The way of life of the unhoused people as an enhance for COVID-19 care

Brito, Cláudia; Silva, Lenir Nascimento da; Xavier, Carlos Cesar Leal; Antunes, Valeska Holst; Costa, Marcelo Soares; Filgueiras, Sandra Lúcia

doi:10.1590/0034-7167-2020-0832

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…Por vezes não é somente o adoecimento, a preocupação das políticas públicas e profissionais se saúde que acometem essas pessoas, mas a não-continuidade no tratamento que implica maior gravidade. Isso é agravado pelo comportamento bastante comum da PSR de negar e não perceber/valorizar a presença de sintomas e descontinuar medicações 13 .…”

Section: Discussão Constructos Sociais: Interferência Na Dimensão Do ...unclassified

O acesso da População em Situação de Rua aos serviços de saúde: utopia ou realidade?

Paula,

Daher,

Koopmans

et al. 2024

Rev. APS

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Viver na rua é condição de grande vulnerabilidade social e levam as pessoas em situação de rua ao adoecimento e, atrelado a isso, encontram diversos entraves aos serviços de saúde para o cuidado. Este artigo objetiva analisar o acesso da população em situação de rua aos serviços de saúde, utilizando como método a etnografia. Nove pessoas em situação de rua do município do Rio de Janeiro participaram desta investigação. Para a análise dos dados, utilizou-se a análise de Domínio. Assim, após a interpretação dos dados, possibilitou a seguinte categoria de análise: Barreiras de acesso aos serviços de saúde, permitindo compreender que os modos de viver e sobreviver das pessoas em situação de rua atrelam-se à maneira de reproduzir suas biografias de vida nos espaços urbanos e se conectam as dificuldades cotidianas que elas enfrentam para ter acesso aos serviços de saúde, somadas às diversas barreiras presentes nas instituições de saúde. Conclui-se que é importante o exercício ético-político dos profissionais de saúde, levando em conta as especificidades das pessoas em situação de rua e sua cultura, com um olhar direcionado às mazelas sociais impostas em seu cotidiano.

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Section: Discussão Constructos Sociais: Interferência Na Dimensão Do ...unclassified

O acesso da População em Situação de Rua aos serviços de saúde: utopia ou realidade?

Paula,

Daher,

Koopmans

et al. 2024

Rev. APS

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“…PSR presents an increased risk for SARS-CoV-2 infection, as well as for clinical progression to severe forms of illness [5]. It is known that the homeless live in conditions of extreme poverty and are more exposed to infectious diseases [5]as well as having great difficulty in accessing health services [6] due to issues related to processes of exclusion, stigma, prejudice, discrimination, among other determinants that can negatively influence the possibility of successfully completing the vaccination schedule [7].…”

Section: Introductionmentioning

confidence: 99%

Completeness of the COVID-19 Vaccination Schedule among Persons Experiencing Homelessness in Brazil

Araújo,

Berra,

Ferezin

et al. 2024

Preprint

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Almost four years after COVID-19 was declared a global health emergency, equitable distribution of the vaccine remains a challenge, especially among homeless people, the fastest growing population in Brazil. Therefore, we sought to identify the factors associated with completion of the COVID-19 vaccination schedule among homeless people in Brazil. Materials and Methods: We carried out a cross-sectional study in the capital cities of Brazil's Federative Units, considering people living on the streets as the target population. We used a sequential inclusion approach, with individual interviews conducted by trained professionals, using a validated questionnaire. We used descriptive statistics to analyze the data and a binary logistic regression model to identify factors associated with homeless individuals who completed the COVID-19 vaccination schedule. Results: It was identified that the highest density of homeless people and indicators related to COVID-19 is located in the Northeast, Southeast and South regions of Brazil. The primary data sample consisted of 1,392 participants, predominantly male (n: 961; 69.0%), with an average age of 38.3±15.2 years, belonging to the black/brown race/color (n: 1,097; 78.8%), with an elementary school education (n: 1,060; 76.1%). The factors associated with completing the vaccination schedule were: receiving government aid (OR: 1.58; 95%CI: 1.09 - 2.30), visits from Health Agents from the Street Clinic (OR: 3.19; 95%CI: 1.95 - 5.36), history of COVID-19 (OR: 5.77; 95%CI: 3.17 - 11.15), support for mandatory vaccination against COVID-19 (OR: 3.76; 95%CI: 2.48 - 5.76), trust in the efficacy of vaccines (OR: 3.92; 95%CI: 2.63 - 5.89), seeking information from NGOs, street clinics, community leaders (OR: 1.91; 95%CI: 1.01 - 3.88) and trust in the Federal Government's statements on vaccines (OR: 1.57; 95%CI: 1.06 - 2.31).Conclusion: The study advances knowledge by highlighting the completeness of the COVID-19 vaccination schedule among the homeless population. The source of information proved to be one of the determinants of completeness, and the Unified Health System played a leading role in raising awareness among homeless people, notably through its strategy of street clinics, when available. The evidence points to the importance of affirmative and inclusive actions that guarantee access to the vaccine for homeless people.

