Abstract

Childbearing goals, intentions, and attitudes among formerly incarcerated young men in the US

Alison Gemmill, PhD1, Krista Woodward, PhD, MPH, MSW2, Alexander Testa, PhD3, Rebecca Shlafer, PhD, MPH4, Arik V. Marcell, MD, MPH5 and Dylan Jackson, PhD, MS5
(1)Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, (2)Bloomberg School of Public Health, Baltimore, MD, (3)University of Texas Health Science Center at Houston, San Antonio, TX, (4)University of Minnesota, Minneapolis, MN, (5)Johns Hopkins University, Baltimore, MD

APHA 2025 Annual Meeting and Expo

Despite research demonstrating that men’s reproductive desires and attitudes can be consequential for family stability, fatherhood engagement, and child health, little is known about how these factors operate among formerly incarcerated men. Understanding their perspectives on childbearing can yield valuable insights into the broader impact of incarceration on family dynamics and child well-being. This study examines the reproductive goals, intentions, and attitudes of formerly incarcerated young men using nationally representative data from the National Survey of Family Growth (2011-2019). We analyze responses from 7,228 males aged 15-29 who have not yet to father children and compare outcomes between those with and without a history of incarceration. Descriptive results indicate that formerly incarcerated and non-incarcerated young men share similar reproductive aspirations: the majority want children (91%), intend to have two or more (84–86%), and would be bothered if they remained childless (72–74%). However, differences emerge in the timing and emotional response to fatherhood. In models adjusted only for age, formerly incarcerated childless young men express a stronger desire for children sooner and report more positive feelings about a potential pregnancy than their non-incarcerated counterparts. In fully adjusted models, these positive feelings about a potential pregnancy persist (OR = 2.04, [1.53, 2.74]). Findings suggest that formerly incarcerated young men hold positive views about fatherhood and family formation, highlighting a need for policies and programs that support them in their transition to parenthood. Ensuring access to reproductive health resources could help them achieve their family aspirations while promoting positive outcomes for their family.

Assessment of individual and community needs for health education Epidemiology Other professions or practice related to public health Public health or related education Public health or related research Social and behavioral sciences