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Incarceration of Youths in an Adult Correctional Facility and Risk of Premature Death.


ABSTRACT:

Importance

Youths incarcerated in adult correctional facilities are exposed to a variety of adverse circumstances that could diminish psychological and physical health, potentially leading to early mortality.

Objective

To evaluate whether being incarcerated in an adult correctional facility as a youth was associated with mortality between 18 and 39 years of age.

Design, setting, and participants

This cohort study relied on longitudinal data collected from 1997 to 2019 as part of the National Longitudinal Survey of Youth-1997, a nationally representative sample of 8984 individuals born in the United States between January 1, 1980, and December 1, 1984. The data analyzed for the current study were derived from annual interviews between 1997 and 2011 and interviews every other year from 2013 to 2019 (19 interviews in total). Participants were limited to respondents aged 17 years or younger during the 1997 interview and alive during their 18th birthday (8951 individuals; >99% of the original sample). Statistical analysis was performed from November 2022 to May 2023.

Intervention

Incarceration in an adult correctional facility before the age of 18 years compared with being arrested before the age of 18 years or never arrested or incarcerated before the age of 18 years.

Main outcomes and measures

The main outcome for the study was age at mortality between 18 and 39 years of age.

Results

The sample of 8951 individuals included 4582 male participants (51%), 61 American Indian or Alaska Native participants (1%), 157 Asian participants (2%), 2438 Black participants (27%), 1895 Hispanic participants (21%), 1065 participants of other race (12%), and 5233 White participants (59%). A total of 225 participants (3%) died during the study period, with a mean (SD) age at death of 27.7 (5.9) years. Incarceration in an adult correctional facility before the age of 18 years was associated with an increased risk of earlier mortality between 18 and 39 years of age compared with individuals who were never arrested or incarcerated before the age of 18 years (time ratio, 0.67; 95% CI, 0.47-0.95). Being arrested before the age of 18 years was associated with an increased risk of earlier mortality between 18 and 39 years of age when compared with individuals who were never arrested or incarcerated before the age of 18 years (time ratio, 0.82; 95% CI, 0.73-0.93).

Conclusions and relevance

In this cohort study of 8951 youths, the survival model suggested that being incarcerated in an adult correctional facility may be associated with an increased risk of early mortality between 18 and 39 years of age.

SUBMITTER: Silver IA 

PROVIDER: S-EPMC10323704 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature

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Publications

Incarceration of Youths in an Adult Correctional Facility and Risk of Premature Death.

Silver Ian A IA   Semenza Daniel C DC   Nedelec Joseph L JL  

JAMA network open 20230703 7


<h4>Importance</h4>Youths incarcerated in adult correctional facilities are exposed to a variety of adverse circumstances that could diminish psychological and physical health, potentially leading to early mortality.<h4>Objective</h4>To evaluate whether being incarcerated in an adult correctional facility as a youth was associated with mortality between 18 and 39 years of age.<h4>Design, setting, and participants</h4>This cohort study relied on longitudinal data collected from 1997 to 2019 as pa  ...[more]

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