Background This study investigated the association between previous incarceration and various geriatric and chronic health conditions among adults 50 and older in the United States. Methods Data came from the National Longitudinal Study of Adolescent to Adult Health – Parent Study (AHPS) collected in 2015-2017, including 2,007 individuals who participated in the parent study (Parent Sample) and 976 individuals who participated in the spouse/partner study (Spouse/Partner Sample). Multiple logistic regression was used to investigate the relationship between previous incarceration and geriatric syndromes (dementia, difficulty walking, difficulty seeing, difficulty with activities of daily living) and chronic health conditions (self-reported poor/fair health, diagnosis of cancer, hypertension, diabetes, heart disease, stroke, chronic lung disease, depression, and alcohol use [4 or more drinks per week]). Results In adjusted analyses, respondents with previous incarceration in the AHPS had significantly higher odds of reporting difficulty walking, activities of daily living difficulty, cancer diagnosis, depression diagnosis, and chronic lung disease (aORs= 2.21-2.95). Respondents in the AHPS spouse/partner study reported higher odds of difficulty seeing, cancer, depression, chronic lung disease, and heavy alcohol use (aORs= 1.02-2.15). Conclusions Previous incarceration may have an adverse impact on healthy aging. Findings highlight the importance of addressing the enduring health impacts of incarceration, particularly as individuals transition into older adulthood.

中文翻译：

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美国老年人先前的监禁与老年综合症和慢性健康状况的联系

背景 本研究调查了美国 50 岁及以上成年人的先前监禁与各种老年和慢性健康状况之间的关联。方法 数据来自2015-2017年收集的全国青少年至成人健康纵向研究——家长研究（AHPS），包括参与家长研究（家长样本）的2,007人和参与配偶/伴侣研究的976人（配偶/伴侣样本）。使用多元逻辑回归来调查既往监禁和老年综合症（痴呆、行走困难、视力困难、日常生活活动困难）与慢性健康状况（自我报告健康状况不佳/一般、癌症诊断、高血压、糖尿病、心脏病、中风、慢性肺病、抑郁症和饮酒[每周饮酒 4 杯或更多]）。结果 在调整后的分析中，曾被 AHPS 监禁过的受访者报告行走困难、日常生活活动困难、癌症诊断、抑郁症诊断和慢性肺病的几率显着较高 (aOR= 2.21-2.95)。 AHPS 配偶/伴侣研究中的受访者表示，患有视力障碍、癌症、抑郁症、慢性肺病和酗酒的几率较高（aOR= 1.02-2.15）。结论 以前的监禁可能会对健康老龄化产生不利影响。研究结果强调了解决监禁对健康的持久影响的重要性，特别是当个人过渡到老年时。