The Long Shadow of Incarceration: The Association of Incarceration History With Self-Reported Health Among Older Adults
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View abstract on PubMed
Summary
This summary is machine-generated.Prior incarceration is linked to poor physical and mental health in older adults, even decades after release. This social determinant of health is associated with poverty and disability, highlighting the need for interventions.
Area Of Science
- Public Health
- Gerontology
- Sociology
Background
- The United States has a high incarceration rate, with significant health consequences for formerly incarcerated individuals.
- Older adults have lived through decades of mass incarceration, yet their health outcomes post-release are understudied.
Purpose Of The Study
- To examine the association between prior incarceration and self-reported physical and mental health in adults aged 50 and older.
- To identify factors that may modify this association, including race/ethnicity, gender, and socioeconomic status.
Main Methods
- Cross-sectional analysis of the nationally representative Family History of Incarceration Survey data.
- Logistic regression models controlling for demographic, socioeconomic, and social wellbeing factors.
- Testing for effect modification by race/ethnicity, gender, time since incarceration, and financial/social wellbeing.
Main Results
- 21% of older adults surveyed had a history of incarceration.
- Prior incarceration was independently associated with higher odds of fair/poor physical health (aOR: 1.88) and fair/poor mental health (aOR: 2.12) after demographic adjustments.
- Associations persisted even for those incarcerated over 10 years prior, and financial wellbeing moderated the mental health link.
Conclusions
- Prior incarceration acts as a social determinant of health for older adults, linked to disability and poverty.
- Health harms associated with incarceration persist long-term, emphasizing the need for further research into mitigation strategies.
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