Previous research indicates general health benefits of sport for imprisoned individuals. Nevertheless, the role of time spent in sporting activities during imprisonment and the type of sports setting (informal vs. organized) remain unclear. The study uses a quantitative, cross-sectional design. It is based on survey data (N = 568) from the Hessian Prison Sport Study, collected in 12 prisons in Hesse, Germany. By applying regression analyses, the study examines systematic relationships between time spent in sporting activities and incarcerated people's physical, mental, and social health. It also investigates to what extent participation in informal and organized sports is correlated with various health indicators. Results show that higher levels of physical activity (≥5 hours/week) in prison are associated with all health indicators investigated. Incarcerated individuals who regularly engage in informal and organized sports report significantly better health than inactive individuals. Although informal sports yield certain health benefits, only organized sport is associated with higher social connectedness. In addition to confirming the biopsychosocial health benefits of regular sporting activity for imprisoned individuals, the findings highlight that informal and organized sports activities are both important for promoting health.
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References
1.
BattagliaC., di CagnoA., FiorilliG., GiombiniA., BorrioneP., BarallaF., MarchettiM., & PigozziF. (2015). Participation in a 9-month selected physical exercise programme enhances psychological well-being in a prison population. Criminal Behaviour and Mental Health, 25(5), 343–354. https://doi.org/10.1002/cbm.1922
2.
BeckerS., & HäringA. (2012). Social integration and sport? An analysis of the relationship between physical activity and social integration. Sportwissenschaft, 42, 261–270. https://doi.org/10.1007/s12662-012-0243-y
3.
BilderbeckA.C., FariasM., BrazilI.A., JakobowitzS., & WikholmC. (2013). Participation in a 10-week course of yoga improves behavioural control and decreases psychological distress in a prison population. Journal of Psychiatric Research, 47(10), 1438–1445. https://doi.org/10.1016/j.jpsychires.2013.06.014
4.
BinswangerI.A., KruegerP.M., & SteinerJ.F. (2009). Prevalence of chronic medical conditions among jail and prison inmates in the USA compared with the general population. Journal of Epidemiology and Community Health, 63(11), 912–919. https://doi.org/10.1136/jech.2009.090662
5.
BoltonD., & GillettG. (2019). The biopsychosocial model of health and disease. New philosophical and scientific developments. Palgrave Macmillan. https://doi.org/10.1007/978-3-030-11899-0
6.
BondolfiC., TaffeP., AugsburgerA., JaquesC., MalebrancheM., ClairC., & BodenmannP. (2020). Impact of incarceration on cardiovascular disease risk factors: A systematic review and meta-regression on weight and BMI change. BMJ Open, 10(10), e039278. https://doi.org/10.1136/bmjopen-2020-039278
7.
BradburnN.M. (1969). The structure of psychological wellbeing. Aldine.
8.
CamplainR., PinnT.A., BecentiL., WilliamsonH.J., ProG., LunaC., & BretJ. (2022). Patterns of physical activity among women incarcerated in jail. Journal of Correctional Health Care, 28(1), 6–11. https://doi.org/10.1089/jchc.20.05.0041
9.
CashinA., PotterE., StevensW., DavidsonK., & MuldoonD. (2008). Fit for prison: Special population health and fitness programme evaluation. International Journal of Prisoner Health, 4(4), 208–216. https://doi.org/10.1080/17449200802473131
10.
CheungF., & LucasR.E. (2014). Assessing the validity of single-item life satisfaction measures: Results from three large samples. Quality of Life Research, 23(10), 2809–2818. https://doi.org/10.1007/s11136-014-0726-4
11.
CreweB. (2011). Soft power in prison: Implications for staff–prisoner relationships, liberty and legitimacy. European Journal of Criminology, 8(6), 455–468. https://doi.org/10.1177/1477370811413805
12.
CreweB., HulleyS., & WrightS. (2020). Life imprisonment from young adulthood: Adaptation, identity and time. Palgrave Macmillan.
13.
da Luz SchefferD., & LatiniA. (2020). Exercise-induced immune system response: Anti-inflammatory status on peripheral and central organs. Biochimica et Biophysica Acta, 1866(10), 165823. https://doi.org/10.1016/j.bbadis.2020.165823
DirkzwangerA.J.E., VerheijR., NieuwbeertaP., & GroenewegenP. (2021). Mental and physical health problems before and after detention: A matched cohort study. The Lancet Regional Health—Europe, 8, 100154. https://doi.org/10.1016/j.lanepe.2021.100154
16.
DouglasN., PluggeE., & FitzpatrickR. (2009). The impact of imprisonment on health: What do women prisoners say?. Journal of Epidemiology & Community Health, 63(9), 749–754. http://dx.doi.org/10.1136/jech.2008.080713
17.
DünkelF. (2018). Strafvollzug. In D. Hermann & A. Pöge (Eds.), Kriminalsoziologie [Criminal Sociology] (pp. 399–438). Nomos. http://doi.org/10.5771/9783845271842
18.
