Partner Incarceration Research Articles

Associations of individual and partner incarceration history and receipt of cancer screening in the US.

50 Background: Incarceration history is linked to limited access to care, including cancer screenings. Adverse consequences may also extend to their partners due to financial burdens and social stigma. This study examined associations of individual and partner incarceration history and receipt of cancer screenings in the United States. Methods: We identified individuals aged ≥ 50 years currently living with a partner who responded to the 2014-2020 Health and Retirement Study. Incarceration history was defined from responses to the question ‘Have you ever been an inmate in a jail, prison, juvenile detention center, or other correctional facility?’ People were categorized into 3 groups: 1) without individual or partner incarceration history, 2) with individual incarceration history only, and 3) with partner incarceration history only. People with both individual and partner incarceration history were excluded due to small sample size. We used multivariate logistic regression models to generate prevalence ratios (PRs) comparing receipt of any breast, cervical, and colorectal cancer screenings ≤2 years among screening-eligible people (defined by the US Preventive Services Taskforce guideline) with individual or partner incarceration history to people without incarceration history, stratifying by sex and controlling for age group, race and ethnicity, educational attainment, and comorbidity. Results: Of the sample, 0.9% and 11.8% of females and males reported individual incarceration history, respectively; 11.1% and 1.0% reported partner incarceration history, respectively. Compared to females without individual or partner incarceration history, women with partner incarceration history were less likely to receive breast cancer screening (PR:0.7, 95CI: 0.5-0.9); women with individual incarceration history were less likely to receive colorectal cancer screening in the past 2 years (PR: 0.7, 95% CI: 0.5-0.9). Compared to males without individual or partner incarceration history, men with partner incarceration history were less likely to receive colorectal cancer screening (PR: 0.5, 95% CI: 0.4-0.7). Conclusions: Individual or partner incarceration history was associated with lower prevalence of cancer screening. Programs to improve access to care and cancer screening among both people with incarcerations history and their partners are warranted. Adjusted association of individual and partner incarceration history and receipt of cancer screening. Female Male No Individual or Partner History With Individual History With Partner History No Individual or Partner History With Individual History With Partner History Cancer screening Breast (n=2556) Ref. 2.0 (0.5 - 8.3) 0.7 (0.5 - 0.9) -- Cervical (n=817) 1.4 (0.4 - 5.6) 0.9 (0.6 - 1.4) Colorectal (n=2682 for female, n=2207 for male) 0.7 (0.5 - 0.9) 0.9 (0.7 - 1.0) Ref. 1.0 (0.9 - 1.2) 0.5 (0.4 - 0.7) Ref: referent group.

Partner incarceration, maternal substance use, and the mediating role of social support: A longitudinal analysis using the future of families and child wellbeing study

IntroductionThe United States is responsible for the highest incarceration rate globally. This study aimed to explore the impact of partner incarceration on maternal substance use and whether social support mediates the relationship between partner incarceration and maternal substance use. MethodsUsing data from the Future of Families and Child Wellbeing Study, a longitudinal cohort following new parents and children, this analysis quantifies the relationship between paternal incarceration and maternal substance use (N = 2823). We analyzed maternal responses in years 3 (2001–2003), 5 (2003–2006), 9 (2007–2010), and 15 (2014–2017). We explored the role of financial support and emergency social support as potential mediators. Confirmatory factor analysis (CFA) was employed to construct support-related mediators. We modeled the impact of partner incarceration and maternal substance use using generalized estimating equations (GEE) to account for repeated measures, adjusting for appropriate confounders (age of mother at child's birth, race, education, employment, and history of intimate partner violence). ResultsNearly half (44.2%, N = 1247) of participants reported partner incarceration. Among mothers who experienced partner incarceration, the odds of reporting substance use were 110% greater than those who reported no partner incarceration (adjusted Odds Ratio [aOR]: 2.10; 95% Confidence Interval (CI):1.67–2.63). Financial support at year 5 accounted for 19.5% (95% CI: 6.03–33.06%) of the association between partner incarceration at year 3 and substance use at year 9; emergency social support at year 5 accounted for 6.4% (95% CI: 0.51–12.25%) of the association between partner incarceration and substance use at year 9. Neither financial nor emergency social support at year 9 were significant mediators between partner incarceration at year 3 and substance use at year 15. ConclusionsThese findings demonstrate that partner incarceration impacts maternal substance use. Financial and emergency support may partially mediate this relationship in the short term, which has important implications for families disrupted by mass incarceration.

