Older incarcerated persons' mental health before and during the COVID-19 pandemic
International Journal of Prisoner Health
; 18(2):138-148, 2022.
Article
in English
| APA PsycInfo | ID: covidwho-2045331
ABSTRACT
Purpose:
Older incarcerated persons are an especially vulnerable segment of the prison population, with high rates of multimorbidity. This study aims to determine the impact of the COVID-19 pandemic on older incarcerated persons' mental and physical health. Design/methodology/approach:
Participants were 157 currently-incarcerated persons age >=50 years who were enrolled in an ongoing longitudinal study before the pandemic. Anxiety symptoms (seven-item generalized anxiety disorder questionnaire), depressive symptoms (eight-item patient health questionnaire) and self-rated health (SRH) were assessed during in-person interviews completed before the pandemic and via mailed surveys during the pandemic (August-September 2020). A mediation model evaluated the relationship among anxiety, depression and SRH.Findings:
Participants were 96% male, racially diverse (41% White, 41% Black, 18% Hispanic/Other), with average age 56.0(+/-5.8) years. From before to during the pandemic, anxiety symptoms increased (worsened) (from 6.4 +/- 5.7 to 7.8 +/- 6.6;p < 0.001), depressive symptoms increased (worsened) (from 5.5 +/- 6.0 to 8.1 +/- 6.5;p < 0.001) and SRH decreased (worsened) (from 3.0 +/- 0.2 to 2.6 +/- 0.2;p < 0.001). The total effect of worsening anxiety symptoms on worsening SRH (-0.043;p < 0.001) occurs entirely because of worsening depressive symptoms, i.e. the direct effect was statistically non-significant -0.030 (p = 0.068). Practical implications Older incarcerated persons experienced worsening mental health during the COVID-19 pandemic which was associated with worsening SRH. These findings have implications for health-care costs and services needed to care for this vulnerable group. Originality/value This is the first study to evaluate change in older incarcerated persons' mental health from before the COVID-19 pandemic to during the pandemic. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
Health in prison; Mental illness; Elderly prisoners; Prisoners; Mental health; Offender health; COVID-19; Self-rated health; Incarceration; Older prisoners; *Incarceration; *Mental Health; *Physical Health; *covid-19; *Older Adulthood; Mentally Ill Offenders; Pandemics; Prisoners; Criminal Rehabilitation & Penology [3386]; Human Male Female Adulthood (18 yrs & older) Middle Age (40-64 yrs) Aged (65 yrs & older); us
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Collection:
Databases of international organizations
Database:
APA PsycInfo
Language:
English
Journal:
International Journal of Prisoner Health
Year:
2022
Document Type:
Article
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