在狱中变老：美国老年男性囚犯群体的健康状况
Growing Old Behind Bars: Health Profiles of the Older Male Inmate Population in the United States.
作者信息
Nowotny Kathryn M, Cepeda Alice, James-Hawkins Laurie, Boardman Jason D
机构信息
University of Colorado Boulder, USA
University of Southern California, Los Angeles, USA.
出版信息
J Aging Health. 2016 Sep;28(6):935-56. doi: 10.1177/0898264315614007. Epub 2015 Nov 9.
OBJECTIVE
This study examines patterns of multimorbidity among elderly male inmates across four domains of health (chronic medical conditions, drug- and alcohol-related diseases, impairments, and mental and behavioral health) to understand the complex health care needs of this growing population.
METHOD
We use the 2004 Survey of Inmates in State Correctional Facilities and Latent Class Regression Analysis to examine 22 health problems among 1,026 men aged 50 and older.
RESULTS
There are four groups of elderly male inmates: (a) relatively healthy (45.1%), (b) substance users with behavioral health issues (23.4%), (c) chronic unhealthy with impairments and violence/injury (23.6%), and (d) very unhealthy across all domains (7.9%). These groups have unique sociodemographic background and incarceration history characteristics.
CONCLUSION
This study demonstrates the complexity of health for elderly inmates. Prison health should continue to be monitored to aid correctional and community health programs in understanding clinical risks, exposures, and health care needs for this population.
目的
本研究调查了老年男性囚犯在四个健康领域（慢性疾病、药物和酒精相关疾病、损伤以及精神和行为健康）的共病模式，以了解这一不断增长的人群复杂的医疗保健需求。
方法
我们使用2004年州立惩教设施囚犯调查和潜在类别回归分析，对1026名50岁及以上男性的22种健康问题进行了研究。
结果
老年男性囚犯分为四组：（a）相对健康组（45.1%），（b）有行为健康问题的物质使用者组（23.4%），（c）患有慢性疾病且有损伤和暴力/受伤情况的组（23.6%），以及（d）在所有领域都非常不健康的组（7.9%）。这些组具有独特的社会人口背景和监禁历史特征。
结论
本研究证明了老年囚犯健康状况的复杂性。应持续监测监狱健康状况，以帮助惩教和社区健康项目了解该人群的临床风险、暴露情况和医疗保健需求。
Zotero 插件