Incarceration Exposure and Maternal Food Insecurity During Pregnancy: Findings from the Pregnancy Risk Assessment Monitoring System (PRAMS), 2004–2015
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.
KeywordsFood Insecurity Incarceration Pregnancy Maternal health PRAMS
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.
- 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.Google Scholar
- 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.Google Scholar
- Cox, R., & Wallace, S. (2016). Identifying the link between food security and incarceration. Southern Economic Journal, 82(4), 1062–1077.Google Scholar
- 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.Google Scholar
- Gundersen, C., & Ziliak, J. P. (2014). Childhood food insecurity in the US: Trends, causes, and policy options. Princeton, NJ: Princeton University.Google Scholar
- 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.Google Scholar
- Gunderson, C., & Gruber, J. (2001). The dynamic determinants of food insecurity. In second food security measurement and research conference (Vol. 2, pp. 92–110).Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- Kaeble, D., & Cowhig, M. (2018). Correctional populations in the United States, 2016. Washington, DC: United States Department of Justice.Google Scholar
- Kohler, U., Karlson, K. B., & Holm, A. (2011). Comparing coefficients of nested nonlinear probability models. The Stata Journal, 11(3), 420–438.Google Scholar
- 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.Google Scholar
- Olds, D. L. (2006). The nurse–family partnership: An evidence-based preventive intervention. Infant Mental Health Journal, 27(1), 5–25.Google Scholar
- Oliveira, V. (2018). The food assistance landscape: FY 2017 annual report. Washington, DC: U.S. Department of Agriculture, Economic Research Service.Google Scholar
- Ribar, D. C., & Hamrick, K. S. (2003). Dynamics of poverty and food sufficiency. Washington, DC: Economic Research Service, U.S Department of Agriculture.Google Scholar
- 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.Google Scholar
- Testa, A., & Jackson, D. B. (2019). Food insecurity among formerly incarcerated adults. Criminal Justice and Behavior.Google Scholar
- Turney, K. (2015). Paternal incarceration and children’s food insecurity: A consideration of variation and mechanisms. Social Service Review, 89(2), 335–367.Google Scholar
- Turney, K., & Wildeman, C. (2013). Redefining relationships: Explaining the countervailing consequences of paternal incarceration for parenting. American Sociological Review, 78(6), 949–979.Google Scholar
- Wildeman, C. (2012). Imprisonment and infant mortality. Social Problems, 59(2), 228–257.Google Scholar
- 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.Google Scholar