Journal of Epidemiology and Community Health

Prior incarceration linked to more limitations in older adults

Compared with never-incarcerated adults, formerly incarcerated adults were more likely to follow a moderate and increasing rather than consistently low limitation pattern (relative risk ratio 1.588).

Paper by Alexander M. Testa, Ratnasree Vaddepalli, Luis Mijares, 6 more authorsJack Tsai · The University of Texas Health Science Center at Houston
Cohort study of 8,377 adults aged ≥55, 2012 to 2022, against never-incarcerated adultsPopulations

Limit: Incarceration history and functional limitations relied on self-reports

Edited by Boris Djordjevic · AgingResearch.News

Follow

An observational study followed 8,377 adults aged 55 or older in the Health and Retirement Study every two years from 2012 to 2022. Participants reported limitations across nine functional tasks at each assessment. They also reported their incarceration history.

Researchers identified five patterns of limitations over time, ranging from consistently low to persistently high. After accounting for other factors, prior incarceration was associated with membership in three groups rather than the consistently low group: moderate and increasing limitations, high and increasing limitations, and persistently high limitations. Compared with never-incarcerated adults, the relative risk ratios for these group-membership patterns were 1.588, 2.122 and 2.181, respectively.

Why it matters

Functional limitations are tied to independence and the need for care as people age. The authors called for targeted health care and policy interventions to support formerly incarcerated older adults.

Caveats

This observational analysis cannot establish that incarceration caused the differences. Incarceration history and functional limitations were self-reported, and the findings concern adults aged 55 or older.