Health care use and health behaviors among young adults with history of parental incarceration

Nia Jenee Heard-Garris*, Tyler N.A. Winkelman, Hwajung Choi, Alex K. Miller, Kristin Kan, Rebecca Shlafer, Matthew Mason Davis

*Corresponding author for this work

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish (US)
Article numbere20174314
JournalPediatrics
Volume142
Issue number3
DOIs
StatePublished - Sep 1 2018

Fingerprint

Health Behavior
Young Adult
Confidence Intervals
Delivery of Health Care
Fathers
Mothers
Prescription Drug Misuse
Health
Logistic Models
Geography
Sexual Partners
Street Drugs
Health Policy
Administrative Personnel
Health Personnel
Longitudinal Studies
Hospital Emergency Service
Odds Ratio
Injections
Population

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Heard-Garris, Nia Jenee ; Winkelman, Tyler N.A. ; Choi, Hwajung ; Miller, Alex K. ; Kan, Kristin ; Shlafer, Rebecca ; Davis, Matthew Mason. / Health care use and health behaviors among young adults with history of parental incarceration. In: Pediatrics. 2018 ; Vol. 142, No. 3.
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title = "Health care use and health behaviors among young adults with history of parental incarceration",
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.",
author = "Heard-Garris, {Nia Jenee} and Winkelman, {Tyler N.A.} and Hwajung Choi and Miller, {Alex K.} and Kristin Kan and Rebecca Shlafer and Davis, {Matthew Mason}",
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doi = "10.1542/peds.2017-4314",
language = "English (US)",
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Health care use and health behaviors among young adults with history of parental incarceration. / Heard-Garris, Nia Jenee; Winkelman, Tyler N.A.; Choi, Hwajung; Miller, Alex K.; Kan, Kristin; Shlafer, Rebecca; Davis, Matthew Mason.

In: Pediatrics, Vol. 142, No. 3, e20174314, 01.09.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Health care use and health behaviors among young adults with history of parental incarceration

AU - Heard-Garris, Nia Jenee

AU - Winkelman, Tyler N.A.

AU - Choi, Hwajung

AU - Miller, Alex K.

AU - Kan, Kristin

AU - Shlafer, Rebecca

AU - Davis, Matthew Mason

PY - 2018/9/1

Y1 - 2018/9/1

N2 - 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.

AB - 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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