Coming home: health status and homelessness risk of older pre-release prisoners.
Coming home: health status and homelessness risk of older pre-release prisoners.
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回家：老年预释囚犯的健康状况和无家可归风险。
DOI：
10.1007/s11606-010-1416-8
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发表时间：
2010
影响因子：
5.7
通讯作者：
Kushel,Margot
中科院分区：
文献类型：
--
作者：
Williams,BrieA;McGuire,James;Lindsay,RebeccaG;Baillargeon,Jacques;Cenzer,IrenaStijacic;Lee,SeiJ;Kushel,Margot
在监狱和无家可归者中，成年人所占比例越来越大。虽然年龄较大与释放后的不良健康事件有关，监禁是无家可归的风险因素，但年龄较大的释放前囚犯的健康状况和无家可归风险尚不清楚。此外，大多数释放后服务是面向退伍军人的;非退伍军人的需求是否与退伍军人的需求不同尚不清楚。为了评估老年释放前囚犯的健康状况和无家可归的风险，设计/对象360名服刑人员的横断面研究使用2004年州和联邦教养机构囚犯调查的数据，从监狱释放后2年内（≥55岁）。关键词平均年龄为61岁; 93.8%为男性，56.5%为白色。近40%是退伍军人，其中77.2%报告可能VA服务资格。退伍军人更有可能是白色并且获得高中文凭或GED。总体而言，79.1%的人报告了医疗状况，13.6%的人报告了严重的精神疾病。退伍军人和非退伍军人之间的健康状况几乎没有差异。虽然12名囚犯中有1人报告无家可归的风险因素，但风险因素并没有根据退伍军人身份而有所不同。CONCLUSIONSOlder预释放囚犯有很高的医疗和精神疾病负担，无论退伍军人身份如何，都有释放后无家可归的风险。退伍军人和非退伍军人都需要重返社会方案，将释放前的老年囚犯与医疗和精神病服务以及无家可归预防方案联系起来。
BACKGROUNDOlder adults comprise an increasing proportion of the prison and homeless populations. While older age is associated with adverse post-release health events and incarceration is a risk factor for homelessness, the health status and homelessness risk of older pre-release prisoners are unknown. Moreover, most post-release services are geared towards veterans; it is unknown whether the needs of non-veterans differ from those of veterans.OBJECTIVETo assess health status and risk of homelessness of older pre-release prisoners, and to compare veterans with non-veterans.DESIGN/PARTICIPANTSCross-sectional study of 360 prisoners (≥55 years of age) within 2 years of release from prison using data from the 2004 Survey of Inmates in State and Federal Correctional Facilities.MAIN MEASURESVeteran status, health status (based on self-report), and risk of homelessness (homelessness before arrest).KEY RESULTSMean age was 61 years; 93.8% were men and 56.5% were white. Nearly 40% were veterans, of whom 77.2% reported likely VA service eligibility. Veterans were more likely to be white and to have obtained a high school diploma or GED. Overall, 79.1% reported a medical condition and 13.6% reported a serious mental illness. There was little difference in health status between veterans and non-veterans. Although 1 in 12 prisoners reported a risk factor for homelessness, the risk factors did not differ according to veteran status.CONCLUSIONSOlder pre-release prisoners had a high burden of medical and mental illness and were at risk for post-release homelessness regardless of veteran status. Reentry programs linking pre-release older prisoners to medical and psychiatric services and to homelessness prevention programs are needed for both veterans and non-veterans.