EkelundU., TarpJ., Steene-JohannessenJ., HansenB.H., JefferisB., FagerlandM.W., WhincupP., DiazK.M., HookerS.P., ChernofskyA., LarsonM.G., SpartanoN., VasanR.S., DohrnI.-M., HagströmerM., EdwardsonC., YatesT., ShiromaE., AnderssenS.A., & LeeI.-M. (2019). Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: Systematic review and harmonised meta-analysis. BMJ, 366, l4570. https://doi-org.ezproxy.uni-giessen.de/10.1136/bmj.l4570
GallantD., SherryE., & NicholsonM. (2015). Recreation or rehabilitation? Managing sport for development programs with prison populations. Sport Management Review, 18(1), 45–56. https://doi.org/10.1016/j.smr.2014.07.005
22.
GoffmanE. (1961). Asylums: Essays on the social situation of mental patients and other inmates. Anchor Books.
23.
Gomez-BayaD., MendozaR., Gaspar de MatosM., & TomicoA. (2019). Sport participation, body satisfaction and depressive symptoms in adolescence: A moderated-mediation analysis of gender differences. European Journal of Developmental Psychology, 16(2), 183–197. https://doi.org/10.1080/17405629.2017.1364988
JohnsonC., ChaputJ.-P., BlanchardA., & DuboisL. (2021). Weight gain and mental health in the Canadian prison population. Journal of Correctional Health Care, 27(1), 51–57. https://doi.org/10.1089/jchc.19.04.0039
28.
KepplerK., StöverH., SchulteB., & ReimerJ. (2010). Prison health is public health! Angleichungs- und Umsetzungsprobleme in der gesundheitlichen versorgung gefangener im deutschen justizvollzug. Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz, 53(2), 233–244. https://doi.org/10.1007/s00103-009-1023-1
29.
KroenkeK., SpitzerR.L., WilliamsJ.B., & LöweB. (2009). An ultra-brief screening scale for anxiety and depression: The PHQ–4. Psychosomatics, 50(6), 613–621. https://doi.org/10.1016/S0033-3182(09)70864-3
30.
LaneC., BratinaM.P., & AntonioM.E. (2020). Inmates' self-reported physical and mental health problems: A comparison by sex and age. Journal of Correctional Health Care, 26(4), 338–348. https://doi.org/10.1177/1078345820953421
LeeR.M., DraperM., & LeeS. (2001). Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: Testing a mediator model. Journal of Counseling Psychology, 48(3), 310–318. https://doi.org/10.1037/0022-0167.48.3.310
33.
LeeR.M., & RobbinsS.B. (1995). Measuring belongingness: The social connectedness and the social assurance scales. Journal of Counseling Psychology, 42(2), 232–241. https://doi.org/10.1037/0022-0167.42.2.232
34.
LittleR.J., CarpenterJ.R., & LeeK.J. (2022). A comparison of three popular methods for handling missing data: Complete-case analysis, inverse probability weighting, and multiple imputation. Sociological Methods & Research. Online First. https://doi.org/10.1177/00491241221113873
35.
Martinez-MerinoN., Martín-GonzálezN., UsabiagaO., & Martos-GarcíaD. (2017). Physical activity practiced by incarcerated women: A systematic review. Health Care for Women International, 38(11), 1152–1169. https://doi.org/10.1080/07399332.2017.1368515
36.
Martos-GarcíaD., Devís-DevísJ., & SparkesA.C. (2009). Sport and physical activity in a high security Spanish prison: An ethnographic study of multiple meanings. Sport, Education and Society, 14(1), 77–96. https://doi.org/10.1080/13573320802615189
37.
MaycockM. (2018). “They're all up in the gym and all that tops off, fake tan.” Embodied masculinities, bodywork and resistance within two British prisons. In M. Maycock & K. Hunt (Eds.), New Perspectives on Prison Masculinities (pp 65–90). Palgrave Macmillan.
38.
MedinaJ.L., DeBoer, l.B., DavisM.L., RosenfieldD., PowersM.B., OttoM.W., & SmitsJ.A.J. (2014). Gender moderates the effect of exercise on anxiety sensitivity. Mental Health and Physical Activity, 7(3), 147–151. https://doi.org/10.1016/j.mhpa.2014.08.002
39.
MeekR., & LewisG.E. (2014). The impact of a sports initiative for young men in prison: Staff and participant perspectives. Journal of Sport and Social Issues, 38(2), 95–123. https://doi.org/10.1177/0193723512472896
40.
MüllerJ., & MutzM. (2019). Sport im strafvollzug aus der perspektive der inhaftierten: Ein systematisches review qualitativer forschungsarbeiten. Sport und Gesellschaft, 16(2), 181–207. https://doi.org/10.1515/sug-2019-0010
41.
MüllerJ., & MutzM. (2022). Pumping iron for strength and power: Prisoners' perceptions of a stable body. Qualitative Research in Sport, Exercise and Health, 14(7), 1159–1173. https://doi.org/10.1080/2159676X.2022.2092199
42.
