title: Older inmates' pursuit of good health: a focus group study.
abstract: Many intersecting factors, including the graying of the broader society, a paradigm shift away from rehabilitation, fewer opportunities for parole, and retrospective prosecutions, contribute to an exponential increase in number of older inmates. Elderly prisoners are likely to live in small, tight quarters with other inmates; have chronic health conditions; and encounter multiple barriers to health promotion. Using focus groups, data on perceived challenges to health promotion and self-care strategies were collected from 42 male inmates 50 and older. Cost issues, prison personnel and policies, food concerns, fellow inmates, and personal barriers challenged older inmates' abilities to maintain their health in prison. However, they did engage in self-care strategies, including accessing resources and support, staying positive, managing diet and weight, engaging in physical activity, and protecting self. A key motivator for pursuing good health was to be respected and perceived as healthy and strong by fellow inmates. Development and testing of programs to enhance inmates' self-management of chronic conditions and to facilitate health promotion are in order.
authors.affiliation: School of Nursing, The Pennsylvania State University, University Park, Pennsylvania 16802, USA. SVL100@psu.edu
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Loeb
authors.forename: Darrell
authors.initials: D
authors.lastname: Steffensmeier
mesh_terms: D000368:Aged; D017144:Focus Groups; D006304:Health Status; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D011329:Prisoners
references.citation: Age Ageing. 2004 Jul;33(4):396-8
references.pmid: 15151911
references.citation: Gerodontology. 2002 Dec;19(2):109-14
references.pmid: 12542220
references.citation: Res Nurs Health. 2006 Dec;29(6):556-65
references.pmid: 17131280
references.citation: J Elder Abuse Negl. 2007;19(3-4):97-117
references.pmid: 18160383
references.citation: Geriatr Nurs. 2007 Sep-Oct;28(5):319-29
references.pmid: 17923289
references.citation: J Palliat Med. 2005 Apr;8(2):432-9
references.pmid: 15890054
references.citation: Aust N Z J Public Health. 2005 Aug;29(4):318-23
references.pmid: 16222927
references.citation: J Palliat Med. 2000 Winter;3(4):513-24
references.pmid: 15859711
references.citation: J Gerontol Nurs. 2009 Jul;35(7):5-6
references.pmid: 19658261
references.citation: Nurs Older People. 2006 Aug;18(7):20-3
references.pmid: 16927546
references.citation: Int J Geriatr Psychiatry. 2002 Oct;17(10):907-13
references.pmid: 12325049
references.citation: Int J Law Psychiatry. 2001 Mar-Jun;24(2-3):325-33
references.pmid: 11436633