Health Status of People Who Are and Are Not Experiencing Homelessness: Opportunities for Improvement.

3区综合性期刊

International Journal of Environmental Research and Public Health Pub Date : 2024-10-01 DOI:10.3390/ijerph21101313

Susan J Gordon, Nicky Baker, Tania S Marin, Margie Steffens

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Abstract

This study assessed the physical and psychological health parameters of adults experiencing homelessness to inform the development and delivery of health services by comparing with a housed population in the same South Australian city. Adults experiencing homelessness, known to existing support services, were invited to participate in a comprehensive assessment of their physical and mental health using questionnaires and objective assessments. Descriptive analyses using the percentage of participants failing to attain recommended published thresholds and accumulated health deficits for 16 health assessments were compared for the young group of people experiencing homelessness (18-40 years), the middle aged and older people experiencing homelessness (40-75 years), and a housed population of the middle aged and older people (40-75 years). Those experiencing homelessness had multiple and potentially inter-related health deficits compared with a population of people not experiencing homelessness in the same city. They were significantly less likely to meet healthy population norms for clinical frailty (p < 0.001), psychological distress (p < 0.001), grip strength (p < 0.001), lung function (p < 0.001), sleep quality (p < 0.001), and pelvic floor bother (p = 0.002). Significantly more accumulated health deficits were found for people experiencing homelessness when compared with the same ages for those who were not (mean 6.5 (SD 2.4) compared with 5.0 (SD 2.1)). This considerably increased for people experiencing homelessness aged less than 40 years (mean 8.7 (1.7)). Priorities for health service provision for people of different ages experiencing homelessness, when compared with housed community dwellers, have been described. The provision of targeted health assessments and service provision that specifically address healthcare needs among people experiencing homelessness are likely to have the biggest impacts across multiple health domains.

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无家可归者和非无家可归者的健康状况：改善机会。

本研究评估了无家可归成年人的身体和心理健康参数，通过与南澳大利亚州同一城市的居住人口进行比较，为医疗服务的开发和提供提供参考。研究人员邀请了现有支持服务机构所了解的无家可归成年人，通过问卷调查和客观评估对他们的身体和心理健康状况进行全面评估。利用未达到建议公布阈值的参与者百分比和 16 项健康评估的累积健康缺陷，对无家可归的年轻人群体（18-40 岁）、无家可归的中老年人群体（40-75 岁）和有住房的中老年人群体（40-75 岁）进行了描述性分析比较。与同一城市中没有无家可归经历的人群相比，无家可归者的健康状况存在多种可能相互关联的缺陷。在临床虚弱（p < 0.001）、心理困扰（p < 0.001）、握力（p < 0.001）、肺功能（p < 0.001）、睡眠质量（p < 0.001）和骨盆底困扰（p = 0.002）方面，他们达到健康人群标准的可能性明显较低。与非无家可归者的相同年龄段相比，无家可归者的累积健康缺陷明显增多（平均为 6.5（标清 2.4），而非无家可归者为 5.0（标清 2.1））。年龄在 40 岁以下的无家可归者的这一比例显著增加（平均为 8.7（1.7））。与有住房的社区居民相比，为不同年龄段的无家可归者提供医疗服务的优先次序已作了说明。提供有针对性的健康评估和服务，专门解决无家可归者的医疗保健需求，可能会在多个健康领域产生最大的影响。

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

International Journal of Environmental Research and Public Health ENVIRONMENTAL SCIENCES-

自引率

0.00%

发文量

14422

期刊介绍： International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.