Intimate Partner Violence and Partner Incarceration: Perceived and Experienced Challenges During Reentry

Women’s experiences with intimate partner violence (IPV) victimization and concerns and challenges regarding their partner’s reentry after prison were analyzed using three waves of panel data ( n = 866). Having been a victim of IPV before their partner’s incarceration, especially of incidents involving emotional violence and alcohol or drug use, is associated with elevated concerns regarding their ability to trust their partner, their partner’s ability to live up to their expectations, and being angry at their partner. IPV victimization was a more consistent predictor of having these concerns than of experiencing these challenges upon their partner’s reentry. Women’s concerns regarding reentry challenges were weakly to moderately related to the experiences the women had upon their partner’s reentry.

“We'll make it work”: Navigating surveilled living arrangements after romantic partner incarceration

AbstractObjectiveWe use the case of housing insecurity to examine how romantic partner incarceration results in increased and prolonged surveillance of women at home.BackgroundRomantic partner incarceration prompts surveillance from the criminal legal system while simultaneously eroding women's finances, health, and family relationships. Less is known about how these symbiotic harms of romantic partner incarceration enable surveillance beyond the criminal legal system.MethodWe use longitudinal interviews with 35 (previously coresident) romantic partners of incarcerated men, showing how incarceration prompts unwanted moves for partners, how women manage housing insecurity following partner incarceration, and how they become embedded into living arrangements where they are monitored, evaluated, and controlled.ResultsWe identify three primary findings. First, women experiencing housing insecurity after romantic partner incarceration relied heavily on their social ties (and, to a lesser extent, institutional housing providers) while enduring stressful and prolonged housing searches. Second, the homes that women move into expose them to increased surveillance. Women encounter domestic, caregiving, romantic, and financial surveillance. Romantic partner incarceration prompts large changes in surveillance among women who left independent homes, moderate changes in surveillance among women who left comparatively desirable doubled‐up homes, and prolonged surveillance among nonmovers. Finally, women respond to surveillance by monitoring burdens on hosts and reframing stays in shared homes as temporary.ConclusionTaken together, these findings extend prior research on the symbiotic harms of romantic partner incarceration, how women attached to incarcerated men experience surveillance, and how doubled‐up families sustain shared homes.

Even Wonder Woman Couldn’t Do It All: The Impacts of Superwoman Syndrome on Women with Incarcerated Partners

Incarceration affects approximately 2 million individuals, with about half the male population reporting they are in an intimate relationship; causing non-incarcerated partners to experience various stressors and challenges. Specific to women, there is a phenomenon called “Superwoman Syndrome,” which refers to various the roles women take on such as caregiver, partner, career woman, and breadwinner. This may lead to higher rates of stress and dissatisfaction, decreased family functioning, and dysfunctional patterns. This can also exacerbate feelings of resentment, dissatisfaction, and inundation, proliferating into negative feelings towards the family unit. Partner incarceration can exasperate these impacts, leading to higher rates of stress and other mental health concerns. Our goal is to address the lacunae in literature regarding the social, emotional, financial, and systemic needs of females with incarcerated partners, through advocacy of policy changes. Further, empirical exploration and research into this population can help to mitigate some of the negative effects, and produce better outcomes for both individual women, and their families.

The Longitudinal Associations Between Paternal Incarceration and Family Well-Being: Implications for Ethnic/Racial Disparities in Health.

