Abstract
Objectives The incarceration rate in the United States has increased rapidly since the mid-1970s and, accordingly, a large number of children are exposed to parental incarceration. Research finds that parental incarceration is associated with deleterious physical and mental health outcomes among children, but little is known about these children’s health care access. Methods I used data from the 2011–2012 National Survey of Children’s Health (N = 95,531), a population-based and nationally representative survey of non-institutionalized children ages 0–17 in the United States, to estimate the association between exposure to parental incarceration and children’s unmet health care needs. Results In logistic regression models that adjust for an array of demographic and socioeconomic characteristics, children exposed to parental incarceration, compared to their counterparts, have 1.26 (95% CI 1.02–1.54) times the odds of having any unmet health care need. Analyses that disaggregate by type of unmet health care need (mental, dental, vision, mental health, or other) suggest this association is driven by a greater likelihood of unmet mental health care needs (OR 1.60; 95% CI 1.04–2.46). Conclusions Children exposed to parental incarceration, a vulnerable group especially at risk of physical and mental health problems, face challenges to health care access, especially mental health care access. Given that parental incarceration is concentrated among those children most in need of health care, parental incarceration may exacerbate existing inequalities in unmet health care needs.
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References
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10.
Andersen RM, Newman JF (2005). Societal and individual determinants of medical care utilization in the United States. Milbank Q, 83(4), (Online only).
Ayanian, J. Z., Weissman, J. S., Schneider, E. C., Ginsburg, J. A., & Zaslavsky, A. M. (2000). Unmet health needs of uninsured adults in the United States. JAMA, 284(16), 2061–2069.
Baggett, T. P., O’Connell, J. J., Singer, D. E., & Rigotti, N. A. (2010). The unmet health care needs of homeless adults: A national study. American Journal of Public Health, 100(7), 1326–1333.
Boch, S. J., & Ford, J. L. (2015). C-reactive protein levels among US adults exposed to parental incarceration. Biological Research for Nursing, 17(5), 574–584.
Carson, A. E. (2014). Prisoners in 2013. Washington, DC: U.S. Department of Justice.
Centers for Disease Control and Prevention, National Center for Health Statistics, State and Local Area Integrated Telephone Survey. 2011–2012 National Survey of Children’s Health frequently asked questions. Retrieved March 2015 (http://www.cdc.gov/nchs/slaits/nsch.htm).
Everett, B., & Mollborn, S. (2014). Examining sexual orientation disparities in unmet medical needs among men and women. Population Research and Policy Review, 33(4), 553–577.
Foster, H., & Hagan, J. (2007). Incarceration and intergenerational social exclusion. Social Problems, 54(4), 399–433.
Geller, A., Cooper, C. E., Garfinkel, I., Schwartz-Soicher, O., & Mincy, R. B. (2012). Beyond absenteeism: Father incarceration and child development. Demography, 49(1), 49–76.
Goffman, A. (2009). On the run: Wanted men in a Philadelphia ghetto. American Sociological Review, 74, 339–357.
Lee, R. D., Fang, X., & Luo, F. (2013). The impact of parental incarceration on the physical and mental health of young adults. Pediatrics, 131(4):e1188–e1195.
Massoglia, M., & Pridemore, W. (2015). Incarceration and health. Annual Review of Sociology, 41, 291–310.
Massoglia, M., Remster, B., & King, R. D. (2011). Stigma or separation? Understanding the incarceration-divorce relationship. Social Forces, 90(1), 133–155.
Newacheck, P. W., Hughes, D. C., Hung, Y.-Y., Wong, S., & Stoddard, J. J. (2000a). The unmet health needs of America’s children. Pediatrics, 105(S3), 989–997.
Newacheck, P. W., McManus, M., Fox, H. B., Hung, Y.-Y., & Halfon, N. (2000b). Access to health care for children with special health care needs. Pediatrics, 105(4), 760–766.
Newacheck, P. W., Strickland, B., Shonkoff, J. P., et al. (1998). An epidemiologic profile of children with special health care needs. Pediatrics, 102(1), 117–123.
Pager, D. (2003). The mark of a criminal record. American Journal of Sociology, 108(5), 937–975.
Pettit, B. (2012). Invisible men: Mass incarceration and the myth of black progress. New York: Russell Sage Foundation.
Roettger, M. E., & Boardman, J. D. (2012). Parental incarceration and gender-based risks for increased body mass index: Evidence from the national longitudinal study of adolescent health in the United States. American Journal of Epidemiology, 175(7), 636–644.
Ross, C. E., & Mirowsky, J. (2000). Does medical insurance contribute to socioeconomic differentials in health? The Milbank Quarterly, 78(2), 291–321.
Silver, E. J., & Stein, R. E. (2001). Access to care, unmet health needs, and poverty status among children with and without chronic conditions. Ambulatory Pediatrics, 1(6), 314–320.
Starfield, B., Shi, L., & Macinko, J. (2005). Contribution of primary care to health systems and health. The Milbank Quarterly, 83(3), 457–502.
Sykes, B. L., & Pettit, B. (2015). Severe deprivation and system inclusion among children of incarcerated parents in the United States after the Great Recession. RSF: The Russell Sage Foundation Journal of the Social Sciences, 1(2), 108–132.
Toomey, S. L., Chien, A. T., Elliott, M. N., Ratner, J., & Schuster, M. A. (2013). Disparities in unmet need for care coordination: The national survey of children’s health. Pediatrics, 131(2), 217–224.
Turney, K. (2014). Stress proliferation across generations? Examining the relationship between parental incarceration and childhood health. Journal of Health and Social Behavior, 55, 302–319.
Turney, K., Schnittker, J., & Wildeman, C. (2012). Those they leave behind: Paternal incarceration and maternal instrumental support. Journal of Marriage and the Family, 74, 1149–1165.
Turney, K., & Wildeman, C. (2013). Redefining relationships: Explaining the countervailing consequences of paternal incarceration for parenting. American Sociological Review, 78, 949–979.
Turney, K., & Wildeman, C. (2015). Detrimental for some? Heterogeneous effects of maternal incarceration on child wellbeing. Criminology & Public Policy, 14(1), 125–156.
Wakefield, S., & Uggen, C. (2010). Incarceration and stratification. Annual Review of Sociology, 36, 387–406.
Wildeman, C. (2009). Parental imprisonment, the prison boom, and the concentration of childhood disadvantage. Demography, 6, 265–281.
Wildeman, C. (2012). Imprisonment and infant mortality. Social Problems, 59(2), 228–257.
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Turney, K. Unmet Health Care Needs among Children Exposed to Parental Incarceration. Matern Child Health J 21, 1194–1202 (2017). https://doi.org/10.1007/s10995-016-2219-2
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DOI: https://doi.org/10.1007/s10995-016-2219-2