Incarceration Exposure and Maternal Food Insecurity During Pregnancy: Findings from the Pregnancy Risk Assessment Monitoring System (PRAMS), 2004–2015

Alexander Testa, Dylan B. Jackson

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: This study examines the relationship between exposure to incarceration and food insecurity among mothers during pregnancy. Methods: Using data from the Pregnancy Risk Assessment Monitoring System (PRAMS) from 2004 to 2015, logistic regression models were used to assess the association between incarceration of a woman or her partner in the year before birth and the likelihood of experiencing food insecurity. Results: Net of control variables, exposure to incarceration either personally or vicariously through a partner is associated with a 165% increase in the odds of food insecurity (OR 2.65, CI 2.29, 3.08). Attenuation analyses indicate this association partly operates through financial hardship, maternal unemployment, and receiving WIC benefits. Conclusions for Practice: Given the adverse consequences of food insecurity for maternal health and early childhood development, public health and criminal justice practitioners should develop targeted interventions to alleviate the negative repercussions associated with exposure to incarceration among pregnant women.

Original languageEnglish (US)
Pages (from-to)54-61
Number of pages8
JournalMaternal and child health journal
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2020
Externally publishedYes

Keywords

  • Food Insecurity
  • Incarceration
  • Maternal health
  • PRAMS
  • Pregnancy

ASJC Scopus subject areas

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health

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