Older women with criminal legal system involvement (CLSI) face aging-related challenges to health earlier and with fewer resources than other women. Few studies focus on their health status and aging-related health needs.
Objective
To characterize aging-related health in women with past CLSI and compare with women with no-CLSI.
Method
Health and Retirement Study Wave 11 and 12 data from women age >50 with CLSI were compared with data from women age >50 with no-CLSI. Generalized linear models were estimated for aging-related health outcomes.
Results
The group with CLSI (n = 230) was significantly younger than the no-CLSI group (n = 8035) yet had more physical, functional, and mental health challenges and fewer resources. Incarceration significantly predicted aging-related outcomes of multimorbidity, polypharmacy, mortality, frailty, and depression.
Discussion
Earlier onset of physical and functional health conditions in women with past CLSI has implications for health education and promotion, clinical practice, and intervention design.
AdayR. H.DyeM. H. (2019). Examining predictors of depression among older incarcerated women. Women and Criminal Justice, 29(1), 32–51. https://doi.org/10.1080/08974454.2018.1443870
2.
AinsworthB. E.HaskellW. L.LeonA. S.JacobsD. R.MontoyeH. J.SallisJ. F.PaffenbargerR. S. (1993). Compendium of physical activities: Classification of energy costs of human physical activities. Medicine and Science in Sports and Exercise, 25(1), 71–80. https://doi.org/10.1249/00005768-199301000-00011
3.
AlbertsonE. M.ScannellC.AshtariN.BarnertE. (2020). Eliminating gaps in Medicaid coverage during reentry after incarceration. American Journal of Public Health, 110(3), 317–321. https://doi.org/10.2105/ajph.2019.305400
4.
AlexanderM. (2010). The new Jim Crow: Mass incarceration in the age of color blindness. The New Press.
ApóstoloJ.CookeR.Bobrowicz-CamposE.SantanaS.MarcucciM.CanoA.Vollenbroek-HuttenM.GerminiF.D’AvanzoB.GwytherH.HollandC. (2018). Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: A systematic review. JBI Database of Systematic Reviews and Implementation Reports, 16(1), 140–232. https://doi.org/10.11124/JBISRIR-2017-003382
7.
BinswangerI. A.MerrillJ. O.KruegerP. M.WhiteM. C.BoothR. E.ElmoreJ. G. (2010). Gender differences in chronic medical, psychiatric, and substance-dependence disorders among jail inmates. American Journal of Public Health, 100(3), 476–482. https://doi.org/10.2105/AJPH.2008.149591
8.
BlairC.RaverC. C. (2016). Poverty, stress, and brain development: New directions for prevention and intervention. Academic Pediatrics, 16(3), S30–S36. https://doi.org/10.1016/j.acap.2016.01.010
9.
BockJ.-O.LuppaM.BrettschneiderC.Riedel-HellerS.BickelH.FuchsA.GensichenJ.MaierW.MergenthalK.SchäferI.SchönG.WeyererS.WieseB.Van Den BusscheH.SchererM.KönigH.-H. (2014). Impact of depression on health care utilization and costs among multimorbid patients – results from the multicare cohort study. PLoS One, 9(3), Article e91973. https://doi.org/10.1371/journal.pone.009197
10.
BoenC. (2020). Death by a thousand cuts: Stress exposure and black–white disparities in physiological functioning in late life. The Journals of Gerontology: Series B, 75(9), 1937–1950. https://doi.org/10.1093/geronb/gbz068
11.
BoucherN. A.Van HoutvenC. H.DawsonW. D. (2021). Older adults post-incarceration: Restructuring long-term services and supports in the time of COVID-19. Journal of the American Medical Directors Association, 22(3), 504–509. https://doi.org/10.1016/j.jamda.2020.09.030
12.
BourgoisP.HolmesS. M.SueK.QuesadaJ. (2017). Structural vulnerability: Operationalizing the concept to address health disparities in clinical care. Academic Medicine, 92(3), 299–307.
BurnamM. A.WellsK. B.LeakeB.LandsverkJ. (1988). Development of a brief screening instrument for detecting depressive disorders. Medical Care, 26(8), 775–789. https://doi.org/10.1097/00005650-198808000-00004
ElderG. H.GieleJ. Z. (2009). The craft of life course research. Guilford Press.
