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
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. Dr Heard-Garris conceived and designed the study, acquired data, conducted data analysis and interpretation, and drafted the initial manuscript; Dr Winkelman conceived and designed the study, acquired data, conducted data analysis and interpretation, and provided critical revisions to the manuscript; Dr Choi assisted in data analysis and interpretation and provided critical revisions to the manuscript; Mr Miller conducted the literature review for the study and provided critical revisions to the manuscript; Dr Kan conceived and designed the study, acquired and interpreted data, and provided critical revisions to the manuscript; Dr Shlafer interpreted data and provided critical revisions to the manuscript; Dr Davis interpreted data, provided critical PEDIATRICS Volume 142, number 2, August 2018:e20174314
WHAT'S KNOWN ON THIS SUBJECT:A history of parental incarceration (PI) is associated with poor physical and mental health outcomes into adulthood. However, the relationship between PI and health care use and multidimensional health behaviors has been understudied.
WHAT THIS STUDY ADDS:Young adults with PI histories are less likely to use health care and more likely to engage in unhealthy behaviors compared with peers without PI. PI has been identified as 1 of several adverse childhood experiences (ACEs), a group of traumatic or persistent childhood experiences associated with poor physical and mental health across the life course. 8 -11 PI is associated with learning delays and behavioral problems, 12 -15 perhaps because of the traumatic separation from a parent, the loss of parental resources, and the lack of social support. 7,12 The authors of a growing body of literature indicate that PI is detrimental to health in childhood and adulthood. The prevalence of asthma, HIV and AIDS, depression, anxiety, and posttraumatic stress disorder is higher among individuals with a history of PI. 16,17 In contrast to wha...