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Journal of Correctional Health Care
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Older Male Prisoners: Health Status, Self-Efficacy Beliefs, and Health-Promoting Behaviors

Susan J. Loeb, PhD, RN

School of Nursing, College of Health and Human Development, Department of Medicine, Penn State College of Medicine, Gerontology Center of Pennsylvania State University, svl100{at}psu.edu

Darrell Steffensmeier, PhD

Department of Sociology, Crime, Law, Justice, College of Liberal Arts, Pennsylvania State University

The fastest-growing prison subgroup is men age 50 years and older, of whom 85% have multiple chronic health conditions. This pilot study examined relationships between health status, self-efficacy beliefs, and behaviors through a convenience sample survey of 51 older male prisoners. Inmates with greater self-efficacy (i.e., confidence) in their health self-management abilities were significantly more likely to rate their health as better, engage in more health-promoting behaviors, and report more improved health since incarceration. Findings, which support Bandura’s social cognitive theory, highlight the need to develop educational interventions aimed at enhancing older male inmates’ health knowledge and self-efficacy for health management to promote greater participation in health-promoting behaviors and better health outcomes.

Key Words: correctional health care • prison health • older inmates • health promotion • health education

Journal of Correctional Health Care, Vol. 12, No. 4, 269-278 (2006)
DOI: 10.1177/1078345806296031
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Home page
 West J Nurs ResHome page
S. J. Loeb, D. Steffensmeier, and F. Lawrence
Comparing Incarcerated and Community-Dwelling Older Men's Health
West J Nurs Res, March 1, 2008; 30(2): 234 - 249.
[Abstract] [PDF]