17.
EmersonA.LipnickyA.ComfortM.LorvickJ.CropseyK.SmithS.RamaswamyM. (2021). Health and health service needs: Comparison of older and younger women with criminal−legal involvement in three cities. Journal of Aging and Health, 34(1), 60–70. https://doi.org/10.1177/08982643211025443
18.
EmersonA.WickliffeJ.KellyP. J.RamaswamyM. (2018). Feminism and bourdieusian social theory in a sexual health empowerment project with incarcerated and recently released women. Social Theory and Health, 17(1), 57–74.
19.
FerraroK. F.KempB. R.WilliamsM. M. (2017). Diverse aging and health inequality by race and ethnicity. Innovation in Aging, 1(1), igx002. https://doi.org/10.1093/geroni/igx002
20.
FindleyC. A.CoxM. F.LipsonA. B.BradleyR.HascupK. N.YuedeC.HascupE. R. (2023). Health disparities in aging: Improving dementia care for Black women. Frontiers in Aging Neuroscience, 15, 1107372. https://doi.org/10.3389/fnagi.2023.1107372
21.
FisherG. G.RyanL. H. (2018). Overview of the health and retirement study and introduction to the special issue. Work, Aging and Retirement, 4(1), 1–9. https://doi.org/10.1093/workar/wax032
22.
FriedL. P.TangenC. M.WalstonJ.NewmanA. B.HirschC.GottdienerJ.SeemanT.TracyR.KopW. J.BurkeG.McBurnieM. A. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), M146–M157. https://doi.org/10.1093/gerona/56.3.M146
23.
Garcia-GrossmanI. R.CenzerI.SteinmanM. A.WilliamsB. A. (2023). History of incarceration and its association with geriatric and chronic health outcomes in older adulthood. JAMA Network Open, 6(1), Article e2249785. https://doi.org/10.1001/jamanetworkopen.2022.49785
24.
GolembeskiC. A.SufrinC. B.WilliamsB.BedellP. S.GliedS. A.BinswangerI. A.HyltonD.WinkelmanT. N. A.MeyerJ. P. (2020). Improving health equity for women involved in the criminal legal system. Women's Health Issues, 30(5), 313–319. https://doi.org/10.1016/j.whi.2020.06.007
25.
GreeneM.AhaltC.Stijacic-CenzerI.MetzgerL.WilliamsB. (2018). Older adults in jail: High rates and early onset of geriatric conditions. Health & Justice, 6(1), 3. https://doi.org/10.1186/s40352-018-0062-9
26.
HaoQ.ZhouL.DongB.YangM.DongB.WeilY. (2019). The role of frailty in predicting mortality and readmission in older adults in acute care wards: A prospective study. Scientific Reports, 9(1), 1207. https://doi.org/10.1038/s41598-018-38072-7
27.
Health and Retirement Study. (2021a). RAND HRS 2012 Fat file (V3A). [Data set]. University of Michigan.
28.
Health and Retirement Study. (2021b). RAND HRS 2014 Fat file (V2B). [Data set]. University of Michigan.
29.
Health and Retirement Study. (2022a). RAND HRS longitudinal file 2018 (V2). [Data set]. University of Michigan.
30.
Health and Retirement Study. (2022b). RAND HRS 2010 Fat file (V6A). [Data set]. University of Michigan.
31.
Health and Retirement Study. (2023). The Health and Retirement Study. University of Michigan. https://hrs.isr.umich.edu/about
32.
IbrahimK.CoxN. J.StevensonJ. M.LimS.FraserS. D. S.RobertsH. C. (2021). A systematic review of the evidence for deprescribing interventions among older people living with frailty. BMC Geriatrics, 21(1), 258. https://doi.org/10.1186/s12877-021-02208-8
KellyP. J.ChengA. L.Spencer-CarverE.RamaswamyM. (2014). A syndemic model of women incarcerated in community jails. Public Health Nursing, 31(2), 118–125. https://doi.org/10.1111/phn.12056
35.
