Abstract
Objectives
To examine population-level associations between paternal jail incarceration during pregnancy and infant birth outcomes using objective measures of health and incarceration.
Methods
We use multivariate logistic regression models and linked records on all births and jail incarcerations in New York City between 2010 and 2016.
Results
0.8% of live births were exposed to paternal incarceration during pregnancy or at the time of birth. After accounting for parental sociodemographic characteristics, maternal health behaviors, and maternal health care access, paternal incarceration during pregnancy remains associated with late preterm birth (OR = 1.34, 95% CI = 1.21, 1.48), low birthweight (OR = 1.39, 95% CI = 1.27, 1.53), small size for gestational age (OR = 1.35, 95% CI = 1.17, 1.57), and NICU admission (OR = 1.14, 95% CI = 1.05, 1.24).
Conclusions
We found strong positive baseline associations (p < 0.001) between paternal jail incarceration during pregnancy with probabilities of all adverse outcomes examined. These associations did not appear to be driven purely by duration or frequency of paternal incarceration. These associations were partially explained by parental characteristics, maternal health behavior, and health care. These results indicate the need to consider paternal incarceration as a potential stressor and source of trauma for pregnant women and infants.
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Acknowledgements
The authors are grateful to: Alison Yager for facilitating the broader collaboration that made this project possible; Hiu Tai Chan for his critical assistance in the data preparation and linkage procedure; Maria Fitzpatrick for assistance in managing the secure computing environment for data analysis at Cornell University; and Lawton Bourne, Diane Burton, Deborah Kaplan, Katharine McVeigh, and Hannah Searing for valuable feedback on earlier versions of this work.
Funding
This research was supported by a grant from the Russell Sage Foundation and a faculty grant from the Center for the Study of Inequality at Cornell University.
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YY designed and conducted all analyses, contributed substantially to the data linkage process, produced all final tables, and drafted and revised the manuscript. Joseph Kennedy led the data linkage procedure and conducted the data match, provided feedback on the analysis, and provided substantial feedback on the initial and revised manuscript. CC provided feedback on the research design and provided substantial feedback on the initial and revised manuscript. Mary Huynh facilitated and provided feedback on the data linkage procedure and provided substantial feedback on the analytic plan and on the initial and revised estimates and manuscript. Yang Jiang provided substantial feedback on the initial and revised estimates and manuscript and facilitated the collaboration between the authors’ institutions. CW conceptualized the project, facilitated the collaboration between the authors’ institutions, provided substantial feedback on the research design and analysis, and provided substantial and critical feedback on the manuscript.
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This work was deemed exempt from review by the Institutional Review Board of Cornell University, the institution with which two of the authors were affiliated at the time this research was conducted, and approved by the Institutional Review Board of the New York City Department of Health and Mental Hygiene.
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Yi, Y., Kennedy, J., Chazotte, C. et al. Paternal Jail Incarceration and Birth Outcomes: Evidence from New York City, 2010–2016. Matern Child Health J 25, 1221–1241 (2021). https://doi.org/10.1007/s10995-021-03168-6
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DOI: https://doi.org/10.1007/s10995-021-03168-6