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Author: Zheng, Zhiyuan
Resulting in 2 citations.
1. Zhao, Jingxuan
Han, Xuesong
Zheng, Zhiyuan
Fan, Qinjin
Shi, Kewei
Fedewa, Stacey
Yabroff, K. Robin
Nogueira, Leticia
Incarceration History and Health Insurance and Coverage Changes in the U.S.
American Journal of Preventive Medicine published online (18 November 2022): DOI: 10.1016/j.amepre.2022.09.023.
Also: https://www.sciencedirect.com/science/article/pii/S0749379722004950
Cohort(s): NLSY97
Publisher: Elsevier
Keyword(s): Incarceration/Jail; Insurance, Health

Introduction: This study examines the association of incarceration history and health insurance coverage and coverage changes in the U.S.

Methods: Individuals with and without incarceration history were identified from the National Longitudinal Survey of Youth 1997 with follow-up through 2017-2018 (n=7,417). Generalized estimating equations were used to examine the associations between incarceration history and health insurance and coverage changes in the past 12 months. This study also assessed variation in associations by incarceration duration, frequency, and recency and reoffence history. Analysis was conducted in 2022.

Results: Individuals with incarceration history were more likely to be uninsured (AOR=1.69; 95% CI=1.55, 1.85) and to experience year-long uninsurance (AOR=1.34; 95% CI=1.12, 1.59) and were less likely to have stable health insurance coverage (AOR=1.30; 95% CI=1.08, 1.56) than individuals without incarceration history. Longer duration and more frequent incarcerations were associated with a higher likelihood of lack of and unstable insurance coverage and year-long uninsurance.

Bibliography Citation
Zhao, Jingxuan, Xuesong Han, Zhiyuan Zheng, Qinjin Fan, Kewei Shi, Stacey Fedewa, K. Robin Yabroff and Leticia Nogueira. "Incarceration History and Health Insurance and Coverage Changes in the U.S." American Journal of Preventive Medicine published online (18 November 2022): DOI: 10.1016/j.amepre.2022.09.023.
2. Zhao, Jingxuan
Star, Jessica
Han, Xuesong
Zheng, Zhiyuan
Fan, Qinjin
Shi, Sylvia Kewei
Fedewa, Stacey
Yabroff, K. Robin
Nogueira, Leticia
Incarceration History and Access to and Receipt of Health Care in the US
Journal of the American Medical Association 5,2 (23 February 2024).
Also: https://jamanetwork.com/journals/jama-health-forum/fullarticle/2815241
Cohort(s): NLSY79
Publisher: American Medical Association
Keyword(s): Educational Attainment; Health Care; Incarcerated/Jailed Individuals, Previously; Incarceration/Jail; Incarceration/Jail, Personal History of; Insurance, Health

Permission to reprint the abstract has not been received from the publisher.

Importance: People with a history of incarceration may experience barriers in access to and receipt of health care in the US.

Objective: To examine the associations of incarceration history and access to and receipt of care and the contribution of modifiable factors (educational attainment and health insurance coverage) to these associations.

Design, Setting, and Participants: Individuals with and without incarceration history were identified from the 2008 to 2018 National Longitudinal Survey of Youth 1979 cohort. Analyses were conducted from October 2022 to December 2023.

Main Measures and Outcomes: Access to and receipt of health care were measured as self-reported having usual source of care and preventive service use, including physical examination, influenza shot, blood pressure check, blood cholesterol level check, blood glucose level check, dental check, and colorectal, breast, and cervical cancer screenings across multiple panels. To account for the longitudinal study design, we used the inverse probability weighting method with generalized estimating equations to evaluate associations of incarceration history and access to care. Separate multivariable models examining associations between incarceration history and receipt of each preventive service adjusted for sociodemographic factors; sequential models further adjusted for educational attainment and health insurance coverage to examine their contribution to the associations of incarceration history and access to and receipt of health care.

Results: A total of 7963 adults with 41 614 person-years of observation were included in this study; of these, 586 individuals (5.4%) had been incarcerated, with 2800 person-years of observation (4.9%). Compared with people without incarceration history, people with incarceration history had lower percentages of having a usual source of care or receiving preventive services, including physical examinations (69.6% vs 74.1%), blood pressure test (85.6% vs 91.6%), blood cholesterol level test (59.5% vs 72.2%), blood glucose level test (61.4% vs 69.4%), dental check up (51.1% vs 66.0%), and breast (55.0% vs 68.2%) and colorectal cancer screening (65.6% vs 70.3%). With additional adjustment for educational attainment and health insurance, the associations of incarceration history and access to care were attenuated for most measures and remained statistically significant for measures of having a usual source of care, blood cholesterol level test, and dental check up only.

Conclusions and Relevance: The results of this survey study suggest that incarceration history was associated with worse access to and receipt of health care. Educational attainment and health insurance may contribute to these associations. Efforts to improve access to education and health insurance coverage for people with an incarceration history might mitigate disparities in care.

Bibliography Citation
Zhao, Jingxuan, Jessica Star, Xuesong Han, Zhiyuan Zheng, Qinjin Fan, Sylvia Kewei Shi, Stacey Fedewa, K. Robin Yabroff and Leticia Nogueira. "Incarceration History and Access to and Receipt of Health Care in the US." Journal of the American Medical Association 5,2 (23 February 2024).