Mortal Systemic Exclusion Yielded Steep Mortality-Rate Increases In People Experiencing Homelessness, 2011-20.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Matthew Z Fowle, Giselle Routhier
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引用次数: 0

Abstract

The number and percentage of people in the US dying while homeless has increased in recent years. However, information about the causes of death most prevalent among this population, and about how cause-specific mortality rates may be shifting over time, has been limited to locally specific data. Using a unique data set of 22,143 homeless decedents in twenty-two localities across ten states and Washington, D.C., from the period 2011-20, we found large increases in all-cause and cause-specific homeless mortality rates. The largest increases in cause-specific homeless mortality rates in the ten-year period were for deaths related to drug and alcohol overdose, diabetes, infection, cancer, homicide, and traffic injury. We discuss implications of these results and posit that people experiencing homelessness are systematically excluded from the life-affirming institutions of housing and health care, in an example of mortal systemic exclusion. The findings have important implications for existing local and federal policy approaches to homelessness.

2011-20年,系统性排斥导致无家可归者死亡率急剧上升》(Mortal Systemic Exclusion Yielded Steep Mortality-Rate Increases In People Experiencing Homelessness,2011-20)。
近年来,美国因无家可归而死亡的人数和比例都有所增加。然而,关于这一人群中最常见的死因以及特定死因死亡率如何随时间推移而变化的信息,却仅限于当地的特定数据。利用 2011-20 年间十个州和华盛顿特区二十二个地方的 22,143 名无家可归者的独特数据集,我们发现无家可归者的全因死亡率和特定病因死亡率均大幅上升。在这十年间,与毒品和酒精过量、糖尿病、感染、癌症、凶杀和交通伤害相关的无家可归者特定原因死亡率增幅最大。我们讨论了这些结果的影响,并认为无家可归者被系统性地排除在住房和医疗保健等肯定生命的机构之外,这是一个致命的系统性排斥的例子。这些发现对现有的地方和联邦无家可归问题政策方针具有重要影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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