Ethnic/racial minority children in the United States are more likely to experience father loss to incarceration than White children, and limited research has examined the health implications of these ethnic/racial disparities. Telomere length is a biomarker of chronic stress that is predictive of adverse health outcomes. This study examined whether paternal incarceration predicted telomere length shortening among offspring from childhood to adolescence, whether maternal depression mediated the link, and whether ethnicity/race moderated results. Research participants included 2,395 families in the Fragile Families and Child Wellbeing study, a national and longitudinal cohort study of primarily low-income families from 20 large cities in the United States. Key constructs were measured when children were on average ages 9 (2007-2010) and 15 (2014-2017). Children who experienced paternal incarceration exhibited shorter telomere lengths between ages 9 and 15, and changes in maternal depression mediated this finding. Specifically, mothers who experienced a partner's incarceration were more likely to have depression between children's ages 9 and 15. In turn, increases in maternal depression between children's ages 9 and 15 predicted more accelerated telomere length shortening among children during this period. Paternal incarceration was more prevalent and frequent for ethnic/racial minority youth than for White youth. Paternal incarceration is associated with a biomarker of chronic stress among children in low-income families. Rates of paternal incarceration were more prevalent and frequent among Black American and multiethnic/multiracial families than among White Americans. As a result, the mass incarceration crisis of the criminal justice system is likely shaping intergenerational ethnic/racial health disparities.

To stay or go: Relationship dissolution and repartnering after paternal incarceration

AbstractObjectiveThis study investigated how relationship dissolution and repartnering shape women's relationship quality after their partner's incarceration and evaluates whether incarceration is a unique context for relationship transitions.BackgroundMillions of couples in the United States face incarceration each year, and many relationships do not survive the experience. Although these breakups are typically framed as negative events, it is unclear whether relationship dissolution harms or helps women navigating the incarceration of their partner or coparent.MethodUsing longitudinal data from the Fragile Families study, this article contrasts the experiences of women who stayed with their child's father through his incarceration, those who separated and remained single, and those who separated and repartnered. Three domains of relationship quality were considered: cooperativeness of parenting relationships, supportiveness of romantic relationships, and risk of domestic violence.ResultsData reveal that most relationships end, creating an opportunity for mothers to form stronger relationships with more advantaged new partners. Incarceration also provides a distinct context for repartnering, amplifying both the advantages and disadvantages of dissolution.ConclusionMost couples experiencing paternal incarceration will also navigate relationship dissolution, and many will integrate a new partner into the family. For many women, particularly those whose relationships have become violent, these transitions may be sources of resilience rather than hardship.ImplicationsRather than a proscriptive focus on preserving families, these findings highlight the need to support families simultaneously navigating incarceration and changing family roles.

Partner Incarceration and Financial Support from Kin

Incarceration can exacerbate economic hardships for families. Although families may need financial support from kin during this financially destabilizing time, some research indicates that partner incarceration diminishes the availability of support. Studies have focused on perceptions, but no study has examined actual support received. This study uses data from the Fragile Families and Child Wellbeing Study ( N = 3,792) to show that partner incarceration is linked to a higher probability of receiving financial support and to receiving larger amounts of support. This provides encouraging evidence that women can rely on kin when partners are incarcerated, but it stands in contrast to previous research. Thus, this study also considers the apparent contradiction between women’s perceptions and the support they actually receive. These results provide suggestive evidence that women with incarcerated partners are more likely than other women to exhaust support, or use up all the financial support their kin can give.

Partner Incarceration and Women's Substance Use

AbstractObjectiveThis study examines whether the incarceration of women's partners is associated with their own drug, alcohol, and cigarette use.BackgroundPartners of incarcerated men face a number of stressors, including deteriorating relationships and economic instability. These stressors may lead women to engage in coping strategies that can negatively impact health.MethodsData come from the Fragile Families and Child Wellbeing Study (N = 3,733), a cohort study of mostly low‐income mothers in 20 large U.S. cities. Using lagged dependent variable models and propensity score matching, the authors estimate women's alcohol, drug, and cigarette use as a function of partner incarceration. The authors also examine mediators (relationship instability, economic instability, and diminished mental health) and moderators (race/ethnicity, residential status) of these associations.ResultsPartner incarceration was significantly associated with drug use only, and this association was concentrated among Black women. There was no evidence that this association operated through the studied mediators.ConclusionThe findings suggest that the social contexts in which Black women live can make those who experience partner incarceration particularly vulnerable to drug use. Although the findings leave questions regarding the pathways through which partner incarceration is linked to drug use, they suggest that incarceration compounds the disadvantages Black women already face in a social system that stratifies access to social goods based on skin color and ethnic origin, which may contribute to health disparities more broadly.

The Relationship Between Economic Deprivation, Housing Instability and Transactional Sex Among Women in North Carolina (HPTN 064).

