{
  "abstract": "Introduction Incarcerated populations are ageing, yet their specific needs remain unclear, hindering adequate care planning. We provide a comprehensive overview of health burden among incarcerated adults in Switzerland, focusing on age-related differences.Methods This is a retrospective cross-sectional analysis based on data extracted from medical records from 10 prisons and forensic-psychiatric institutions in Switzerland (N=384), comprising 151 older adults. We performed descriptive statistics for all variables. A multiple logistic regression analysis was conducted to identify diagnostic characteristics that differentiate older from younger incarcerated adults. We assessed whether a breakpoint exists in the association between age and total somatic disease burden using a segmented regression model.Results Almost all older adults had at least one chronic condition (97%), of which the most common were substance use (20.4%) and mood disorders (14.3%), as well as endocrine and metabolic (25%), cardiovascular (17%) and respiratory (14%) diseases. Age differences emerged for affective (OR 1.58, 95% CI 1.23 to 2.05) and personality disorders (OR 2.06, 95% CI 1.60 to 2.66). We found an estimated breakpoint at age 39, at which the number of chronic somatic diseases began to increase at a rate greater than before.Conclusions The increase in chronic somatic diseases around age 39 may warrant further examination of the commonly used age cut-off of 50. Given the high prevalence of chronic conditions among older adults, health services should shift from a focus on acute care to long-term chronic disease management, enhance screening for early disease detection and provide preventive care.",
  "authors": [
    {
      "affiliations": [
        "Institute for Biomedical Ethics, University of Basel, Basel, Switzerland"
      ],
      "name": "Helene Seaward"
    },
    {
      "affiliations": [
        "Department of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland"
      ],
      "name": "Andrea Meyer"
    },
    {
      "affiliations": [
        "Waypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada",
        "Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada",
        "Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada"
      ],
      "name": "N. Zoe Hilton"
    },
    {
      "affiliations": [
        "Aargau Psychiatric Services Central Campus Brugg-Windisch - Areal Königsfelden, Windisch, Switzerland"
      ],
      "name": "Peter Wermuth"
    },
    {
      "affiliations": [
        "Department of Forensic Psychiatry, Medical Faculty, University of Bern, Bern, Switzerland"
      ],
      "name": "Michael Liebrenz"
    },
    {
      "affiliations": [
        "Forio AG, Winterthur, Switzerland"
      ],
      "name": "Monika Egli-Alge"
    },
    {
      "affiliations": [
        "Forensic Department, University Psychiatric Clinic Basel, Basel, Switzerland",
        "Medical Faculty, University of Basel, Basel, Switzerland"
      ],
      "name": "Tobias Vogel"
    },
    {
      "affiliations": [
        "Forensische Psychiatrie und Psychotherapie, Psychiatrische Universitätsklinik Zürich, Zürich, Switzerland"
      ],
      "name": "Elmar Habermeyer"
    },
    {
      "affiliations": [
        "Solothurner Spitaler AG, Solothurn, SO, Switzerland"
      ],
      "name": "Lutz-Peter Hiersemenzel"
    },
    {
      "affiliations": [
        "Filière légale, Centre Neuchâtelois de Psychiatrie Préfargier, Marin-Épagnier, Switzerland"
      ],
      "name": "Dominique Marcot"
    },
    {
      "affiliations": [
        "Centre de Psychiatrie Forensique, Réseau Fribourgeois de Santé Mentale, Villars sur Glâne, Switzerland"
      ],
      "name": "Corinne Devaud Cornaz"
    },
    {
      "affiliations": [
        "University of Basel, University of Basel, Basel, Switzerland",
        "Center for Legal Medicine, University of Geneva, Genève, Switzerland"
      ],
      "name": "Elger Bernice Simone"
    },
    {
      "affiliations": [
        "University of Basel, University of Basel, Basel, Switzerland"
      ],
      "name": "Tenzin Wangmo"
    }
  ],
  "title": "Somatic and psychiatric health burden of male and female older incarcerated adults in Switzerland: a retrospective cross-sectional study",
  "uid": "cf005f38-9963-522a-8f32-741cc458cc77"
}