Physical Health, Social Support, and Reentry: A Longitudinal Examination of Formerly Incarcerated Individuals

Incarceration has a lasting and robust impact on individuals’ health, social support networks, and general well-being. Yet the role of carceral or personal factors in health outcomes remains unclear, particularly for racial and ethnic minorities. Prisons, with crowded living areas and shared bathroom facilities, invite the spread of infectious diseases such as hepatitis C and HIV/AIDS. The overwhelming majority of incarcerated individuals will eventually be released back to their communities, bringing with them any health-related issues acquired in prison and beforehand. This makes ex-prisoners’ health a correctional and public health and safety issue. Accordingly, this study seeks to advance our understanding and improve correctional policy by (1) assessing the factors that affect the adverse physical and mental health of returning prisoners, (2) determining how different types of social support (instrumental or emotional) and stress alter the relationship between health and positive reentry outcomes, and (3) examining how health, stress, and social support influence offending and drug use. The broader purpose of this research is to inform correctional policy and practice, engage public health concerns about ex-prisoners, and create a cost-effective model to decrease the stressors related to offender reentry, with the ultimate aim of reducing recidivism. The study includes 802 male ex-prisoners, with an original target sample size of 400 gang and 400 non-gang members identified using disproportionate stratified random sampling techniques. The study was conducted in cooperation with the Texas Department of Criminal Justice (TDCJ) in two prisons. Data come from the National Institute of Justice (NIJ) funded LoneStar Project and include a battery of survey questions about demographic information, physical and mental health, criminological theoretical constructs, release planning, criminogenic attitudes, and gang membership. The dissertation uses two waves of the LoneStar Project: an in-prison baseline interview, administered a week before release, and an interview administered over the phone at one month post-release. After conducting descriptive analyses, regression modeling will be used to assess the effects of the key independent variables on physical health and later, self-reported offending, net of appropriate controls. Results and relevant policy implications are discussed and should appeal to criminologists, health scholars, policymakers, and practitioners.