Multimorbidity patterns and associations with functional limitations among an aging population in prison

Madison L. Gates, Elizabeth G. Hunter, Vivian Gail Dicks, Peace N. Jessa, Veronica Walker, Wonsuk Yoo

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: Co-occurring chronic diseases are associated with functional limitations, particularly for the aging population ≥50 years old. Aging offenders (individual who are imprisoned) tend to have greater prevalence of chronic, mental health, and substance use disorders compared to non-imprisoned populations. Our primary aim was to determine patterns of co-occurring conditions associated with functional limitations among aging offenders. Materials and methods: We included all male offenders from one correctional system who were ≥50 years old (n = 2270) and extracted diagnoses for chronic diseases, mental health, substance use disorders, and functional limitations from an electronic health record. We performed a principal factor analysis (PFA) to identify patterns and chi-square to determine if the multimorbid population (≥3 diagnoses) differed from peer groups in regard to functional limitations. Results: Three patterns (chronic diseases, geriatric conditions, and mental health/substance use) emerged from PFA. Functional limitations were associated with the chronic disease pattern (p =.03) where the multimorbid group compared to non-multimorbid peers had 1.5 odds, 95% CI [1.0, 2.1], for having a physical impairment. The geriatric (p =.10) and mental health/substance use disorders (p =.07) patterns were not associated with having a functional limitation compared to the population without multiple diagnoses. Controlling for multimorbidity, functional limitations, and overlapping patterns, increasing age was the only significant factor (p =.02) associated with having a physical impairment. Conclusion: The chronic disease pattern was consistent with investigations that included non-imprisoned populations. However, the geriatric pattern was not significant, which was unexpected.

Original languageEnglish (US)
Pages (from-to)115-123
Number of pages9
JournalArchives of Gerontology and Geriatrics
Volume77
DOIs
StatePublished - Jul 1 2018

Fingerprint

Prisons
correctional institution
Comorbidity
Chronic Disease
Mental Health
mental health
Geriatrics
Substance-Related Disorders
Disease
offender
Population
geriatrics
Statistical Factor Analysis
geriatric disorder
factor analysis
Peer Group
Electronic Health Records
peer group
electronics
health

Keywords

  • Aging
  • Chronic disease
  • Corrections
  • Disability
  • Multimorbidity
  • Risk factors

ASJC Scopus subject areas

  • Health(social science)
  • Aging
  • Gerontology
  • Geriatrics and Gerontology

Cite this

Multimorbidity patterns and associations with functional limitations among an aging population in prison. / Gates, Madison L.; Hunter, Elizabeth G.; Dicks, Vivian Gail; Jessa, Peace N.; Walker, Veronica; Yoo, Wonsuk.

In: Archives of Gerontology and Geriatrics, Vol. 77, 01.07.2018, p. 115-123.

Research output: Contribution to journalArticle

Gates, Madison L. ; Hunter, Elizabeth G. ; Dicks, Vivian Gail ; Jessa, Peace N. ; Walker, Veronica ; Yoo, Wonsuk. / Multimorbidity patterns and associations with functional limitations among an aging population in prison. In: Archives of Gerontology and Geriatrics. 2018 ; Vol. 77. pp. 115-123.
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