Transactional sex is associated with socioeconomic disadvantage and HIV risk but few studies in the United States (US) have examined both individual and area-level predictors of transactional sex or distinguished transactional sex from sex work. We combined data from HIV Prevention Trials Network 064 study and the US Census to estimate prevalence ratios (PR) for the relationship between census-level and individual measures of economic deprivation and housing instability on transactional sex in 417 women in North Carolina. Increased transactional sex was associated with food insecurity (PR 1.86; 95%; CI 1.57, 2.19), housing instability (PR 1.33; 95% CI 1.11, 1.59), substance abuse (PR 1.90; 95% CI 1.64, 2.19) and partner incarceration (PR 1.32; 95% CI 1.09, 1.61). Census-level indicators were not associated with transactional sex, adjusted for individual-level covariates. Interventions should support housing stability and financial opportunities among southern African American women to reduce HIV risk, particularly among women with incarcerated partners.

The third shift: Multiple job holding and the incarceration of women's partners

A large body of research documents the sensitivity of women's employment to changing family circumstances, but we know little about the relationship between partner incarceration—a common family transition in the lives of disadvantaged women—and employment. Despite reasons to suspect that changes in resources associated with incarceration have consequences for the employment of family members, previous research suggests that partner incarceration does not influence the number of hours women work at their main jobs. This paper uses data from the Fragile Families and Child Wellbeing Study (N = 3835) to examine how partner incarceration is associated with multiple job holding, an alternative strategy for increasing earnings. Results show that women with incarcerated partners are more likely to work multiple jobs than women in otherwise similar circumstances, suggesting partner incarceration is linked to a “third shift”—to additional employment on top of the paid work and caregiving women already do.

HIV Risk Characteristics Associated with Violence Against Women: A Longitudinal Study Among Women in the United States.

Using data from HIV Prevention Trials Network 064, a multisite, observational cohort study conducted to estimate HIV incidence rates among women living in areas of high poverty and HIV prevalence in the United States, we examined the use of HIV risk characteristics to predict emotional abuse, physical violence, and forced sex. Participants included 2099 women, 18-44 years of age, who reported unprotected vaginal or anal sex with a male partner and an additional personal or perceived male partner HIV risk characteristic in the past 6 months. Adjusting for time-varying covariates, generalized estimating equations were used to assess the ability of HIV risk characteristics to predict violence 6 months later. Reported analyses were limited to the 1980 study participants who reported having a male sex partner at that assessment. Exchanging sex, perceived partner concurrency, and perceived partner incarceration were significantly predictive of emotional abuse 6 months later (adjusted odds ratio [AOR]: 1.60; 1.59; 1.34, respectively). Prior sexually transmitted infection diagnosis, exchanging sex, and binge drinking were significantly predictive of physical violence 6 months later (AOR: 1.62; 1.71; 1.47, respectively). None of the variables measured was significantly predictive of forced sex. Strategies that address reducing violence against women should be studied further in the context of HIV prevention programs.

Consequences of Partner Incarceration for Women's Employment.

Research has documented the limited opportunities men have to earn income while in prison and the barriers to securing employment and decent wages upon release. However, little research has considered the relationship between men's incarceration and the employment of the women in their lives. Economic theory suggests that family members of incarcerated individuals may attempt to smooth income fluctuation resulting from incarceration by increasing their labor supply. This study used data from the Fragile Families and Child Wellbeing Study (N = 3,780) to investigate how men's incarceration is associated with the number of hours their female partners work as well as variation in this association. Results showed that, on average, women's hours of work were not significantly impacted by the incarceration of their partners. However, there was a positive relationship between partner incarceration and employment among more advantaged groups of women (e.g., married women, white women).

It is complicated: sexual partner characteristic profiles and sexually transmitted infection rates within a predominantly African American population in Mississippi.

