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Although prison populations remain predominantly young, the number of older inmates in state and federal correctional facilities has been increasing. This report describes the results of a health survey of 119 male inmates 50 years of age and older residing in Iowa state correctional facilities. Subject's disease history included hypertension (40%), myocardial infarction (19%), and emphysema (18%). Most participants (97%) had missing teeth, 42% had gross physical functional impairments, and 70% smoked cigarettes. These findings have implications for health care provision and release planning.

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This study examined item nonresponse and inconsistent responses (IRs) and their health and psychobehavioral correlates in a population-based survey of adults 65 years and older. We administered an in-person questionnaire concerning physical, social, and psychological health to 1,155 men (mean age = 73.7 years) and 1,942 women (mean age = 74.8 years). Nonresponse rates varied with item topic, and "don't know" (DK) responses were more common than refusals. DKs increased with age of respondent, tended to be more common in women than men, and were associated with poorer physical, cognitive, and psychological functioning. Conversely, IRs increased with age among men but not women, but were also associated with poorer physical, cognitive, and psychological functioning. Results are discussed in terms of motivational and attentional factors, and their implications for survey research with the frail elderly and very old are noted.

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