Factors Influencing the Health-Promotion Behaviors of Older Male Inmates

影响老年男犯健康促进行为的因素

• 批准号: 7177140
• 负责人: Susan Jayne Loeb
• 金额: $ 5.95万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7177140
• 关键词: Address; African American; Age; Age-Years; Aging; Back; Behavior; Behavior monitoring; Biological Aging; Caring; Characteristics; Chronic; Chronic Disease; Communities; Community Health; Condition; Cost Control; Data; Deterioration; Development; Digit structure; Disease; Education; Elderly; Equipment and supply inventories; Face; Focus Groups; General Population; Goals; Health; Health Care Costs; Health Personnel; Health Promotion; Health Status; Health behavior; Health education; Health system; Healthcare; Healthy People 2010; Housing; Imprisonment; Intervention; Intervention Trial; Knowledge; Left; Life; Linear Models; Link; Literature; Maintenance; Measures; Medical; Methodology; Nurses; Participant; Phase; Population; Positioning Attribute; Preventive; Prisoner; Prisons; Prospective Studies; Protocols documentation; Race; Rate; Recruitment Activity; Relative (related person); Research; Research Personnel; Resources; Sampling; Screening procedure; Self Care; Self Efficacy; Self Management; Statutes and Laws; Surveys; System; Testing; Time; Today; Ursidae Family; Variant; burden of illness; cohort; coping; correctional system; cost; demographics; disability; disorder prevention; experience; health disparity; improved; juvenile delinquent; male; male health; mortality; offender; older men; parolee; programs; social

DESCRIPTION (provided by applicant): Between 1992 and 2001, the inmate population over 50 years of age in US prisons grew by 172%. This growing cohort of older prisoners commonly surfers from three or more chronic conditions and is estimated to cost taxpayers three times as much to house as do younger inmates. Additionally, many older inmates are eventually released back into the community, directly impacting that community's health. Despite recognition of the mounting financial, medical, humanitarian, and social challenges associated with aging inmates, relatively little has been done to enhance their health self-management; specifically, health promotion and disease prevention, hallmarks of health maintenance and cost containment. The proposed 2-phase prospective study will use survey and focus group (FG) methodologies to explore health management and health-promotion behaviors in older male inmates. A simple random sample of 192 male inmates age 50 and older incarcerated at two state prisons will be obtained for the survey phase and serve as the sampling frame for the FG phase, whereby 4-6 FGs of 5-7 participants each will be conducted to determine how some inmates are able to improve their health while in prison, yet others are not. Study aims are: 1) To confirm relationships between self-efficacy for health management and: health-promotion behaviors; health- monitoring behaviors; and self-rated health status in older male prisoners; 2) To examine variations in self- rated health status and self-efficacy for health management by inmate characteristics of older men in prison; and 3) To identify self-care strategies used by older male inmates to manage their health. Self-efficacy for health management will be measured using the Chronic Disease Self-Efficacy Scale. Health promotion behaviors will be assessed by the Health Promotion Activities of Older Adults Measure. Self-rated health status is a component of the Older Men's Health Program and Screening Inventory, which will be administered, as will a set of questions addressing health-monitoring behaviors, demographics, and items specific to incarcerated people. Aim one will be analyzed using correlations to evaluate the strength and direction of the relationships and aim two will be analyzed using general linear models. Focus group data will be analyzed using content and thematic analyses. Study findings will provide key knowledge needed to plan intervention protocols, where new or improved strategies for self-efficacy enhancement for this unique population can be developed and tested. The proposed research holds promise for: contributing to a more efficient inmate health system; decreasing the financial strain on the public treasury; paying dividends in the long-term health of our communities; improving nurses' knowledge of older inmates' health needs; expanding the analytic scope of the growing research literature on health in the general population to an understudied inmate population; and enhancing the nation's ability to meet the Healthy People 2010 goals.

描述（申请人提供）：1992 年至 2001 年间，美国监狱中 50 岁以上的囚犯人数增长了 172%。越来越多的老年囚犯通常患有三种或更多慢性病，纳税人的住宿费用估计是年轻囚犯的三倍。此外，许多老年囚犯最终被释放回社区，直接影响社区的健康。尽管人们认识到与老年囚犯相关的日益严峻的财务、医疗、人道主义和社会挑战，但在加强他们的健康自我管理方面却相对较少；具体而言，健康促进和疾病预防、健康维护和成本控制的特点。拟议的两阶段前瞻性研究将使用调查和焦点小组（FG）方法来探索老年男性囚犯的健康管理和健康促进行为。调查阶段将获得 192 名 50 岁及以上被关押在两所州立监狱的男性囚犯的简单随机样本，并作为 FG 阶段的抽样框架，其中将进行 4-6 个 FG，每个 FG 包含 5-7 名参与者确定一些囚犯如何在监狱中改善健康状况，而另一些囚犯则不能。研究目的是： 1) 确认健康管理自我效能与健康促进行为之间的关系；健康监测行为；老年男性囚犯的健康状况自评； 2) 根据监狱中老年男性囚犯的特征，检查自评健康状况和健康管理自我效能的变化； 3) 确定老年男性囚犯用于管理健康的自我保健策略。健康管理的自我效能将使用慢性病自我效能量表来衡量。健康促进行为将通过老年人健康促进活动措施进行评估。自评健康状况是老年男性健康计划和筛查清单的组成部分，该计划和筛查清单将得到管理，还将管理一系列针对健康监测行为、人口统计数据和针对被监禁者的特定项目的问题。目标一将使用相关性进行分析，以评估关系的强度和方向，目标二将使用一般线性模型进行分析。将使用内容和主题分析来分析焦点小组数据。研究结果将提供规划干预方案所需的关键知识，可以为这一独特人群开发和测试新的或改进的自我效能增强策略。拟议的研究有望： 促进更高效的囚犯卫生系统；减轻公共财政的财政压力；为我们社区的长期健康带来红利；提高护士对老年囚犯健康需求的了解；将日益增多的普通人群健康研究文献的分析范围扩大到尚未得到充分研究的囚犯人群；提高国家实现“健康人民2010”目标的能力。