This study examines the relationship between exposure to incarceration and food insecurity among mothers during pregnancy.
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.
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.
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Among the states in the analytic sample, food insecurity rates were highest in Tennessee and lowest in Minnesota. Across years, food insecurity rates were highest in 2007–2009 and lowest in 2014–2015.
We also assessed whether the association between incarceration exposure and food insecurity differed across key subgroups by testing interactions of incarceration with maternal race, maternal age, and maternal education. Across each model, we found no statistically significant difference in the relationship between incarceration and food insecurity across any subgroups. These models are available upon request.
Alaimo, K., Briefel, R. R., Frongillo, E. A., Jr., & Olson, C. M. (1998). Food insufficiency exists in the United States: Results from the third National Health and Nutrition Examination Survey (NHANES III). American Journal of Public Health,88(3), 419–426.
Allison, P. D. (2012). When can you safely ignore multicollinearity? Retrieved October 7, 2019 from www.statisticalhorizons.com/multicollinearity.
America, Feeding. (2018). Mobile food pantry program. Chicago: Feeding America.
Borders, A. E. B., Grobman, W. A., Amsden, L. B., & Holl, J. L. (2007). Chronic stress and low birth weight neonates in a low-income population of women. Obstetrics and Gynecology,109(2), 331–338.
Carmichael, S. L., Yang, W., Herring, A., Abrams, B., & Shaw, G. M. (2007). Maternal food insecurity is associated with increased risk of certain birth defects. The Journal of Nutrition,137(9), 2087–2092.
Coleman-Jensen, A., Rabbit, M. P., Gregory, C. A., & Singh, A. (2018). Household food insecurity in the United States. Washington DC: United States Department of Agriculture.
Cox, R., & Wallace, S. (2016). Identifying the link between food security and incarceration. Southern Economic Journal,82(4), 1062–1077.
Drewnowski, A. (2004). Obesity and the food environment: Dietary energy density and diet costs. American Journal of Preventive Medicine,27(3), 154–162.
Drewnowski, A. (2010). The cost of US foods as related to their nutritive value. The American Journal of Clinical Nutrition,92(5), 1181–1188.
Dumont, D. M., Parker, D. R., Viner-Brown, S., & Clarke, J. G. (2015). Incarceration and perinatal smoking: A missed public health opportunity. Journal of Epidemiol Community Health,69, 648–653.
Dumont, D. M., Wildeman, C., Lee, H., Gjelsvik, A., Valera, P., & Clarke, J. G. (2014). Incarceration, maternal hardship, and perinatal health behaviors. Maternal and Child Health Journal,18(9), 2179–2187.
Gundersen, C., & Ziliak, J. P. (2014). Childhood food insecurity in the US: Trends, causes, and policy options. Princeton, NJ: Princeton University.
Gundersen, C., & Ziliak, J. P. (2018). Food insecurity research in the United States: Where we have been and where we need to go. Applied Economic Perspectives and Policy,40(1), 119–135.
Gunderson, C., & Gruber, J. (2001). The dynamic determinants of food insecurity. In second food security measurement and research conference (Vol. 2, pp. 92–110).
Hromi-Fiedler, A., Bermúdez-Millán, A., Segura-Pérez, S., & Pérez-Escamilla, R. (2011). Household food insecurity is associated with depressive symptoms among low-income pregnant Latinas. Maternal & Child Nutrition,7(4), 421–430.
Iceland, J., & Bauman, K. J. (2007). Income poverty and material hardship: How strong is the association? The Journal of Socio-Economics,36(3), 376–396.
Ivers, L. C., & Cullen, K. A. (2011). Food insecurity: Special considerations for women. The American Journal of Clinical Nutrition,94(6), 1740S–1744S.
Jackson, D. B., Johnson, K. R., Vaughn, M. G., & Hinton, M. E. (2019). The role of neighborhoods in household food insufficiency: Considering interactions between physical disorder, low social capital, violence, and perceptions of danger. Social Science and Medicine,221, 58–67.
Jackson, D. B., Lynch, K. R., Helton, J. J., & Vaughn, M. G. (2018). Food insecurity and violence in the home: Investigating exposure to violence and victimization among preschool-aged children. Health Education & Behavior,45(5), 756–763.
Kaeble, D., & Cowhig, M. (2018). Correctional populations in the United States, 2016. Washington, DC: United States Department of Justice.
Kohler, U., Karlson, K. B., & Holm, A. (2011). Comparing coefficients of nested nonlinear probability models. The Stata Journal,11(3), 420–438.
Laraia, B., Epel, E., & Siega-Riz, A. M. (2013). Food insecurity with past experience of restrained eating is a recipe for increased gestational weight gain. Appetite,65, 178–184.
Laraia, B. A., Siega-Riz, A. M., & Gundersen, C. (2010). Household food insecurity is associated with self-reported pregravid weight status, gestational weight gain, and pregnancy complications. Journal of the American Dietetic Association,110(5), 692–701.
Laraia, B. A., Siega-Riz, A. M., Gundersen, C., & Dole, N. (2006). Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women. The Journal of Nutrition,136(1), 177–182.
Laughlin, L. L. (2011). Maternity leave and employment patterns of first-time mothers: 1961-2008. Jeffersonville: US Department of Commerce, Economics and Statistics Administration, US Census Bureau.
Lee, J. S., Gundersen, C., Cook, J., Laraia, B., & Johnson, M. A. (2012). Food insecurity and health across the lifespan. Advances in Nutrition,3(5), 744–745.
