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Aging Prisoners in Switzerland: An analysis of Their Health Care Utilization

Wangmo, Tenzin and Meyer, Andrea H. and Handtke, Violet and Bretschneider, Wiebke and Page, Julie and Sommer, Jens and Stuckelberger, Astrid and Aebi, Marcelo F. and Elger, Bernice S.. (2016) Aging Prisoners in Switzerland: An analysis of Their Health Care Utilization. Journal of Aging and Health, 28 (3). pp. 481-502.

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Official URL: http://edoc.unibas.ch/39396/

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Abstract

Objective: This study assessed health care utilization of aging prisoners and compared it with that of younger prisoners. Method: Health care utilization comprised visits to general practitioners (GPs), nurses, and mental health professionals (MHPs) for a period of 6 months. Using retrospective study design, data were extracted from medical records of 190 older prisoners (50 years and older) and 190 younger inmates (18-49 years). Age group was a dichotomous predictor variable with type of sentencing and time spent in prison as covariates. Descriptive statistics and generalized linear mixed models (GLMMs) were performed. Results: For each of the three outcome variables, two GLMMs were constructed. The first model only included age group as the predictor variable (3 × Unadjusted models). The second included the two covariates in addition to the predictor variable (3 × Adjusted model). Results from the adjusted model indicate that visits to GPs significantly differed between the two age groups (p = .022). Older prisoners visited GPs 1.43 times more often than younger prisoners over the 6-month period (adjusted risk ratio [RR] = 1.43, 95% confidence interval [CI] = [1.05, 1.94]). The finding for visits to nurses was not statistically significant (p = .080). However, older prisoners visited nurses 1.36 times more frequently (adjusted RR = 1.36, 95% CI = [0.96, 1.91]). Finally, older prisoners visited MHPs 1.24 times more often than younger prisoners (adjusted RR = 1.24, 95% CI = [.95, 1.61]) and this finding was also not statistically significant (p = .11). Discussion: Study findings underline that older prisoners utilized health care more often than younger prisoners although in most models the finding did not reach statistical significance. The prison system must develop solutions to address the needs of an aging population, particularly those with physical and mental health problems.
Faculties and Departments:08 Cross-disciplinary Subjects > Ethik > Institut für Bio- und Medizinethik > Bio- und Medizinethik (Elger)
03 Faculty of Medicine > Departement Public Health > Ethik in der Medizin > Bio- und Medizinethik (Elger)
07 Faculty of Psychology > Departement Psychologie > Forschungsbereich Klinische Psychologie und Neurowissenschaften > Klinische Psychologie und Epidemiologie (Lieb)
UniBasel Contributors:Meyer, Andrea Hans and Elger, Bernice Simone and Wangmo, Tenzin and Bretschneider, Wiebke
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:SAGE
ISSN:0898-2643
e-ISSN:1552-6887
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:23 Nov 2017 10:24
Deposited On:16 Jun 2016 15:28

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