The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations.
In the European Union, more than 400,000 individuals are homeless on any one night and more than 600,000 are homeless in the USA. The causes of homelessness are an interaction between individual and structural factors. Individual factors include poverty, family problems, and mental health and substa...
| 主要な著者: | , , |
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| フォーマット: | Journal article |
| 言語: | English |
| 出版事項: |
2014
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| _version_ | 1826276559048146944 |
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| author | Fazel, S Geddes, J Kushel, M |
| author_facet | Fazel, S Geddes, J Kushel, M |
| author_sort | Fazel, S |
| collection | OXFORD |
| description | In the European Union, more than 400,000 individuals are homeless on any one night and more than 600,000 are homeless in the USA. The causes of homelessness are an interaction between individual and structural factors. Individual factors include poverty, family problems, and mental health and substance misuse problems. The availability of low-cost housing is thought to be the most important structural determinant for homelessness. Homeless people have higher rates of premature mortality than the rest of the population, especially from suicide and unintentional injuries, and an increased prevalence of a range of infectious diseases, mental disorders, and substance misuse. High rates of non-communicable diseases have also been described with evidence of accelerated ageing. Although engagement with health services and adherence to treatments is often compromised, homeless people typically attend the emergency department more often than non-homeless people. We discuss several recommendations to improve the surveillance of morbidity and mortality in homeless people. Programmes focused on high-risk groups, such as individuals leaving prisons, psychiatric hospitals, and the child welfare system, and the introduction of national and state-wide plans that target homeless people are likely to improve outcomes. |
| first_indexed | 2024-03-06T23:15:47Z |
| format | Journal article |
| id | oxford-uuid:67144389-dca8-4a3c-a83f-010266ef7586 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T23:15:47Z |
| publishDate | 2014 |
| record_format | dspace |
| spelling | oxford-uuid:67144389-dca8-4a3c-a83f-010266ef75862022-03-26T18:36:00ZThe health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:67144389-dca8-4a3c-a83f-010266ef7586EnglishSymplectic Elements at Oxford2014Fazel, SGeddes, JKushel, MIn the European Union, more than 400,000 individuals are homeless on any one night and more than 600,000 are homeless in the USA. The causes of homelessness are an interaction between individual and structural factors. Individual factors include poverty, family problems, and mental health and substance misuse problems. The availability of low-cost housing is thought to be the most important structural determinant for homelessness. Homeless people have higher rates of premature mortality than the rest of the population, especially from suicide and unintentional injuries, and an increased prevalence of a range of infectious diseases, mental disorders, and substance misuse. High rates of non-communicable diseases have also been described with evidence of accelerated ageing. Although engagement with health services and adherence to treatments is often compromised, homeless people typically attend the emergency department more often than non-homeless people. We discuss several recommendations to improve the surveillance of morbidity and mortality in homeless people. Programmes focused on high-risk groups, such as individuals leaving prisons, psychiatric hospitals, and the child welfare system, and the introduction of national and state-wide plans that target homeless people are likely to improve outcomes. |
| spellingShingle | Fazel, S Geddes, J Kushel, M The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. |
| title | The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. |
| title_full | The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. |
| title_fullStr | The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. |
| title_full_unstemmed | The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. |
| title_short | The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations. |
| title_sort | health of homeless people in high income countries descriptive epidemiology health consequences and clinical and policy recommendations |
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