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Boch S, Wildeman C, Dexheimer J, Kahn R, Lambert J, Beal S. Pediatric Health and System Impacts of Mass Incarceration, 2009-2020: A Matched Cohort Study. Acad Pediatr 2024:S1876-2859(24)00164-5. [PMID: 38823498 DOI: 10.1016/j.acap.2024.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 05/22/2024] [Accepted: 05/26/2024] [Indexed: 06/03/2024]
Abstract
OBJECTIVE The US has the highest incarceration rate in the world; incarceration's direct and indirect toll on the health and health care use of youth is rarely investigated. We sought to compare the health of youth with known personal or family justice involvement and a matched cohort of youth without known personal/family justice involvement. METHODS A cross-sectional matched parallel cohort study was conducted. We queried electronic health records on youth (<21 years) with a visit in a large Midwestern pediatric hospital-based institution from January 2009 to December 2020. Youth were located by searching for justice-related (eg, prison, jail) keywords within all clinician notes. Health diagnostic profiles were measured using ICD 9/10 codes. Health care use included total admissions, inpatient days, emergent and urgent visits, and outpatient visits. RESULTS Across all youth at one institution over an 11-year period, 2.2% (N = 38,263) were identified as having probable personal or family justice-involvement. Youth with personal or familial justice involvement had 1.5-16.2 times the prevalence of mental health and physical health diagnoses across all domain groupings compared to a matched sample and the total population sample. From 2009-2020, approximately two-thirds of behavioral health care and nearly a quarter of all hospital inpatient days were attributed to the 2.2% of youth with probable personal or familial justice system involvement. CONCLUSION The study illuminates the vast disparities between youth with indirect or direct contact with the criminal legal system and matched youth with no documented contact. Better investment in monitoring and prevention efforts are needed.
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Affiliation(s)
- Samantha Boch
- Department of Population Health (S Boch and J Lambert), College of Nursing, University of Cincinnati, Cincinnati, Ohio; James M Anderson Center for Health Systems Excellence (S Boch), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
| | - Christopher Wildeman
- Department of Sociology (C Wildeman), Duke University, Durham, NC; Research Unit (C Wildeman), ROCKWOOL Foundation, Copenhagen, Denmark
| | - Judith Dexheimer
- Department of Pediatrics (J Dexheimer, R Kahn, and S Beal), University of Cincinnati College of Medicine, Cincinnati, Ohio; Division of Emergency Medicine (J Dexheimer), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
| | - Robert Kahn
- Department of Pediatrics (J Dexheimer, R Kahn, and S Beal), University of Cincinnati College of Medicine, Cincinnati, Ohio; Division of General and Community Pediatrics (R Kahn and S Beal), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Michael Fisher Child Health Equity Center (R Kahn), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
| | - Joshua Lambert
- Department of Population Health (S Boch and J Lambert), College of Nursing, University of Cincinnati, Cincinnati, Ohio
| | - Sarah Beal
- Department of Pediatrics (J Dexheimer, R Kahn, and S Beal), University of Cincinnati College of Medicine, Cincinnati, Ohio; Division of General and Community Pediatrics (R Kahn and S Beal), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Division of Behavioral Medicine and Clinical Psychology (S Beal), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
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McCauley EJ. How Parental Incarceration Shapes the Timing and Structure of Fertility for Children of Incarcerated Parents. Demography 2024; 61:165-187. [PMID: 38258545 DOI: 10.1215/00703370-11164302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2024]
Abstract
The timing and structure of fertility have important implications for individuals and society. Families play a critical role in fertility; however, little is known about how parental incarceration shapes fertility despite it being a common experience in the life course of disadvantaged children. This study examines the consequences of parental incarceration for children's fertility using the National Longitudinal Survey of Youth 1997. I employ multiple-decrement life tables and survival analyses to estimate the relationship between parental incarceration and fertility. Individuals who experience parental incarceration have different timing of fertility, with earlier first births and a quicker pace of subsequent births, as well as more nonmarital fertility, compared with those who do not experience parental incarceration. This analysis finds consistent evidence that parental incarceration is associated with the timing and structure of fertility and suggests that a parent's incarceration carries consequences over the life course of children. This study advances our understanding of how mass incarceration shapes American families, illustrates how the broader consequences of mass incarceration contribute to social inequality, and provides evidence that the enduring implications of incarceration span multiple generations.
