing of surveillance and clinical isolates was integrated with epidemiologic and jail location data to track MRSA transmission pathways.Results800 males were enrolled; 19% MRSA colonized at intake. Of 184 who reached Day 30 visit, 12 acquired MRSA. Heroin use before entering (OR 3.67, P = .05) and sharing personal items during incarceration (OR = 4.92, P = .01) were predictors of acquisition. Sequenced clinical USA300 isolates (n = 112) were more genetically similar than diverse intake USA300 strains (P < .001), suggesting jail transmission. Four acquired colonization isolates were within 20 single-nucleotide variant (SNVs) of other isolates; 4 were within 20 SNVs of an intake isolate, 2 for an acquisition isolate, and 1 for a clinical isolate. Individuals with genetically similar isolates were more likely to have had overlapping stays in the same buildings.ConclusionThere was a high MRSA burden entering jail. Genomic analysis of acquisition and clinical isolates suggests potential spread of incoming strains and networks of spread during incarceration, with spread often occurring among detainees housed in similar locations. Sharing personal items during incarceration is associated with MRSA acquisition and could be a focus for intervention.
| S-EPMC8664465 | biostudies-literature
Project description:ObjectiveThe goal of this study is to examine the association between parental incarceration and parent-youth closeness.BackgroundDespite the established complex repercussions of incarceration for relationships between adults, and the well-known intergenerational consequences of parental incarceration, little is known about how incarceration structures these intergenerational relationships.MethodIn this paper, I use data from the Future of Families and Child Wellbeing Study (N = 3,408), a cohort of children followed over a 15-year period, to examine how parental incarceration is associated with relationships between youth and their (incarcerated and non-incarcerated) parents.ResultsResults suggest three conclusions. First, parental incarceration is negatively associated with closeness between youth and their incarcerated parents. Second, the timing of first parental incarceration is important. Parental incarceration in early or middle childhood is negatively associated with closeness between youth and their incarcerated parent, and parental incarceration in adolescence is positively associated with closeness between youth and their non-incarcerated parent. Third, relationships between parents themselves explain some of the association between paternal incarceration in early childhood and father-youth closeness.ConclusionTaken together, these findings advance our understanding of both the relational and intergenerational consequences of criminal legal contact and our understanding of the correlates of parent-youth relationships and, in doing, so, highlights how family ecological contexts contribute to inequality.
| S-EPMC10798659 | biostudies-literature
Project description:ObjectiveThe United States has the highest incarceration rate in the world, with spillover impacts on 5 million children with an incarcerated parent. Children exposed to parental incarceration (PI) have suboptimal health care access, use, and outcomes in adulthood compared to their peers. However, little is known about their access and utilization during childhood. We evaluated relationships between PI and health care use and access throughout childhood and adolescence.MethodsWe analyzed the nationally representative 2019 National Health Interview Survey Child Sample to examine cross-sectional associations between exposure to incarceration of a residential caregiver, access to care, and health care use among children aged 2-17. Respondents were asked about measures of preventive care access, unmet needs due to cost, and acute care use over the last year. We estimated changes associated with PI exposure using multiple logistic regression models adjusted for age, sex, race, ethnicity, parental education, family structure, rurality, income, insurance status, and disability.ResultsOf 7405 sample individuals, 467 (weighted 6.2% [95% CI 5.5-6.9]) were exposed to PI. In adjusted analyses to produce national estimates, exposure to PI was associated with an additional 2.2 million children lacking a usual source of care, 2 million with forgone dental care needs, 1.2 million with delayed mental health care needs, and 865,000 with forgone mental health care needs.ConclusionsExposure to PI was associated with worse access to a usual source of care and unmet dental and mental health care needs. Our findings highlight the need for early intervention by demonstrating that these barriers emerge during childhood and adolescence.
| S-EPMC11376232 | biostudies-literature
Project description:OBJECTIVES:Rates of childhood obesity and parental incarceration have been increasing in the United States since the 1970s. We examined whether parental incarceration was associated with child overweight at age 9 and whether that association differed by which parent was incarcerated. METHODS:We ran cross-sectional logistic regression models predicting the likelihood of a child being overweight, conditional on whether the child's mother, father, or both parents had ever been incarcerated. Our sample included non-Hispanic black (n = 1638) and non-Hispanic white (n = 504) children who were surveyed at age 9 in the Fragile Families and Child Wellbeing Study, a stratified random sample of new and mostly unmarried parents in US cities with populations >200?000. Children were born between 1998 and 2000. RESULTS:Controlling for race, sex, parental socioeconomic status, maternal obesity, parental impulsivity, and child temperament, the odds of being overweight were significantly lower if a child's mother was the only parent ever incarcerated (adjusted odds ratio [aOR] = 0.43; 95% confidence interval [CI], 0.22-0.83) or if both parents were ever incarcerated (aOR = 0.58; 95% CI, 0.38-0.87) compared with children whose parents were never incarcerated. Having a father who had ever been incarcerated had a comparatively meager and nonsignificant effect on the odds of a child being overweight (aOR = 0.81; 95% CI, 0.64-1.01). CONCLUSIONS:Our findings contribute to an emerging body of research suggesting that the consequences of parental incarceration for young children's physical health may differ by whether a child's mother or father has ever been incarcerated. Caution is warranted in generalizing the negative behavioral and mental health effects of parental incarceration to child physical health conditions, particularly for young children whose mothers have a history of incarceration.
