Coronary Artery Disease in Offender Populations

Donahue, John J.

doi:10.1177/1078345814541534

Cited by 11 publications

(4 citation statements)

References 36 publications

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“…When comparing the groups of younger and older prisoners that committed suicide, we surprisingly observed no differences in the prevalence of mental disorders. The low prevalence of mental disorders in our data set is in stark contrast to findings from medical chart reviews, which report much higher rates of depression and mental disorders in general in older prisoners from 38 to 61% (7, 21, 27). The low prevalence of mental disorders in this group may be a result of the specific difficulties in older prisoners expressing their needs.…”

Section: Discussioncontrasting

confidence: 99%

“…The finding that the suicide rate of older prisoners exceeds the suicide rate of the younger prisoners is in accordance with results from Donahue et al who identified older prisoners as a new vulnerable group. According to their findings, elderly prisoners are characterized by a combination of mental and physical health problems and a high rate of vulnerability, and victimization (27). A systematic review of middle-aged and older adults supported a significant association between functional disability and suicidal ideation with depression as a mediator between the two (28).…”

Section: Discussionmentioning

confidence: 99%

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Suicide in Older Prisoners in Germany

et al. 2019

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As in many countries, the numbers of older prisoners are rising in Germany, but scientific information on this group is scarce. For the current study, a survey was used that included all prison suicides in Germany between the years of 2000 and 2013. Suicide rates of the elderly prisoners exceeded the suicide rates of the general population and the same age group. We observed a continuous decrease in the suicide rate of elderly prisoners. When compared to the younger suicide victims in prison, significantly more elderly suicide victims were: female, of German nationality, remand prisoners, or serving a life sentence. In Germany, elderly prisoners are a vulnerable subpopulation of the prison population. Higher suicide rates than in the same age group in the general population indicate unmet needs regarding mental disorders and their specific treatment.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Suicide in Older Prisoners in Germany

et al. 2019

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“…Despite worse CVD outcomes among prisoners, to date no studies have assessed chronic care practices for CVD-RF in US prisons (Donahue 2014 ) or how these practices conform to correctional chronic care guidelines, like the ones that have been adopted in Connecticut (Chronic Diseases Services 2003 ). A few studies have focused on CVD prevention through wellness and exercise interventions in well patients (Khavjou et al 2007 ), but none have explored how correctional settings can foster self-management practices in patients with CVD-RF.…”

Section: Introductionmentioning

confidence: 99%

Patients’ experiences managing cardiovascular disease and risk factors in prison

Thomas

Wang

Curry³

et al. 2016

Health Justice

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BackgroundDespite greater risk of cardiovascular disease (CVD) mortality in patients with a history of incarceration, little is known about how prisons manage CVD risk factors (CVD-RF) to mitigate this risk.MethodsWe conducted in-depth interviews with individuals with CVD-RF who had been recently released from prison (n = 26). These individuals were recruited through community flyers and a primary care clinic in Connecticut. Using a grounded theory approach and the constant comparative method, we inductively generated themes about CVD-RF care in prisons. Data collection and analysis occurred iteratively to refine and unify emerging themes.ResultsFour themes emerged about care in prison: (1) Participants perceive that their CVD-RFs are managed through acute, rather than chronic, care processes; (2) Prison providers’ multiple correctional and medical roles can undermine patient-centered care; (3) Informal support systems can enhance CVD-RF self-management education and skills; and (4) The trade-off between prisoner security and patient autonomy influences opportunities for self-management.ConclusionsPatients develop self-management skills through complex processes that may be compromised by the influence of correctional policies on medical care. Our findings support interventions to engage peers, medical providers, care delivery systems, and correctional staff in cultivating effective self-management strategies tailored to prison settings.

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“…Cardiovascular illnesses and cancer continue to be the major causes of mortality both in the population-at-large, and for deaths in prisons (Donahue, 2014). Studies to date underline the poorer somatic and mental health of older prisoners compared with younger prisoners and older adults in the community (Fazel et al, 2001;T.…”

Section: Introductionmentioning

confidence: 99%

Improving the Health of Older Prisoners: Nutrition and Exercise in Correctional Institutions

Wangmo

Handtke

Elger

2018

Journal of Correctional Health Care

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This qualitative article presents and compares the views of older prisoners and expert stakeholders on the topic of nutrition and exercise. The study highlights measures for improving the health of older prisoners. Older prisoners report the need to improve quality of meals provided in prison. They note that prison food is of poor quality and not adapted to their needs. With regard to exercise, they point out the lack of proper opportunities to engage in exercise and sports, and describe several factors that make physical activities either unsuitable or unfeasible. Expert stakeholders see prison as an opportunity to improve the health of those convicted of crimes. In light of the increasing number of older prisoners, age-appropriate nutritional and exercise interventions should take priority in prisons.

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Coronary Artery Disease in Offender Populations

Cited by 11 publications

References 36 publications

Suicide in Older Prisoners in Germany

Suicide in Older Prisoners in Germany

Patients’ experiences managing cardiovascular disease and risk factors in prison

Improving the Health of Older Prisoners: Nutrition and Exercise in Correctional Institutions

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