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Affiliation(s)
- Erin J McCauley
- Department of Social and Behavioral Sciences, and Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA, USA
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Bell MF, Segal L, Dennison S, Kinner SA, Dawe S, Spittal MJ, Preen DB. Numeracy and literacy attainment of children exposed to maternal incarceration and other adversities: A linked data study. J Sch Psychol 2023; 100:101241. [PMID: 37689438 DOI: 10.1016/j.jsp.2023.101241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 02/20/2023] [Accepted: 07/27/2023] [Indexed: 09/11/2023]
Abstract
Parental incarceration has been associated with educational disadvantages for children, such as lower educational attainment, increased grade retention, and truancy and suspensions. However, children exposed to parental incarceration often experience other adversities that are also associated with educational disadvantage; the contribution of these co-occurring adversities has not been considered in previous research. This study aimed to investigate the educational outcomes of children exposed to (a) maternal incarceration alone and (b) maternal incarceration plus other adversities (i.e., maternal mental illness and/or child protective services [CPS] contact). We used linked administrative data for a sample of children whose mothers were incarcerated during the children's childhood (i.e., from the time of mother's pregnancy through the child's 18th birthday; n = 3828) and a comparison group of children whose mothers had not been incarcerated (n = 9570). Multivariate multinomial logistic regressions examined the association between exposure to the three adversities (i.e., maternal incarceration, maternal mental illness, and child CPS contact) and above or below average reading and numeracy attainment in Grades 3, 5, 7 and 9. At all grade levels, children exposed to maternal incarceration alone and those exposed to maternal incarceration plus other adversities had increased odds of below average numeracy and reading attainment and decreased odds of above average numeracy and reading attainment compared to children without any of the recorded exposures. Children exposed to maternal incarceration and CPS contact and those exposed to all three adversities had increased odds of below average reading and numeracy attainment compared to children exposed to maternal incarceration alone. The findings highlight the complex needs of children of incarcerated mothers that must be considered when designing and delivering educational support programs. These children would benefit from the implementation of multi-tiered, trauma-informed educational and clinical services.
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Affiliation(s)
- Megan F Bell
- School of Population and Global Health, University of Western Australia, Crawley, Western Australia, Australia.
| | - Leonie Segal
- Australian Centre for Precision Health, University of South Australia, Adelaide, South Australia, Australia.
| | - Susan Dennison
- School of Criminology and Criminal Justice, Griffith University, Mt Gravatt, Queensland, Australia; Griffith Criminology Institute, Griffith University, Mt Gravatt, Queensland, Australia.
| | - Stuart A Kinner
- Griffith Criminology Institute, Griffith University, Mt Gravatt, Queensland, Australia; Justice Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia; Centre for Adolescent Health, Murdoch Children's Research Institute, Royal Children's Hospital, Parkville, New South Wales, Australia; Mater Research Institute-UQ, University of Queensland, South Brisbane, Queensland, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
| | - Sharon Dawe
- School of Psychology, Griffith University, Mt Gravatt, Queensland, Australia.
| | - Matthew J Spittal
- Justice Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia.
| | - David B Preen
- School of Population and Global Health, University of Western Australia, Crawley, Western Australia, Australia.
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Del Toro J, Fine A, Wang MT. The intergenerational effects of paternal incarceration on children's social and psychological well-being from early childhood to adolescence. Dev Psychopathol 2023; 35:558-569. [PMID: 35285432 PMCID: PMC9470779 DOI: 10.1017/s0954579421001693] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
The present study sought to unravel the psychological processes through which mass incarceration, specifically paternal incarceration, is negatively affecting the next generation of children. Data came from 4,327 families from 20 cities who participated in a 10-year longitudinal study. Parents and children reported on children's rule-breaking behaviors and depressive symptoms when they were on average ages 5 (2003-2006), 9 (2007-2010), and 15 (2014-2017). Parental surveys and disposition information were combined to assess paternal incarceration at each age. Results showed that children who experienced paternal incarceration at age 5 also demonstrated more rule-breaking behaviors at age 15. Children's age-9 depressive symptoms partially mediated our finding, such that children who experienced paternal incarceration at age 5 also showed greater depressive symptoms at age 9, which in turn predicted greater rule-breaking behaviors at age 15. Paternal incarceration predicted future rule-breaking behaviors more strongly than did other forms of father loss. Because we found paternal incarceration during childhood is associated with worsened adjustment into adolescence, we discussed the need for developmentally appropriate practices in the criminal justice system.
