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Revolving doors: Imprisonment among the homeless and marginally housed population

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  • Kushel, M.B.
  • Hahn, J.A.
  • Evans, J.L.
  • Bangsberg, D.R.
  • Moss, A.R.

Abstract

Objectives. We studied a sample of homeless and marginally housed adults to examine whether a history of imprisonment was associated with differences in health status, drug use, and sexual behaviors among the homeless. Methods. We interviewed 1426 community-based homeless and marginally housed adults. We used multivariate models to analyze factors associated with a history of imprisonment. Results. Almost one fourth of participants (23.1%) had a history of imprisonment. Models that examined lifetime substance use showed cocaine use (odds ratio [OR] = 1.67; 95% confidence interval [CI] = 1.04, 2.70), heroin use (OR =1.51; 95% CI = 1.07, 2.12), mental illness (OR = 1.41; 95% CI = 1.01, 1.96), HIV infection (OR = 1.69; 95% CI = 1.07, 2.64), and having had more than 100 sexual partners were associated with a history of imprisonment. Models that examined recent substance use showed past-year heroin use (OR = 1.65; 95% CI = 1.14, 2.38) and methamphetamine use (OR = 1.49; 95% CI = 1.00, 2.21) were associated with lifetime imprisonment. Currently selling drugs also was associated with lifetime imprisonment. Conclusions. Despite high levels of health risks among all homeless and marginally housed people, the levels among homeless former prisoners were even higher. Efforts to eradicate homelessness also must include the unmet needs of inmates who are released from prison.

Suggested Citation

  • Kushel, M.B. & Hahn, J.A. & Evans, J.L. & Bangsberg, D.R. & Moss, A.R., 2005. "Revolving doors: Imprisonment among the homeless and marginally housed population," American Journal of Public Health, American Public Health Association, vol. 95(10), pages 1747-1752.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2005.065094_9
    DOI: 10.2105/AJPH.2005.065094
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    Cited by:

    1. Jacqueline Kauff & Elizabeth Clary & Julia Lyskawa, "undated". "An Evaluation of SOAR: The Implementation and Outcomes of an Effort to Increase Access to SSI and SSDI," Mathematica Policy Research Reports c3d9cd951dbf484994fac60a4, Mathematica Policy Research.
    2. Kevin M. Fitzpatrick & Don E. Willis, 2021. "Homeless and hungry: food insecurity in the land of plenty," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(1), pages 3-12, February.
    3. Christine M. Sarteschi, 2013. "Mentally Ill Offenders Involved With the U.S. Criminal Justice System," SAGE Open, , vol. 3(3), pages 21582440134, July.
    4. Sahoo Saddichha & Joelle M Fliers & Jim Frankish & Julian Somers & Christian G Schuetz & Michael R Krausz, 2014. "Homeless and incarcerated: An epidemiological study from Canada," International Journal of Social Psychiatry, , vol. 60(8), pages 795-800, December.
    5. Lussier, Patrick & Frechette, Julien, 2022. "Community reentry and the revolving door problem: Are individuals convicted of sexual offenses adequately prepared?," Journal of Criminal Justice, Elsevier, vol. 82(C).
    6. Aminu Musa Ahmed, 2015. "Social Discrimination as a Predictor of Criminal Recidivism: A Study of Ex-Prisoners in Metropolitan Kano-Nigeria," Journal of Social and Development Sciences, AMH International, vol. 6(3), pages 58-68.
    7. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    8. repec:mpr:mprres:6375 is not listed on IDEAS
    9. Hickler, Benjamin & Auerswald, Colette L., 2009. "The worlds of homeless white and African American youth in San Francisco, California: A cultural epidemiological comparison," Social Science & Medicine, Elsevier, vol. 68(5), pages 824-831, March.
    10. Jacqueline Kauff & Jonathan Brown & Norma Altshuler & Noelle Denny-Brown & Emily Sama Martin, "undated". "Findings from a Study of the SSI/SSDI Outreach, Access and Recovery (SOAR) Initiative," Mathematica Policy Research Reports 52d74a2c7c5947e58ddad7022, Mathematica Policy Research.
    11. Amy Dworsky & Keri-Nicole Dillman & M. Robin Dion & Brandon Coffee-Borden & Miriam Rosenau, 2012. "Housing for Youth Aging Out of Foster Care: A Review of the Literature and Program Typology," Mathematica Policy Research Reports 99170b3efe3c4d9091a187b17, Mathematica Policy Research.

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