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老年人在监狱中的不健康生活方式与不良心理健康状况——一项定性研究

Prison Unhealthy Lifestyle and Poor Mental Health of Older Persons-A Qualitative Study.

作者信息

Pageau Félix, Cornaz Corinne Devaud, Gothuey Isabelle, Seaward Helene, Wangmo Tenzin, Elger Bernice S

机构信息

Institute for Biomedical Ethics, University of Basel, Basel, Switzerland.

Unit of Health Law and Humanitarian Medicine, Center for Legal Medicine, University of Geneva, Geneva, Switzerland.

出版信息

Front Psychiatry. 2021 Nov 19;12:690291. doi: 10.3389/fpsyt.2021.690291. eCollection 2021.

Abstract

Mental healthcare and lifestyle habits in prison, especially for older individuals, has been shown to be suboptimal. Most psychiatric conditions left untreated worsen food choices, physical inactivity, and substance abuse. In turn, bad habits lead to poorer mental health. To comprehensively illustrate this downward spiraling, we completed a thorough analysis of data obtained through semi-structured qualitative interviews. There were 50 interviews of aging incarcerated people included in this article. They were analyzed following a classical six-stepped thematic analysis. According to our participants, sports are not well-adapted to aging individuals, nor to people with medical conditions. Prison is even more unadapted for those who both are aging and have medical conditions. Also, food served is less than optimal. According to our interviews, the older imprisoned individual often does not have access to food adapted to his or her medical conditions. Sport is maladapted for older incarcerated individuals and mostly tailored for younger ones. Finally, boredom and lack of responsibility hinder change toward a better lifestyle for older adults in prison. Our paper shows why prison environmental modifications are needed to help older adults with their lifestyle habits. It also exposes an original way to see the relationship between mental health and lifestyle habits.

摘要

监狱中的精神卫生保健和生活习惯,尤其是对老年人而言,已被证明不尽人意。大多数未得到治疗的精神疾病会使饮食选择变差、身体缺乏活动以及滥用药物的情况恶化。反过来,不良习惯又会导致心理健康状况更差。为了全面说明这种恶性循环,我们对通过半结构化定性访谈获得的数据进行了深入分析。本文纳入了对50名老年在押人员的访谈。这些访谈按照经典的六步主题分析法进行了分析。根据我们的受访者,体育运动并不适合老年人,也不适合有健康问题的人。监狱对那些既年老又有健康问题的人来说更不合适。此外,提供的食物也不尽如人意。根据我们的访谈,老年在押人员往往无法获得适合其健康状况的食物。体育运动不适合老年在押人员,且大多是为年轻人量身定制的。最后,无聊和缺乏责任感阻碍了监狱中老年成年人向更健康生活方式的转变。我们的论文展示了为何需要对监狱环境进行调整,以帮助老年人改善生活习惯。它还揭示了一种看待心理健康与生活习惯之间关系的全新方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d583/8639530/d73c7d39bc06/fpsyt-12-690291-g0001.jpg

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