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Affiliation(s)
- Juan Del Toro
- Learning Research and Development Center, University of Pittsburgh, Pittsburgh, PA, USA
| | - Adam Fine
- School of Criminology and Criminal Justice, Arizona State University, Tempe, AZ, USA
| | - Ming-Te Wang
- Learning Research and Development Center, University of Pittsburgh, Pittsburgh, PA, USA
- Department of Psychology and School of Education, University of Pittsburgh, Pittsburgh, PA, USA
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Fox MP, Moore RL, Song X. Entwined life events: The effect of parental incarceration timing on children's academic achievement. ADVANCES IN LIFE COURSE RESEARCH 2023; 55:100516. [PMID: 36942638 DOI: 10.1016/j.alcr.2022.100516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 10/11/2022] [Accepted: 10/15/2022] [Indexed: 06/18/2023]
Abstract
Parental incarceration has negative effects on children's educational outcomes. Past studies have only analyzed, and therefore only treated as consequential, parental incarceration that occurs during childhood rather than prenatally. Such analyses that emphasize the importance only of events that occur during one's lifetime are common in life course studies. This paper introduces an "entwined life events" perspective, which argues that certain events are so consequential to multiple persons' lives that they should be analyzed as events within multiple independent life courses; parental incarceration, whenever it occurs, is entwined across and shapes both parents' and children's lives. Drawing on data from the Panel Study of Income Dynamics and the Fragile Families and Child Wellbeing Study, we find that parental incarceration, both prenatal and during childhood, significantly influences children's academic ability measures and years of completed schooling. Our results show heterogeneous effects by children's race. We find that the absolute magnitude of parental incarceration effect estimates is largest for White children relative to estimates for Black and Hispanic children. At the same time, outcome levels tend to be poorer for Black and Hispanic children with parental incarceration experience. We explain this racial heterogeneity as confounded by the many other social disadvantages that non-White children encounter, resulting in the individual effect of parental incarceration not being extremely disruptive to their academic growth.
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Affiliation(s)
- Matthew P Fox
- Department of Criminal Law, Max Planck Institute for the Study of Crime, Security and Law, Germany.
| | - Ravaris L Moore
- Department of Sociology, New York University, Princeton University, Loyola Marymount University, USA
| | - Xi Song
- Department of Sociology, University of Pennsylvania, USA
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Herreros-Fraile A, Carcedo RJ, Viedma A, Ramos-Barbero V, Fernández-Rouco N, Gomiz-Pascual P, del Val C. Parental Incarceration, Development, and Well-Being: A Developmental Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3143. [PMID: 36833841 PMCID: PMC9967200 DOI: 10.3390/ijerph20043143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 01/31/2023] [Accepted: 02/06/2023] [Indexed: 06/18/2023]
Abstract
Despite an increasing number of studies examining the impact of parental incarceration on children's well-being, there are few comprehensive reviews that collect this information, and even fewer from a developmental perspective. This study aims to clarify the effects of parental incarceration on children's well-being and development, as well as the moderating and mediating factors from a developmental perspective. A systematic review was conducted according to PRISMA guidelines, selecting 61 studies of children from early childhood to adolescence. The results show differences in the current evidence regarding the effects of parental incarceration on children depending on the developmental stage, with the most evidence in the 7-11-year-old stage. Being male appears as a risk moderator factor while the mental health of the caregiver and their relationship with the child appears as a mediating variable, especially from 7 to 18 years old. These results reveal the impact of parental incarceration based on children's age, providing a basis for developing protective and intervention measures.
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Affiliation(s)
- Alicia Herreros-Fraile
- HIPRIFAM, Psychological Assistance for Children of Incarcerated Parents and their Families Unit, Faculty of Psychology, University of Salamanca, Avda. de la Merced 109-131, 37005 Salamanca, Spain
| | - Rodrigo J. Carcedo
- HIPRIFAM, Psychological Assistance for Children of Incarcerated Parents and their Families Unit, Faculty of Psychology, University of Salamanca, Avda. de la Merced 109-131, 37005 Salamanca, Spain
- Department of Developmental and Educational Psychology, Faculty of Psychology, University of Salamanca, Avda. de la Merced 109-131, 37005 Salamanca, Spain
| | - Antonio Viedma
- Department of Sociology I, Faculty of Political Sciences and Sociology, National Distance Education University (UNED), C/Obispo Trejo, 2, 28040 Madrid, Spain
| | - Victoria Ramos-Barbero
- Health Sciences Department, Faculty of Health Sciences, University of Burgos, Paseo de los Comendadores, s/n (H. Militar), 09001 Burgos, Spain
| | - Noelia Fernández-Rouco
- HIPRIFAM, Psychological Assistance for Children of Incarcerated Parents and their Families Unit, Faculty of Psychology, University of Salamanca, Avda. de la Merced 109-131, 37005 Salamanca, Spain
- Department of Education, School of Education, University of Cantabria, Avda. de los Castros 50, 39005 Santander, Spain
| | - Pilar Gomiz-Pascual
- Department of Sociology I, Faculty of Political Sciences and Sociology, National Distance Education University (UNED), C/Obispo Trejo, 2, 28040 Madrid, Spain
| | - Consuelo del Val
- Department of Sociology I, Faculty of Political Sciences and Sociology, National Distance Education University (UNED), C/Obispo Trejo, 2, 28040 Madrid, Spain
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