| S-EPMC6598142 | biostudies-literature
Project description:BackgroundFrequent emergency department (ED) use and incarceration can be driven by underlying structural factors and social needs. If frequent ED users are at increased risk for incarceration, ED-based interventions could be developed to mitigate this risk. The objective of this study was to determine whether frequent ED use is associated with incarceration.MethodsWe conducted a retrospective cross-sectional study of 46,752 individuals in San Francisco Department of Public Health's interagency, integrated Coordinated Care Management System (CCMS) during fiscal year 2018-2019. The primary exposure was frequency of ED visits, and the primary outcome was presence of any county jail incarceration during the study period. We performed descriptive and multivariable analysis to determine the association between the frequency of ED use and jail encounters.ResultsThe percentage of those with at least one episode of incarceration during the study period increased with increasing ED visit frequency. Unadjusted odds of incarceration increased with ED use frequency: odds ratio (OR) = 2.14 (95% confidence interval [CI] = 1.94-2.35) for infrequent use, OR = 4.98 (95% CI = 4.43-5.60) for those with frequent ED use, and OR = 12.33 (95% CI = 9.59-15.86) for those with super-frequent ED use. After adjustment for observable confounders, the odds of incarceration for those with super-frequent ED use remained elevated at 2.57 (95% CI = 1.94-3.41). Of those with super-frequent ED use and at least one jail encounter, 18% were seen in an ED within 30 days after release from jail and 25% were seen in an ED within 30 days prior to arrest.ConclusionsFrequent ED use is independently associated with incarceration. The ED may be a site for intervention to prevent incarceration among frequent ED users by addressing unmet social needs.
| S-EPMC10231420 | biostudies-literature
Project description:BackgroundHepatitis C virus (HCV) is a major public health problem in correctional settings. HCV treatment is often not possible in U.S. jails due to short lengths of stay. Linkage to care is crucial in these settings, but competing priorities complicate community healthcare engagement and retention after incarceration.MethodsWe conducted a single arm clinical trial of a combined transitional care coordination (TCC) and patient navigation intervention and assessed the linkage rate and factors associated with linkage to HCV care after incarceration.ResultsDuring the intervention, 84 participants returned to the community after their index incarceration. Most participants were male and Hispanic, with a history of mental illness and a mean age of 45 years. Of those who returned to the community, 26 (31%) linked to HCV care within a median of 20.5 days; 17 (20%) initiated HCV treatment, 15 (18%) completed treatment, 9 (11%) had a follow-up lab drawn to confirm sustained virologic response (SVR), and 7 (8%) had a documented SVR. Among those with follow-up labs the known SVR rate was (7/9) 78%. Expressing a preference to be linked to the participant's existing health system, being on methadone prior to incarceration, and feeling that family or a loved one were concerned about the participant's wellbeing were associated with linkage to HCV care. Reporting drinking alcohol to intoxication prior to incarceration was negatively associated with linkage to HCV care.ConclusionWe demonstrate that an integrated strategy with combined TCC and patient navigation may be effective in achieving timely linkage to HCV care. Additional multicomponent interventions aimed at treatment of substance use disorders and increasing social support could lead to further improvement.Trial registrationClinicaltrials.gov NCT04036760 July 30th, 2019 (retrospectively registered).
| S-EPMC6686449 | biostudies-literature
Project description:BackgroundWe determined the rate of incarceration of inguinal hernia among infants and young children waiting for elective surgery and examined the relation to wait times. We also explored the relation between wait times and the use of emergency department services before surgery.MethodsWe used linked data from administrative databases to identify infants and children less than 2 years of age who underwent surgical repair of an inguinal hernia between Apr. 1, 2002, and Mr. 31, 2004. We determined the rate of hernia incarceration during the wait for surgery and stratified the risk by patient age and sex. We used logistic regression analysis to examine factors associated with hernia incarceration and wait times.ResultsA total of 1065 infants and children less than 2 years old underwent surgical repair of an inguinal hernia during the study period. The median wait time was 35 days (interquartile range 17-77 days). Within 30 days after diagnosis, 126 (11.8%) of the patients had at least 1 emergency department visit; 23.8% of them presented with hernia incarceration. The overall rate of hernia incarceration was 11.9%. The rate was 5.2% with a wait time of up to 14 days (median time from diagnosis to first emergency department visit), as compared with 10.1% with a wait time of up to 35 days (median wait time to surgery) (p < 0.001). Factors associated with an increased risk of incarcerated hernia were age less than 1 year (odds ratio [OR] 2.07, 95% confidence interval [CI] 1.32-3.23), female sex (OR 1.75, 95% CI 1.04-2.93) and emergency department visits (1 visit, OR 2.73, 95% 1.65-4.50; > or = 2 visits, OR 3.77, 95% CI 1.89-7.43). Children less than 1 year old who waited longer than 14 days had a significant 2-fold risk of incarcerated hernia (OR 1.92, 95% CI 1.11-3.32).InterpretationA wait time for surgery of more than 14 days was associated with a doubling of the risk of hernia incarceration among infants and young children with inguinal hernia. Our data support a recommendation that inguinal hernias in this patient population be repaired within 14 days after diagnosis.
| S-EPMC2572665 | biostudies-literature
Project description:Young children rely heavily on their caregivers to gain information about the environment, especially during times of duress. Therefore, considering parental assessments of behavior in the context of stressful environments may better facilitate our understanding of the longstanding association between early environmental stressors and changes in child behavior and physiology. Confirming many previous reports, a higher degree of household stress exposure was associated with elevated mental health symptoms in 2- to 6-year-old children (N = 115; anxiety and externalizing behaviors), which were verified in a subset of children with laboratory-based behaviors (N = 46). However, these associations were mediated by parental anxiety symptoms, which were also associated with increased cortisol levels in children. A closer look at the stressors indicated that it was the adult-targeted, and not the child-targeted, stressors that correlated most with children's behavior problems. These results highlight the importance of considering the mediating effect of parents, when examining associations between household stress and young children's behavioral development.
| S-EPMC8120989 | biostudies-literature