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Exposure to incarceration among community-dwelling older adults: effects on health, mechanisms, and sources of resilience

Award Number: K23AG093224
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/05/2026
PERIOD OF PERFORMANCE END DATE: 05/31/2031

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Exposure to incarceration among community-dwelling older adults: effects on health, mechanisms, and sources of resilience - PROJECT SUMMARY/ABSTRACT Mass incarceration began in 1973, so older adults have lived most of their adult lives in this era. Millions of older adults have been exposed to incarceration at multiple levels: personal incarceration; incarceration of an immediate family member; or living in a neighborhood with high rates of incarceration. Differential exposure to incarceration thus may contribute to population-level heterogeneity in aging. The National Institute on Aging identifies societal factors, and the role of place as priority research areas. Yet, significant gaps remain in the literature regarding the health effects of incarceration on older adults, including mechanisms and sources of resilience and multiple levels of exposure. Thus, this study proposes a mixed methods analysis with the following specific aims: 1) to describe the health effects of exposure to incarceration (personal, family, and neighborhood-level) among older adults, and to explore mechanisms and resilience factors through interviews; 2) to estimate the association between personal incarceration and self-reported health and functional status, and an exploratory outcome of cumulative biological risk in a nationally representative sample, and to test individual-level mediators and effect modifiers based on prior theoretical work and findings from aim 1; and 3) to estimate the association between living in a high incarceration census tract and self-reported health and functional status, and an exploratory outcome of cumulative biological risk, and to test population-level mediators and effect modifiers from prior theoretical work and findings from aim 1. The findings from these projects will lay the foundation for an R21 pilot and subsequent R01 for a community partnered intervention to mitigate the health harms of incarceration exposure among older adults. Dr. Louisa Holaday’s long-term goal is to improve health for older adults exposed to incarceration at the personal, family, and community level. This K23 award will provide training in the biology of aging; mass incarceration as a manifestation of broader societal factors; advanced methodology; and intervention development and evaluation. This training will occur at the Icahn School of Medicine at Mount Sinai and Brookdale Department of Geriatrics under the guidance of a multidisciplinary mentorship team with a strong track record of NIH funding and expertise in geriatrics, urban sociology, population health, mass incarceration and broader societal factors influencing health. This K23 award will prepare Dr. Holaday to be a community-partnered independent researcher working to mitigate the negative health effects of incarceration exposure on older adults.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $165,509 )
2026	2026	ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI	1 GUSTAVE L LEVY PL	NEW YORK	NY	10029	NEW YORK	USA	Aging Research	000	1	8/4/2026	NEW	$165,509
														Subtotal = $165,509

Grand Total All Awards = $165,509

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Exposure to incarceration among community-dwelling older adults: effects on health, mechanisms, and sources of resilience

Award Number: K23AG093224

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/05/2026

PERIOD OF PERFORMANCE END DATE: 05/31/2031

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