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“…Third, individuals with SPMIs are more likely to have poorer social determinants of health, such as unstable housing (20), stigma, marginalization, and fewer resources to practice physical distancing and basic hygiene (21). Fourth, individuals with SPMIs residing in crowded spaces, particularly those in criminal justice settings and shelters, are at higher risk for acquiring COVID-19 (22). These circumstances and low treatment adherence raise the risk for contracting COVID-19 and may worsen compliance with public health protocols for COVID-19.…”

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confidence: 99%

Strategies to aid self‐isolation and quarantine for individuals with severe and persistent mental illness during the COVID‐19 pandemic: A systematic review

Bahji

Bach

Danilewitz

et al. 2021

PRCP

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Background Individuals with severe and persistent mental illness (SPMI) have a higher risk of contracting COVID‐19 than individuals without SPMI. In combination with physical distancing, hygiene protocols, and vaccines, quarantine and self‐isolation are primary means of viral containment. However, individuals with SPMI may experience more difficulties with mandated quarantine or self‐isolation because of their illness(es), stigma, and marginalization. To date, there is a lack of consensus on strategies that could aid such individuals in completing isolation. Aim This review aimed to synthesize evidence for interventions to support self‐isolation and mandated quarantine for COVID‐19 among individuals with SPMIs. Methods We followed the PRISMA guidelines, searching 19 electronic databases (9 published literature registries and 10 gray literature sources). We looked for relevant randomized controlled trials, quasi‐experimental studies, and program evaluations of the effectiveness of relevant psychosocial, pharmacological, harm reduction, and addiction management strategies to support isolation settings or quarantine requirements for individuals with any SPMI (e.g., any mental disorder, substance use disorder, or their combination). Findings Of 10,298 total records that were located, 5582 were duplicate citations. Upon screening the remaining 4716 unique records by title and abstract, we excluded a further 3562 records. Only one original article met our inclusion criteria after reviewing the full texts of the remaining 1154 citations. To support individuals experiencing homelessness during the COVID‐19 pandemic, San Francisco developed an isolation hotel that reduced COVID‐19 hospital strain for 1009 participants (25% had a mental health disorder and 26% had a substance use disorder). While 81% completed their hotel stay, 48 patients had behavioral health needs that exceeded the hotel's capabilities. No other studies met our review's eligibility criteria. Most articles located by the search simply proposed solutions or discussed the challenges brought by COVID‐19 for people with SPMIs. While some documents went a step further (e.g., shelter guidance documents to support individuals experiencing homelessness), these rarely addressed individuals with SPMIs directly. Conclusions This systematic review evaluated evidence from published and gray literature on interventions to support self‐isolation and mandated COVID‐19 quarantine for individuals with SPMIs. Only one study met our inclusion criteria. This study found a beneficial effect of a dedicated isolation hotel for individuals experiencing homelessness and COVID‐19—where approximately 25%–50% of the study sample had a mental or substance use disorder. While there has been an abundance of COVID‐19 protocols in general, information for SPMIs is lacking. As the pandemic continues and we better prepare for future pandemics, developing prot...

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The way of life of the unhoused people as an enhance for COVID-19 care

Cited by 4 publications

References 9 publications

O acesso da População em Situação de Rua aos serviços de saúde: utopia ou realidade?

O acesso da População em Situação de Rua aos serviços de saúde: utopia ou realidade?

Completeness of the COVID-19 Vaccination Schedule among Persons Experiencing Homelessness in Brazil

Strategies to aid self‐isolation and quarantine for individuals with severe and persistent mental illness during the COVID‐19 pandemic: A systematic review

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