KoneckyE. M.LynchS. M. (2019). Cumulative trauma exposure, emotion regulation, and posttraumatic stress disorder among incarcerated women. Journal of Traumatic Stress, 32(5), 806–811. https://doi.org/10.1002/jts.22435
36.
KouyoumdjianF. G.KieferL.WobeserW.GonzalezA.HwangS. W. (2016). Mortality over 12 years of follow-up in people admitted to provincial custody in Ontario: A retrospective cohort study. CMAJ Open, 4(2), E153–E161. https://doi.org/10.9778/cmajo.20150098
37.
KrauseN.ShawB. A.CairneyJ. (2004). A descriptive epidemiology of lifetime trauma and the physical health status of older adults. Psychology and Aging, 19(4), 637–648. https://doi.org/10.1037/0882-7974.19.4.637
38.
Latham-MintusK.DeckM. M.NelsonE. (2023). Aging with incarceration histories: An intersectional examination of incarceration and health outcomes among older adults. The Journals of Gerontology: Series B, 78(5), 853–865. https://doi.org/10.1093/geronb/gbac088
39.
LawtonM. P.BrodyE. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186. https://doi.org/10.1093/geront/9.3_Part_1.179
40.
LeeS. J. (2006). Development and validation of a prognostic index for 4-year mortality in older adults. JAMA, 295(7), 801. https://doi.org/10.1001/jama.295.7.801
41.
Lorenzo-LópezL.Blanco-FandiñoJ.CibeiraN.BujánA.López-LópezR.MasedaA.Millán-CalentiJ. C. (2020). Clinical and neuropsychological correlates of prefrailty syndrome. Frontiers of Medicine, 7, 609359. https://doi.org/10.3389/fmed.2020.609359
42.
LorvickJ.ComfortM.KralA. H.LambdinB. H. (2018). Exploring lifetime accumulation of criminal justice involvement and associated health and social outcomes in a community-based sample of women who use drugs. Journal of Urban Health, 95(4), 584–593. https://doi.org/10.1007/s11524-017-0204-8
43.
LumleyT. (2004). Analysis of complex survey samples. [R package (survey) software. Journal of Statistical Software, 9(8), 1–19. https://doi.org/10.18637/jss.v009.i08
ManningL. K.CarrD. C.KailB. L. (2016). Do higher levels of resilience buffer the deleterious impact of chronic illness on disability in later life?The Gerontologist, 56(3), 514–524. https://doi.org/10.1093/geront/gnu068\
46.
MassogliaM.PareP.-P.SchnittkerJ.GagnonA. (2014). The relationship between incarceration and premature adult mortality: Gender specific evidence. Social Science Research, 46, 142–154. https://doi.org/10.1016/j.ssresearch.2014.03.002
NunesB. P.FloresT. R.MielkeG. I.ThuméE.FacchiniL. A. (2016). Multimorbidity and mortality in older adults: A systematic review and meta-analysis. Archives of Gerontology and Geriatrics, 67, 130–138. https://doi.org/10.1016/j.archger.2016.07.008
50.
Obuobi-DonkorG.NkireN.AgyapongV. I. O. (2021). Prevalence of major depressive disorder and correlates of thoughts of death, suicidal behaviour, and death by suicide in the geriatric population—a general review of literature. Behavioral Sciences, 11(11), 142. https://doi.org/10.3390/bs11110142
PaulD. W.KnightK. R.OlsenP.WeeksJ.YenI. H.KushelM. B. (2020). Racial discrimination in the life course of older adults experiencing homelessness: Results from the HOPE HOME study. Journal of Social Distress and Homelessness, 29(2), 184–193. https://doi.org/10.1080/10530789.2019.1702248
53.
RadloffL. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306
54.
RamaswamyM.UpadhyayulaS.ChanK. Y.RhodesK.LeonardoA. (2015). Health priorities among women recently released from jail. American Journal of Health Behavior, 39(2), 222–231. https://doi.org/10.5993/AJHB.39.2.9
55.
ReeveJ.MadenM.HillR.TurkA.MahtaniK.WongG.LassersonD.KrskaJ.ManginD.ByngR.WallaceE.RansonE. (2022). Deprescribing medicines in older people living with multimorbidity and polypharmacy: The TAILOR evidence synthesis. Health Technology Assessment, 26(32), 1–148. https://doi.org/10.3310/AAFO2475
56.