Lee, H., Wildeman, C., Wang, E. A., Matusko, N., & Jackson, J. S. (2014). A heavy burden: The cardiovascular health consequences of having a family member incarcerated. American Journal of Public Health,104(3), 421–427.
Narain, K., Bean-Mayberry, B., Washington, D. L., Canelo, I. A., Darling, J. E., & Yano, E. M. (2018). Access to care and health outcomes among women veterans using veterans administration health care: Association with food insufficiency. Women’s Health Issues,28(3), 267–272.
Olds, D. L. (2006). The nurse–family partnership: An evidence-based preventive intervention. Infant Mental Health Journal,27(1), 5–25.
Oliveira, V. (2018). The food assistance landscape: FY 2017 annual report. Washington, DC: U.S. Department of Agriculture, Economic Research Service.
Procter, S. B., & Campbell, C. G. (2014). Position of the Academy of Nutrition and Dietetics: Nutrition and lifestyle for a healthy pregnancy outcome. Journal of the Academy of Nutrition and Dietetics,114(7), 1099–1103.
Ribar, D. C., & Hamrick, K. S. (2003). Dynamics of poverty and food sufficiency. Washington, DC: Economic Research Service, U.S Department of Agriculture.
Sandstorm, H. (2019). Early childhood home visiting programs and health. Health Affairs Health Policy Brief. https://doi.org/10.1377/hpb20190321.382895.
Schwartz-Soicher, O., Geller, A., & Garfinkel, I. (2011). The effect of paternal incarceration on material hardship. Social Service Review,85(3), 447–473.
Shulman, H. B., D’Angelo, D. V., Harrison, L., Smith, R. A., & Warner, L. (2018). The pregnancy risk assessment monitoring system (PRAMS): Overview of design and methodology. American Journal of Public Health,108(10), 1305–1313.
Sykes, B. L., & Pettit, B. (2014). Mass incarceration, family complexity, and the reproduction of childhood disadvantage. The Annals of the American Academy of Political and Social Science,654(1), 127–149.
Testa, A. (2019). Access to healthy food retailers among formerly incarcerated individuals. Public Health Nutrition,22(4), 672–680.
Testa, A., & Jackson, D. B. (2019). Food insecurity among formerly incarcerated adults. Criminal Justice and Behavior.
Turney, K. (2015). Paternal incarceration and children’s food insecurity: A consideration of variation and mechanisms. Social Service Review,89(2), 335–367.
Turney, K., & Wildeman, C. (2013). Redefining relationships: Explaining the countervailing consequences of paternal incarceration for parenting. American Sociological Review,78(6), 949–979.
Vaughn, M., Salas-Wright, C., Naeger, S., Huang, J., & Piquero, A. (2016). Childhood reports of food neglect and impulse control problems and violence in adulthood. International Journal of Environmental Research and Public Health,13(4), 389.
Wildeman, C. (2012). Imprisonment and infant mortality. Social Problems,59(2), 228–257.
Wildeman, C., Lee, H., & Comfort, M. (2013). A new vulnerable population? The health of female partners of men recently released from prison. Women’s Health Issues,23(6), e335–e340.
Wildeman, C., Schnittker, J., & Turney, K. (2012). Despair by association? The mental health of mothers with children by recently incarcerated fathers. American Sociological Review,77(2), 216–243.
The authors wish to acknowledge the CDC PRAMS Working Group: Tammie Yelldell, MPH (AL), Kathy Perham-Hester, MS, MPH (AK), Letitia de Graft-Johnson, DrPH, MHSA (AR), Ashley Juhl, MSPH (CO), Jennifer Morin, MPH (CT), George Yocher, MS (DE), Tara Hylton, MPH (FL), Florence A. Kanu, PhD, MPH (GA), Matt Shim, PhD, MPH (HI), Julie Doetsch, MA (IL), Jennifer Pham (IA), Tracey D. Jewell, MPH (KY), Rosaria Trichilo, MPH (LA), Tom Patenaude, MPH (ME), Laurie Kettinger, MS (MD), Hafsatou Diop, MD, MPH (MA), Peterson Haak (MI), Mira Grice Sheff, PhD, MS (MN), Brenda Hughes, MPPA (MS), Venkata Garikapaty, PhD (MO), Emily Healy, MS (MT), Jessica Seberger (NE), David J. Laflamme, PhD, MPH (NH), Sharon Smith Cooley, MPH (NJ), Sarah Schrock, MPH (NM), Anne Radigan (NY), Pricila Mullachery, MPH (New York City), Kathleen Jones-Vessey, MS (NC), Grace Njau, MPH (ND), Ayesha Lampkins, MPH, CHES (OK), Cate Wilcox, MPH (OR), Sara Thuma, MPH (PA), Karine Tolentino Monteiro, MPH (RI), Kristin Simpson, MSW, MPA (SC), Ransom Wyse, MPH, CPH (TN), Tanya Guthrie, PhD (TX), Nicole Stone, MPH (UT), Peggy Brozicevic (VT), Kenesha Smith, MSPH (VA), Linda Lohdefinck (WA), Melissa Baker, MA (WV), Fiona Weeks, MSPH (WI), Lorie Chesnut, PhD (WY), CDC PRAMS Team, Women’s Health and Fertility Branch, Division of Reproductive Health.
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Testa, A., Jackson, D.B. Incarceration Exposure and Maternal Food Insecurity During Pregnancy: Findings from the Pregnancy Risk Assessment Monitoring System (PRAMS), 2004–2015. Matern Child Health J 24, 54–61 (2020) doi:10.1007/s10995-019-02822-4
- Food Insecurity
- Maternal health