Evidence map›Paper›PMID 34109543›Full record

ArticleJournal of general internal medicine2022

Factors Associated with Incarceration in Older Adults Experiencing Homelessness: Results from the HOPE HOME Study.

Ilana Garcia-Grossman, Lauren Kaplan, Karen Valle, David Guzman, Brie Williams, Margot Kushel

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

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  8. Community Supervision, Housing Insecurity, & Homelessness.The Annals of the American Academy of Political and Social Science · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Ilana Garcia-GrossmanDepartment of Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Lauren KaplanDepartment of Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Karen ValleDepartment of Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.
David GuzmanDepartment of Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Brie WilliamsDepartment of Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA.
Margot KushelDepartment of Medicine, University of California, San Francisco (UCSF), San Francisco, CA, USA. margot.kushel@ucsf.edu.ORCID 0000-0002-1361-6889
San Francisco General Hospital · USUniversity of California, San Francisco · US

Funding

Aging Among the Homeless: Social Isolation, Function and Institutional CareR01AG041860 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Margot B Kushel · 2012 to 2026
$9.3M
Advancing Health Disparities Research in Aging: The Aging Research in Criminal Justice & Health (ARCH) NetworkR24AG065175 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LISA C BARRY, BRIE A WILLIAMS · 2019 to 2026
$3.3M
Mentoring Researchers in Aging in Vulnerable PopulationsK24AG046372 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUSHEL, MARGOT B · 2015 to 2025
$1.9M
NIA NIH HHS K24 AG046372NIA NIH HHS R01 AG041860NIA NIH HHS R24 AG065175
6 · The paper itself

Abstract

backgroundIn the US, the median age of adults experiencing homelessness and incarceration is increasing. Little is known about risk factors for incarceration among older adults experiencing homelessness. To develop targeted interventions, there is a need to understand their risk factors for incarceration.

objectiveTo examine the prevalence and risk factors associated with incarceration in a cohort of older adults experiencing homelessness.

designProspective, longitudinal cohort study with interviews every 6 months for a median of 5.8 years.

participantsWe recruited adults ≥50 years old and homeless at baseline (n=433) via population-based sampling. MAIN MEASURES: Our dependent variable was incident incarceration, defined as one night in jail or prison per 6-month follow-up period after study enrollment. Independent variables included socioeconomic status, social, health, housing, and prior criminal justice involvement. KEY

resultsParticipants had a median age of 58 years and were predominantly men (75%) and Black (80%). Seventy percent had at least one chronic medical condition, 12% reported heavy drinking, and 38% endorsed moderate-severe use of cocaine, 8% of amphetamines, and 7% of opioids. At baseline, 84% reported a lifetime history of jail stays; 37% reported prior prison stays. During follow-up, 23% spent time in jail or prison. In multivariable models, factors associated with a higher risk of incarceration included the following: having 6 or more confidants (HR=2.13, 95% CI=1.2-3.7, p=0.007), remaining homeless (HR=1.72, 95% CI=1.1-2.8, p=0.02), heavy drinking (HR=2.05, 95% CI=1.4-3.0, p<0.001), moderate-severe amphetamine use (HR=1.89, 95% CI=1.2-3.0, p=0.006), and being on probation (HR=3.61, 95% CI=2.4-5.4, p<0.001) or parole (HR=3.02, 95% CI=1.5-5.9, p=0.001).

conclusionsOlder adults experiencing homelessness have a high risk of incarceration. There is a need for targeted interventions addressing substance use, homelessness, and reforming parole and probation in order to abate the high ongoing risk of incarceration among older adults experiencing homelessness.

Indexed as

Ill-Housed PersonsSubstance-Related DisordersAgedHumansLongitudinal StudiesMaleMiddle AgedPrisonsProspective Studieshomelessnessincarcerationvulnerable populations

Identifiers

PMID34109543
PMCPMC8189551
OpenAlexW3168099759

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.