Impact of parental incarceration on neonatal outcomes and newborn home environments: a case-control study.

OBJECTIVES: Parental incarceration (PI) is a prevalent adverse childhood experience (ACE) that has been linked to numerous social, emotional, and health problems in childhood and adulthood. A growing body of research has emphasized the importance of the timing of parent's incarceration on developmental outcomes.

STUDY DESIGN: The present study uses case-control matching to examine the impact of recent PI on newborn health and home safety outcomes.

METHODS: Neonatal health and newborn sleep and home safety data, including rates of premature birth, low birth weight (LBW), neonatal intensive care unit admittance, breastfeeding initiation, safe sleep, and home environment (e.g. working smoke alarm, proper firearm storage), were collected from 108 women who completed the Virginia Pregnancy Risk Assessment Monitoring survey. Half of these women (n = 54) had experienced the incarceration of themselves or their partner during the previous 12 months. Participants were matched by age, race, income, and the education level with those of 54 women who completed the survey and who had not experienced incarceration in the previous year.

RESULTS: Controlling for nicotine and alcohol consumption during pregnancy and other stressors, path analyses show that the women who experienced incarceration of themselves or their husband/partner were significantly less likely to deliver an LBW infant and more likely to live in a home with a loaded firearm in the home. No other significant differences emerged between the two matched groups among neonatal health or newborn sleep and home safety outcomes.

CONCLUSIONS: This result is considered from a public health perspective, as PI is an ACE which can be impacted by policy, particularly policies that promote practices that healthcare workers can use in correctional and other environments to encourage healthy pregnancies and home environments for newborns.