Older adults in jail: high rates and early onset of geriatric conditions.

TitleOlder adults in jail: high rates and early onset of geriatric conditions.
Publication TypeJournal Article
Year of Publication2018
AuthorsGreene, M, Ahalt, C, Stijacic-Cenzer, I, Metzger, L, Williams, BA
JournalHealth Justice
Date Published02/2018
ISSN Number2194-7899
KeywordsCriminal justice, Health Conditions and Status, Public Health

BACKGROUND: The number of older adults in the criminal justice system is rapidly increasing. While this population is thought to experience an early onset of aging-related health conditions ("accelerated aging"), studies have not directly compared rates of geriatric conditions in this population to those found in the general population. The aims of this study were to compare the burden of geriatric conditions among older adults in jail to rates found in an age-matched nationally representative sample of community dwelling older adults.

METHODS: This cross sectional study compared 238 older jail inmates age 55 or older to 6871 older adults in the national Health and Retirement Study (HRS). We used an age-adjusted analysis, accounting for the difference in age distributions between the two groups, to compare sociodemographics, chronic conditions, and geriatric conditions (functional, sensory, and mobility impairment). A second age-adjusted analysis compared those in jail to HRS participants in the lowest quintile of wealth.

RESULTS: All geriatric conditions were significantly more common in jail-based participants than in HRS participants overall and HRS participants in the lowest quintile of net worth. Jail-based participants (average age of 59) experienced four out of six geriatric conditions at rates similar to those found in HRS participants age 75 or older.

CONCLUSIONS: Geriatric conditions are prevalent in older adults in jail at significantly younger ages than non-incarcerated older adults suggesting that geriatric assessment and geriatric-focused care are needed for older adults cycling through jail in their 50s and that correctional clinicians require knowledge about geriatric assessment and care.

User Guide Notes


Alternate JournalHealth Justice
Citation Key9509
PubMed ID29455436
PubMed Central IDPMC5816733
Grant ListP30 AG044281 / AG / NIA NIH HHS / United States
3P30AG044281-02S1 / / National Institute on Aging /
n/a / / Tideswell at UCSF /
n/a / / Jacob and Valeria Langeloth Foundation (US) /