RidleyM.RaoG.SchilbachF.PatelV. (2020). Poverty, depression, and anxiety: Causal evidence and mechanisms. Science, 370(6522), eaay0214. https://doi.org/10.1126/science.aay0214
57.
RodriguesL. P.De Oliveira RezendeA. T.DelpinoF. M.MendonçaC. R.NollM.NunesB. P.De OlivieraC.SilveiraE. A. (2022). Association between multimorbidity and hospitalization in older adults: Systematic review and meta-analysis. Age and Ageing, 51(7), afac155. https://doi.org/10.1093/ageing/afac155
SiroisC. (2019). Household support and social integration in the year after prison. Sociological Forum, 34(4), 838–860. https://doi.org/10.1111/socf.12549
60.
SivertsenH.BjørkløfG. H.EngedalK.SelbækG.HelvikA.-S. (2015). Depression and quality of life in older persons: A review. Dementia and Geriatric Cognitive Disorders, 40(5–6), 311–339. https://doi.org/10.1159/000437299
61.
StansfieldR.SemenzaD.NapolitanoL.GastonM.ColemanM.DiazM. (2022). The risk of family violence after incarceration: An integrative review. Trauma, Violence, and Abuse, 23(2), 476–489. https://doi.org/10.1177/1524838020957986
62.
SternthalM. J.SlopenN.WilliamsD. R. (2011). Racial disparities in health: How much does stress really matter?Du Bois Review: Social Science Research on Race, 8(1), 95–113. https://doi.org/10.1017/S1742058X11000087
63.
TaylorR. J.ChattersL. M. (2020). Psychiatric disorders among older Black Americans: Within- and between-group differences. Innovation in Aging, 4(3), igaa007. https://doi.org/10.1093/geroni/igaa007
64.
TehR.BarnettD.EdlinR.KerseN.WatersD. L.HaleL.TayE.LeiluaE.PillaiA. (2022). Effectiveness of a complex intervention of group-based nutrition and physical activity to prevent frailty in pre-frail older adults (SUPER): A randomised controlled trial. The Lancet Healthy Longevity, 3(8), Article e519. https://doi.org/10.1016/S2666-7568(22)00124-6
TranP. B.KazibweJ.NikolaidisG. F.LinnosmaaI.RijkenM.Van OlmenJ. (2022). Costs of multimorbidity: A systematic review and meta-analyses. BMC Medicine, 20(1), 234. https://doi.org/10.1186/s12916-022-02427-9
67.
UdoT. (2019). Chronic medical conditions in U.S. adults with incarceration history. Health Psychology, 38(3), 217–225. https://doi.org/10.1037/hea0000720
WeiJ.HouR.ZhangX.XuH.XieL.ChandrasekarE. K.YingM.GoodmanM. (2019). The association of late-life depression with all-cause and cardiovascular mortality among community-dwelling older adults: Systematic review and meta-analysis. British Journal of Psychiatry, 215(2), 449–455. https://doi.org/10.1192/bjp.2019.74
70.
WilliamsD. R.GonzalezH. M.WilliamsS.MohammedS. A.MoomalH.SteinD. J. (2008). Perceived discrimination, race and health in South Africa. Social Science and Medicine, 67(3), 441–452. https://doi.org/10.1016/j.socscimed.2008.03.021
71.
WisterA. V.CoattaK. L.SchuurmanN.LearS. A.RosinM.MacKeyD. (2016). A lifecourse model of multimorbidity resilience: Theoretical and research developments. The International Journal of Aging and Human Development, 82(4), 290–313. https://doi.org/10.1177/0091415016641686
72.
WrightE. M.Van VoorhisP.SalisburyE. J.BaumanA. (2012). Gender-responsive lessons learned and policy implications for women in prison: A review. Criminal Justice and Behavior, 39(12), 1612–1632. https://doi.org/10.1177/0093854812451088
73.
WuF.ShengY. (2019). Social support network, social support, self-efficacy, health-promoting behavior and healthy aging among older adults: A pathway analysis. Archives of Gerontology and Geriatrics, 85, 103934. https://doi.org/10.1016/j.archger.2019.103934
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