Evidence map›Paper›PMID 41299877›Full record

ArticleJDR clinical and translational research2026

Prior Incarceration and Dental Insurance Trajectories throughout Older Adulthood.

A Testa, L Mijares, D B Jackson, V Maroufy, R Samper-Ternent, A C Neumann, R Mungia, K T Ganson, J M Nagata, T Oates

Abstract read
In one paragraph

Article in JDR clinical and translational research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

A TestaDepartment of Management, Policy and Community Health, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.ORCID 0000-0002-8686-9115
L MijaresDepartment of Management, Policy and Community Health, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.
D B JacksonDepartment of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
V MaroufyDepartment of Biostatistics & Data Science, University of Texas Health Science Center at Houston, Houston, TX, USA.
R Samper-TernentDepartment of Management, Policy and Community Health, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX, USA.
A C NeumannSchool of Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.ORCID 0000-0002-9020-7624
R MungiaSchool of Dentistry, University of Texas Health Science Center at Houston, Houston, TX, USA.
K T GansonFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, USA.
J M NagataDepartment of Pediatrics, University of California, San Francisco, San Francisco, CA, USA.
T OatesSchool of Dentistry, University of Maryland, Baltimore, MD, USA.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
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
Oral Health and Dental Care Utilization Among Formerly Incarcerated Older Adults in the United StatesR03DE033486 · NIDCR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI TESTA, ALEXANDER MICHAEL · 2024 to 2025
$329k
NIA NIH HHS R24 AG065175NIA NIH HHS U01 AG009740NIDCR NIH HHS R03 DE033486
6 · The paper itself

Abstract

objectivesThis study examines the relationship between prior incarceration and dental insurance trajectories throughout older adulthood.

methodsA nationally representative sample of adults aged 55 y and older who participated in the 2012-2020 Health and Retirement Survey was analyzed (

resultsFour dental insurance trajectories were identified: persistent dental insurance (30.0%), intermittent high insurance (16.4%), intermittent low insurance (20.4%), and no insurance (33.3%). Bivariate analyses revealed that formerly incarcerated older adults were significantly more likely to be in the intermittent low dental insurance (relative risk ratio [RRR] = 2.31, 95% confidence interval [CI] = 1.67-3.20) and no dental insurance (RRR = 1.51, 95% CI = 1.09-2.11) groups relative to the persistent dental insurance group. Covariate-adjusted models that accounted for sociodemographic, health, and economic covariates found a significant association between prior incarceration and membership in the intermittent low dental insurance group (RRR = 1.48, 95% CI = 1.03-2.11).

conclusionsFormerly incarcerated older adults were less likely to have consistent dental insurance coverage over time. Additional research is needed to understand why formerly incarcerated individuals are less likely to have consistent dental insurance over time and what policy and programmatic responses may increase access to dental care coverage for this population.Knowledge Transfer Statement:This study shows that formerly incarcerated older adults are more likely to experience periods without dental insurance over time. These findings can inform efforts by dental care providers, policymakers, and community health programs to improve dental care access by expanding insurance coverage and tailoring oral health services to meet the needs of individuals with incarceration histories.

Indexed as

Insurance CoverageInsurance, DentalPrisonersAgedFemaleHealth Services AccessibilityHumansMaleMiddle AgedUnited Statesgroup-based trajectory modelinghealth and retirement studyinsuranceprison

Identifiers

PMID41299877
PMCPMC12719926

What OpenQuestion holds

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Registered trials

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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.