MutzM., ReimersA.K., & DemetriouY. (2021). Leisure time sports activities and life satisfaction: Deeper insights based on a representative survey from Germany. Applied Research in Quality of Life, 16, 2155–2171. https://doi.org/10.1007/s11482-020-09866-7
43.
NormanM. (2017). Sport in the underlife of a total institution: Social control and resistance in Canadian prisons. International Review for the Sociology of Sport, 52(5), 598–614. https://doi.org/10.1177/1012690215609968
44.
NormanM., RicciardelliR., & GilletJ. (2021). Physical activity, bodywork, and the construction of masculinities in Canadian men's federal prisons. In V. Zawilski (Ed.), Body Studies in Canada (pp. 189–203). CSP Books.
45.
NurseJ., WoodcockP., & OrmsbyJ. (2003). Influence of environmental factors on mental health within prisons: Focus group study. British Medical Journal, 327(7413), 480. https://doi.org/10.1136/bmj.327.7413.480
46.
OchmannN., & ThaneK. (2016). Gesundheit und gesundheitsförderung im strafrechtssystem: fragen aus gesundheitswissenschaftlicher perspektive. In N. Ochmann, H. Schmidt-Semisch, & G. Temme (Eds.), Healthy Justice: Überlegungen zu einem gesundheitsförderlichen Rechtswesen (pp. 99–112). Springer.
47.
PapaV., TafuriD., & VaccarezzaM. (2021). Could physical activity have any role in cardiovascular disease prevention in prisoners? A systematic review. International Journal of Environmental Research and Public Health, 18(5), 2307. https://doi.org/10.3390/ijerph18052307
48.
PearceM., GarciaL., AbbasA., StrainT., SchuchF.B., GolubicR., KellyP., KhanS., UtukuriM., LairdY., MokA., SmithA., TainioM., BrageS., & WoodcockJ. (2022). Association between physical activity and risk of depression: A systematic review and meta-analysis. JAMA Psychiatry, 79(6), 550–559. https://doi.org/10.1001/jamapsychiatry.2022.0609
49.
Sanchez-LastraM.A., de Dios ÁlvarezV., & Ayán PérezC. (2019). Effectiveness of prison-based exercise training programs: A systematic review. Journal of Physical Activity and Health, 16(12), 1196–1209. https://doi.org/10.1123/jpah.2019-0049
SchneiderS. (2021). The Polypill Model: Conceptual considerations on the physical, psychological and social effects of sport. B&G Bewegungstherapie und Gesundheitssport, 37(01), 17–22. https://doi.org/10.1055/a-1331-8854
52.
SchröderJ. (2018). Guidelines for sport in the prison system. Forum Strafvollzug.
53.
SirgyM. J., UysalM., & KrugerS. (2017). Towards a benefits theory of leisure well-being. Applied Research in Quality of Life, 12(1), 205–228. https://doi.org/10.1007/s11482-016-9482-7
54.
StöverH. (2013). Health and health promotion in the prison system. BAG-S Informationsdienst. Straffälligenhilfe, 21(1), 7–13.
55.
StöverH. (2016). “Healthy prisons: Health and health care delivery among prisoners. Prävention und Gesundheitsförderung, 11(4), 251–258. https://doi.org/10.1007/s11553-016-0565-y
56.
SykesG.M. (1958). The society of captives: A study of a maximum security prison. Princeton: Princeton University Press.
57.
ThompsonW.R., SallisR., JoyE., JaworskiC.A., StuhrR.M., & TrilkJ.L. (2020). Exercise is medicine. American Journal of Lifestyle Medicine, 14(5), 511–523. https://doi.org/10.1177/1559827620912192
58.
UNESCO. (2011). International Standard Classification of Education ISCED 2011. UNESCO Institute for Statistics.
59.
WalkerJ., IllingworthC., CanningA., GarnerE., WoolleyJ., TaylorP., & AmosT. (2014). Changes in mental state associated with prison environments: A systematic review. Acta Psychiatrica Scandinavica, 129(6), 427–436. https://doi.org/10.1111/acps.12221
60.
WarburtonD.E.R., & BredinS.S.D. (2017). Health benefits of physical activity: A systematic review of current systematic reviews. Current Opinion in Cardiology, 32(5), 541–556. https://doi.org/10.1097/HCO.0000000000000437
61.
WoodsD., BreslinG., & HassanD. (2017). A systematic review of the impact of sport-based interventions on the psychological well-being of people in prison. Mental Health and Physical Activity, 12(27), 50–61. https://doi.org/10.1016/j.mhpa.2017.02.003
62.
World Health Organization. (2021). The WHO Prison Health Framework: A framework for assessment of prison health system performance. WHO Regional Office for Europe.
63.
YiY., TurneyK., & WildemanC. (2017). Mental health among jail and prison inmates. American Journal of Men's Health, 11(4), 900–909. https://doi.org/10.1177/1557988316681339
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