Examining the relationship between U.S. incarceration rates and population health at the county level

A collateral consequence of mass incarceration in the United States is its negative effects on population health. Using data from 2015, this study examines the relationship between incarceration rates and population health for a national sample of U.S. counties. To obtain unbiased estimates of the e...

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Main Authors: Robert R. Weidner, Jennifer Schultz
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:SSM: Population Health
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827319300874
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author Robert R. Weidner
Jennifer Schultz
author_facet Robert R. Weidner
Jennifer Schultz
author_sort Robert R. Weidner
collection DOAJ
description A collateral consequence of mass incarceration in the United States is its negative effects on population health. Using data from 2015, this study examines the relationship between incarceration rates and population health for a national sample of U.S. counties. To obtain unbiased estimates of the effect of incarceration on health, we use multivariate models which account for the endogeneity of incarceration rates when determining their effect on population health by employing an instrumental variable approach where the robust instrumental (exogenous) variable per capita corrections expenditures is used to predict incarceration rate. We then estimate population health outcomes as a function of predicted incarceration rate alongside factors such as public health spending, indicators of health behavior and control variables in models explaining county-level population health. Consistent with findings from prior research on individuals, families and at the state level, results of our analyses indicate that higher levels of incarceration are associated with higher levels of both morbidity (percentage reporting fair or poor health) and mortality (life expectancy). Implications of these findings for health and criminal justice policy, as well as research, are considered. Keywords: United States, Incarceration rate, Population health, Health status, Life expectancy, County health expenditures
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spelling doaj.art-3ddcaec77f7a4051844a1ad8042916eb2022-12-21T23:30:14ZengElsevierSSM: Population Health2352-82732019-12-019Examining the relationship between U.S. incarceration rates and population health at the county levelRobert R. Weidner0Jennifer Schultz1Anthropology, Sociology and Criminology, Cina 228, 1123 University Drive, University of Minnesota, Duluth, MN, 55812, USA; Corresponding author.Economics and Health Care Management, LSBE 330, 1049 University Drive, University of Minnesota, Duluth, MN, 55812, USAA collateral consequence of mass incarceration in the United States is its negative effects on population health. Using data from 2015, this study examines the relationship between incarceration rates and population health for a national sample of U.S. counties. To obtain unbiased estimates of the effect of incarceration on health, we use multivariate models which account for the endogeneity of incarceration rates when determining their effect on population health by employing an instrumental variable approach where the robust instrumental (exogenous) variable per capita corrections expenditures is used to predict incarceration rate. We then estimate population health outcomes as a function of predicted incarceration rate alongside factors such as public health spending, indicators of health behavior and control variables in models explaining county-level population health. Consistent with findings from prior research on individuals, families and at the state level, results of our analyses indicate that higher levels of incarceration are associated with higher levels of both morbidity (percentage reporting fair or poor health) and mortality (life expectancy). Implications of these findings for health and criminal justice policy, as well as research, are considered. Keywords: United States, Incarceration rate, Population health, Health status, Life expectancy, County health expenditureshttp://www.sciencedirect.com/science/article/pii/S2352827319300874
spellingShingle Robert R. Weidner
Jennifer Schultz
Examining the relationship between U.S. incarceration rates and population health at the county level
SSM: Population Health
title Examining the relationship between U.S. incarceration rates and population health at the county level
title_full Examining the relationship between U.S. incarceration rates and population health at the county level
title_fullStr Examining the relationship between U.S. incarceration rates and population health at the county level
title_full_unstemmed Examining the relationship between U.S. incarceration rates and population health at the county level
title_short Examining the relationship between U.S. incarceration rates and population health at the county level
title_sort examining the relationship between u s incarceration rates and population health at the county level
url http://www.sciencedirect.com/science/article/pii/S2352827319300874
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