Early age at childhood parental incarceration and STI/HIV-related drug use and sex risk across the young adult lifecourse in the US: Heightened vulnerability of black and Hispanic youth

Citation

Khan, Maria R.; Scheidell, Joy D.; Rosen, David L.; Geller, Amanda; & Brotman, Laurie M. (2018). Early age at childhood parental incarceration and STI/HIV-related drug use and sex risk across the young adult lifecourse in the US: Heightened vulnerability of black and Hispanic youth. Drug and Alcohol Dependence. vol. 183 pp. 231-239

Abstract

Background. We measured associations between parental incarceration and STI/HIV-related drug use and sex risk, assessing differences by race, age at first parental incarceration, and potential mediators of the relationship. Methods. We used Waves I (adolescence) and IV (adulthood) of the National Longitudinal Study of Adolescent to Adult Health (n=11,884) to measure associations between age of parental incarceration (never, any <8; 8–17, ≥18 years old) and marijuana and cocaine use, multiple partnerships, and STI in adolescence and adulthood among white, Black, and Hispanic participants and assessed mediation by sexual and physical abuse, mental disorder symptoms, and drug use. Results. By Wave IV, approximately one in six had experienced a parental incarceration; higher prevalence observed among black (26%) and Hispanic (20%) versus white (15%) respondents (p < 0.0001). Parental incarceration at any age was moderately to strongly associated with STI/HIV risk outcomes. In multivariable models, parental incarceration at age <8 years old (versus never) remained strongly associated with STI/HIV risk in both adolescence and adulthood, with strongest associations among non-whites. Among Blacks, parental incarceration at age <8 years old was associated with over double the odds of adulthood use of marijuana (adjusted odds ratio (AOR): 2.53, 95% confidence interval: 1.62, 3.95) and cocaine (AOR: 4.41, 95% CI: 2.05, 9.48). Delinquency, drug use, and mood disorders appeared to partially mediate the relationship. Conclusions. Children impacted by parental incarceration constitute priority populations for substance use and STI/HIV prevention and treatment. The unintended consequences of incarceration for children should be considered in decarceration discussions.

URL

https://doi.org/10.1016/j.drugalcdep.2017.11.006

Keyword(s)

Parental Incarceration STI HIV Drug Use Adolescence Race

Reference Type

Journal Article

Journal Title

Drug and Alcohol Dependence

Author(s)

Khan, Maria R.
Scheidell, Joy D.
Rosen, David L.
Geller, Amanda
Brotman, Laurie M.

Year Published

2018

Volume Number

183

Pages

231-239

Edition

November 24, 2017

DOI

10.1016/j.drugalcdep.2017.11.006

NIHMSID

NIHMS938333

Reference ID

7156