Mississippi has among the highest prevalence of sexually transmitted infections (STIs) in the United States. Understanding sexual networks can provide insight into risk factors for transmission and guide prevention interventions. Participants included 1437 primarily African American (95%) adults presenting for care at an STI clinic in Jackson, Mississippi. Latent class analysis identified underlying population subgroups with unique patterns of response on a comprehensive set of 14 sexual partner variables, such as living with or having a child with a partner, partner dependence and trust, 1-time sexual encounters, multiple main partners, substance use, sexual concurrency, and incarceration. Classes were compared on participant age, sex, sexual orientation, public assistance, lifetime partners, relationship status, and self-reported past-year STI. Three classes emerged. Class 1 (n = 746) participants were less dependent on partners and less likely to live with or have a child with a partner. Class 2 participants (n = 427) endorsed multiple STI risk factors, including partner incarceration, 6 or more lifetime partners, sexual concurrency, 1-time sexual encounters, and substance use at last sex. Class 3 participants (n = 226) were more likely to be in dependent, committed relationships with children. Class 2 had a higher proportion of self-report past-year STIs (36.7%) compared with classes 1 (26.6%) and 3 (26.1%). Certain partner factors such as incarceration, substance use, and concurrency may contribute to increased STI risk. Partner factors may be useful proxies for STI risks and could be useful questions to include in screening questionnaires in clinical settings.

Love on lockdown: how social network characteristics predict separational concurrency among low income African-American women.

One out of nine African-American men between the ages of 20 and 34 is behind bars, resulting in many African-American women losing their primary romantic partners to incarceration. Research suggests that partner incarceration may contribute to increased risk of sexually transmitted infections (STIs)/human immunodeficiency virus (HIV); however, factors associated with women's decisions to begin new sexual partnerships following partner incarceration (i.e., separational concurrency) have not been well studied. This study examined the social context relevant to initiating separational concurrency, following incarceration of a primary male partner. Cross-sectional secondary data analysis of 6-month follow-up data from the CHAT Project, a social-network based HIV/sexually transmitted disease (STD) prevention study in Baltimore, MD, USA. Participants were N = 196 African-American women, who reported ever having had a partner who was incarcerated for at least 6 months during the relationship. The majority (81.5%) of women were unemployed with a mean age of 41.7 years. Over half of the sample (59.5%) reported having used crack or heroin at least once in the previous 12 months; 48.5% of the women had experienced physical abuse, with over half of the sample reporting a lifetime history of emotional abuse (54.6%). Separational concurrency, defined as answering yes to the item, "While [your] partner was incarcerated, did you have any other sexual partners?," was the primary outcome measure. After adjusting for age, drug use and unemployment the multiple logistic regression model found that women who reported a history of physical or emotional abuse were over two times as likely to report separational concurrency than women without an abuse history [adjusted odds ratio (AOR), 2.24; 95% CI, 1.24, 4.05; p = .007 and AOR, 2.44; 95% CI, 1.33, 4.46; p = .004, respectively]. Individuals who reported a higher number of drug-using sex partners (AOR, 2.49; 95% CI, 1.4, 4.5; p = .002), sex exchange partners (AOR, 4.0; 95% CI, 1.8 8.9; p = .001), and sexual partners who engaged in concurrency (AOR: 2.67; 95% CI: 1.5, 4.8; p = .001) were significantly more likely to report separational concurrency. Conversely, participants who reported more female kin in their social networks (AOR, .808; 95% CI, .67, .97; p = .025), having known network members a longer time (AOR, .997; 95% CI, .993, .999; p = .043), and higher levels of trust for network members (AOR, .761; 95% CI, .63, .92; p = .005) were significantly less likely to report separational concurrency. Results of this study demonstrate that social network characteristics may be crucial to understanding separational concurrency among African-American urban women who have lost a partner to incarceration. Social network and other resource-based interventions, which provide instrumental, social, and economic resources to women who have experienced the loss of a partner to incarceration, may be important tools in empowering women and helping to reduce the disproportionate burden of STIs/HIV among low income, African-American women.

Hopelessly Devoted? Relationship Quality During and After Incarceration.

A growing literature highlights the multifaceted consequences of incarceration for family life, but little is known about the quality of relationships between couples who remain together during and after 1 partner's incarceration. In this article, the author used data from the Fragile Families and Child Wellbeing Study (N = 1,848), a longitudinal cohort of parents, to consider the association between paternal incarceration and 4 measures of relationship quality: (a) overall relationship quality, (b) supportiveness, (c) emotional abuse, and (d) physical abuse. The results showed that paternal incarceration in the past 2 years was, by and large, associated with lower mother-reported (but not father-reported) relationship quality. However, across some outcome variables current paternal incarceration was positively associated with relationship quality. Taken together, these findings suggest that current and recent incarceration have countervailing consequences for relationship quality and, more generally, that the penal system exerts a powerful influence even among couples who maintain relationships.

