Mental and Physical Health of Older Incarcerated Persons Who Have Aged in Place in Prison.

Mental and Physical Health of Older Incarcerated Persons Who Have Aged in Place in Prison.
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DOI:
10.1177/07334648211030069
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发表时间:
2022-04
期刊:
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子:
--
通讯作者:
Barry LC
Barry LC
中科院分区:
其他
文献类型:
--
作者:
Li A;Williams B;Barry LC

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本研究描述了至少连续服刑20年的50岁以上男性被监禁者的身心健康状况,并将无期徒刑(“无期徒刑”)与预期释放/假释的人进行了比较。数据包括人口统计学、慢性疾病、自我报告和客观残疾、抑郁症状、自杀意念(SI)和社会支持。65名参与者(M年龄= 56.9 [SD = 6.6])种族多样(40%白色; 51%黑人,9%西班牙裔/其他),监禁M=26.6(SD=4.5)年,34名(52%)终身监禁。在39名(60%)有访客的参与者中,终身监禁者的社会支持得分较低(p=0.005)。在控制了年龄、种族和慢性疾病后,终身监禁者报告的残疾活动数量更多(p<0.001),抑郁症状(p=0.08)和SI评分(p=0.04)更高。终身监禁者和那些预计将被释放的人之间与健康有关的差异对监狱系统产生了影响,包括工作人员培训,提前护理计划以及扩大监狱临终关怀计划的必要性。
This study describes physical and mental health of incarcerated males age ≥50 who spent at least 20 consecutive years in prison, comparing those with life sentences (“lifers”) with those expected to be released/paroled. Data included demographics, chronic medical conditions, self-reported and objective disability, depressive symptoms, suicidal ideation (SI), and social support. The 65 participants (M age = 56.9 [SD = 6.6]) were racially diverse (40% White; 51% Black, 9% Hispanic/Other), incarcerated for M=26.6(SD=4.5) years, and 34(52%) were lifers. Among the 39(60%) of participants with visitors, lifers had lower social support scores (p=0.005). After controlling for age, race, and chronic conditions, lifers reported disability in a higher number of activities (p<0.001), and had higher depressive symptoms (p=0.08) and SI scores (p=0.04). Health-related differences between lifers and those expected to be released have implications for prison systems including staff training, advance care planning, and need for expanding prison-based hospice programs.
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