Evidence map›Paper›PMID 39454964›Full record

ArticleJournal of affective disorders2025

The association between age and functional disability in US adults with lifetime exposure to the criminal legal system, 2015-2019.

Laura C Hawks, Sandra Iregbu, Rebekah J Walker, Leonard E Egede

Abstract read
In one paragraph

Article in Journal of affective disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Laura C HawksDivision of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA; Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI, USA.
Sandra IregbuDivision of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USA; Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI, USA.
Rebekah J WalkerDepartment of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Leonard E EgedeDepartment of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA. Electronic address: legede@buffalo.edu.

Funding

HOME DM-BAT: Home-based Diabetes-Modified Behavioral Activation Treatment for Low Income Seniors with T2DM Diversity SupplementR01DK118038 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.5M
Financial Incentives And Nurse Coaching to Enhance Diabetes Outcomes (FINANCE-DM) - Diversity SupplementR01DK120861 · NIDDK · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E. · 2019 to 2023
$3.4M
Lowering the Impact of Food insecurity in African American Adults with Type 2 Diabetes Mellitus (LIFT-DM) - Diversity SupplementR01MD013826 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI EGEDE, LEONARD E., WALKER, REBEKAH J · 2019 to 2023
$3.4M
Structural Racism and Disparities in Social Risk, Human Capital, Health Care Resources, and Health Outcomes: A Multi-level Analysis of Pathways and Policy Levers for ChangeR01MD017574 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.5M
Impact of structural racism on hospital/clinic closures, community assets, and health outcomes in urban communitiesR01MD018012 · NIMHD · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI Leonard E. Egede, Sebastian Linde · 2023 to 2026
$2.4M
MANAGe-DM: novel nurse case management to improve diabetes outcomes in Black men recently released from incarcerationK23DK132505 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI Laura C. Hawks · 2023 to 2026
$714k
NIDDK NIH HHS K23 DK132505NIDDK NIH HHS L30 DK122410NIDDK NIH HHS R01 DK118038NIDDK NIH HHS R01 DK120861NIMHD NIH HHS R01 MD013826NIMHD NIH HHS R01 MD017574NIMHD NIH HHS R01 MD018012
6 · The paper itself

Abstract

importanceAs the global population ages, the proportion of individuals living with functional disability is increasing. Evidence suggests that functional disability is associated with worse health outcomes and is concentrated in populations with high rates of concurrent social risk factors such as criminal legal involvement (CLI), making it an increasingly important issue for advocates of health equity.

objectiveTo determine whether age is associated with functional disability in a nationally representative sample of United States adults with lifetime exposure to the criminal legal system.

designCross-sectional survey data from the National Survey of Drug Use and Health, 2015-2019.

settingNationally representative survey data.

participantsUS adults who reported lifetime history of arrest (N = 37,279). EXPOSURE: Respondents were categorized into age groups: younger adults (age 18-49); middle-aged adults (age 50-64); and older adults (age ≥ 65).

main outcome measureFunctional disability as measure by the World Health Organization Disability Assessment Score 2.0 (WHO-DAS 2.0). A higher score indicates a greater degree of functional disability.

resultsThe sample included 37,279 US adults with lifetime CLI of whom 60.0 % were younger adults, 28.5 % were middle-aged adults, and 11.5 % were older adults. The mean, unadjusted functional disability score for younger adults was 5.0 (95 % CI, 4.9, 5.1); for middle-aged adults it was 4.2 (95 % CI, 4.0, 4.4); and for older adults it was 3.2 (95 % CI, 2.9, 3.5). In models adjusted for sociodemographic and clinical confounders, differences were attenuated but remained statistically significant, indicating increased functional disability in the younger age groups. CONCLUSION AND RELEVANCE: Our findings suggest that among adults with CLI, functional disability is distributed by age in a pattern distinct from the general population. A large number of young adults have CLI, and the findings suggest that prevalence of functional disability is exceedingly high in this marginalized group. Future studies should examine if substance use and mental health conditions contribute to these findings, and policy makers should examine if flexible interventions tailored to the needs of those with disability improve reentry outcomes for young adults with CLI.

Indexed as

Persons with DisabilitiesAdolescentAdultAgedAge FactorsCriminal LawCriminalsCross-Sectional StudiesDisability EvaluationFemaleHumansMaleMiddle AgedUnited StatesYoung AdultAgingCriminal legal systemFunctional disabilityHealth disparities

Identifiers

PMID39454964
PMCPMC11674858

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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.