Partner Incarceration and African-American Women's Sexual Relationships and Risk: A Longitudinal Qualitative Study.

Racialized mass incarceration is associated with racial/ethnic disparities in HIV and other sexually transmitted infections (STIs) in the US. The purpose of this longitudinal qualitative study was to learn about the processes through which partner incarceration affects African-American women's sexual risk. Four waves of in-depth qualitative interviews were conducted in 2010-2011 with 30 women in Atlanta, Georgia (US) who had recently incarcerated partners. Approximately half the sample misused substances at baseline. Transcripts were analyzed using grounded theory. For over half the sample (N = 19), partner incarceration resulted in destitution, and half of this group (N = 9) developed new partnerships to secure shelter or food; most misused substances. Other women (N = 9) initiated casual relationships to meet emotional or sexual needs. When considered with past research, these findings suggest that reducing incarceration rates among African-American men may reduce HIV/STIs among African-American women, particularly among substance-misusing women, as might rapidly linking women with recently incarcerated partners to housing and economic support and drug treatment.

Epidemiology of Undiagnosed Trichomoniasis in a Probability Sample of Urban Young Adults

T. vaginalis infection (trichomoniasis) is the most common curable sexually transmitted infection (STI) in the U.S. It is associated with increased HIV risk and adverse pregnancy outcomes. Trichomoniasis surveillance data do not exist for either national or local populations. The Monitoring STIs Survey Program (MSSP) collected survey data and specimens which were tested using nucleic acid amplification tests to monitor trichomoniasis and other STIs in 2006–09 among a probability sample of young adults (N = 2,936) in Baltimore, Maryland — an urban area with high rates of reported STIs. The estimated prevalence of trichomoniasis was 7.5% (95% CI 6.3, 9.1) in the overall population and 16.1% (95% CI 13.0, 19.8) among Black women. The overwhelming majority of infected men (98.5%) and women (73.3%) were asymptomatic. Infections were more common in both women (OR = 3.6, 95% CI 1.6, 8.2) and men (OR = 9.0, 95% CI 1.8, 44.3) with concurrent chlamydial infection. Trichomoniasis did not vary significantly by age for either men or women. Women with two or more partners in the past year and women with a history of personal or partner incarceration were more likely to have an infection. Overall, these results suggest that routine T vaginalis screening in populations at elevated risk of infection should be considered.

“He Was the Story of My Drug Use Life”: A Longitudinal Qualitative Study of the Impact of Partner Incarceration on Substance Misuse Patterns Among African American Women

This NIH-funded longitudinal qualitative study explored pathways through which partner incarceration affected substance misuse among African American women. Four waves of semi-structured interviews were conducted with 17 substance-misusing African American women whose partners had recently been incarcerated. Data were collected in Atlanta, Georgia, during 2010–2011. Transcripts were analyzed using grounded theory methods. Analyses suggest that partner incarceration initially precipitated multiple crises in women's lives (e.g., homelessness); over time, and with formal and informal support, women got their lives “back on track.” Substance misuse declined over time, though spiked for some women during the crisis period. We discuss implications for research and interventions.

Adaptation of an Evidence-Based HIV Prevention Intervention for Women with Incarcerated Partners: Expanding to Community Settings

High rates of incarceration in urban, low income communities may exacerbate women's risk of HIV infection by decreasing the number of available male sexual partners and disrupting long-term partnerships. The Health Access Program for Prevention, Empowerment, and Networking for Women (HAPPEN) was established to address the HIV prevention needs of women partnered with incarcerated or recently released men in community settings. HAPPEN is an adaptation of the evidence-based HIV prevention intervention Health Options Mean Empowerment (HOME) project. HOME was designed specifically for women visiting their incarcerated male partners and was delivered at a prison visiting center. Recruitment and program implementation for HAPPEN occurred at community-based organizations serving women with histories of substance abuse, intimate partner violence and incarceration, and provided health education, HIV testing, and linkage to health care and social services. This paper describes the process of adapting HOME using input from target organization stakeholders and target population members.