Association Between Recent Criminal Legal Involvement and Functional Status Among US Adults with Diabetes: 2015–2019.

Diabetes is a significant public health concern with significant implications for health equity. Functional disability undermines disease control and may be associated with the relationship between criminal legal involvement and poor chronic disease outcomes, but this relationship has not been studi...

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Published in:Journal of Urban Health Vol. 102; no. 2; pp. 379 - 389
Main Authors: Hawks, Laura C., Walker, Rebekah J., Egede, Leonard E.
Format: Article
Published: Springer Nature Apr2025
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Apr2025
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      pub: Springer Nature
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        10.1007/s11524-024-00894-4
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        atl: Association Between Recent Criminal Legal Involvement and Functional Status Among US Adults with Diabetes: 2015–2019.
      aug:
        au:
          Hawks, Laura C.
          Walker, Rebekah J.
          Egede, Leonard E.
        affil:
          https://ror.org/00qqv6244 Division of General Internal Medicine, Medical College of Wisconsin, Watertown Plank Rd, 8701, Milwaukee, WI, USA
          https://ror.org/00qqv6244 Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI, USA
      su:
        Public health
        Medical sciences
        Health equity
        Glycemic control
        Functional status
      sug:
        subj:
          Public health
          Medical sciences
          Health equity
          Health and Welfare Funds
          Glycemic control
          Functional status
      keyword:
        Criminal legal system
        Diabetes
        Health disparities
        Medical and Health Sciences Public Health and Health Services
        Criminal legal system
        Diabetes
        Health disparities
        Medical and Health Sciences Public Health and Health Services
      ab: Diabetes is a significant public health concern with significant implications for health equity. Functional disability undermines disease control and may be associated with the relationship between criminal legal involvement and poor chronic disease outcomes, but this relationship has not been studied. This study examined the association between recent criminal legal involvement and functional disability among a nationally representative sample of US adults with diabetes. Adult respondents to the National Survey of Drug Use and Health (2015–2019) who reported a diagnosis of diabetes were included in this analysis examining the association between three forms of recent criminal legal involvement (past year arrest, or supervision on probation or parole) and functional disability, as measured by the World Health Organization Disability Assessment Score 2.0. In multivariate linear regression analyses adjusted for relevant socio-demographic and clinical confounders, the functional disability score increased by 2.7 (95% CI, 1.6–3.9) for those with past year arrest compared to no past year arrest; 1.2 (95% CI, -0.1, 2.6) for those with past year probation compared to no past year probation; and 0.4 (95% CI, -1.1, 1.8) for those with past year parole compared to no past year parole. Recent criminal legal involvement, specifically past year arrest, is associated with greater functional disability, which may serve as an important mediator for poor health outcomes in patients with diabetes. Future research should examine this pathway and prioritize interventions to improve both functional disability and glycemic control among individuals with diabetes and recent criminal legal involvement.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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