Examining the health status of homeless adults entering permanent supportive housing

Henwood, Benjamin F.; Lahey, John; Rhoades, Harmony; Winetrobe, Hailey; Wenzel, Suzanne L.

doi:10.1093/pubmed/fdx069

Cited by 41 publications

(43 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, research depicts the consistently high rates of acute infectious and parasitic diseases, diseases of the circulatory, respiratory and musculoskeletal system [ 13 ] as well as high rates of blood borne infections such as hepatitis C, HIV, tuberculosis, as well as myocardial infarction and pneumonia [ 14 – 16 ]. In addition to acute conditions, a high percentage of the homeless suffer from multimorbidity and chronic diseases [ 14 , 17 ] such as chronic pain [ 18 ] or chronic obstructive pulmonary disease [ 19 ]. A study by Queen, Lowrie, Richardson & Williamson [ 20 ] found in a homeless cohort with an average age of 42.8 years comparable levels of multimorbidity with those aged > 85 years in the general population.…”

Section: Introductionmentioning

confidence: 99%

A retrospective analysis of the health and social situation of homeless people in Berlin: study protocol

Lech

Schenk

Castro³

et al. 2021

Arch Public Health

View full text Add to dashboard Cite

Background Homelessness is often described as both a driver and a consequence of poor health, social exclusion and economic marginalisation. The present protocol provides a detailed description of the study Examining the health situation of homeless people in Berlin: a retrospective analysis of data from the health centre for the homeless of the Jenny De la Torre Foundation from 2006 to 2020 (GIG study). The primary objective of the GIG study is to describe and analyse the social and health situation of homeless people in Berlin. Methods A retrospective secondary data analysis of an anonymous full census of medical records for the years 2006 until 2020 from a health centre for homeless people will be carried out. The main outcome is the description and analysis of the social and health situation of homeless people in Berlin. Total and cross-sectional sample characteristics will be presented in a descriptive analysis using Chi-Square Test, Mann-Whitney-U-Test or independent t-Test as appropriate to test (sub) group differences. Further, outcomes will be analysed using finite mixture modelling in order to distinguish different types of social and health conditions. Latent variable regressions will be applied in order to identify sociodemographic and disease-related factors associated with decreasing health conditions. Discussion Given the high number of homeless individuals in Germany, it is of great importance to examine their social and health situation in order to gain a better understanding of challenges and needs of homeless people and work on new approaches and solutions to effectively address these. Trail registration The study was prospectively registered with the German Clinical Trials Register (trial registration number: DRKS00021172). Registered 26 June 2020.

show abstract

Section: Introductionmentioning

confidence: 99%

A retrospective analysis of the health and social situation of homeless people in Berlin: study protocol

Lech

Schenk

Castro³

et al. 2021

Arch Public Health

View full text Add to dashboard Cite

show abstract

“…impairment of activities of daily living, or ADLs), frailty and persistent pain (Ivers, Cumming, Mitchell, & Peduto, ; Kojima, ; Leveille et al, ; Meijers et al, ; Pynoos, Steinman, & Nguyen, ; Rubenstein, ; Tinetti, Speechley, & Ginter, ). Individual fall risk factors may be even higher among formerly homeless adults living in PSH because of a growing practice known as vulnerability indexing, wherein homeless individuals with a higher risk of mortality due to medical conditions receive priority for placement in PSH (Henwood et al, ; Henwood, Lahey, Rhoades, Winetrobe, & Wenzel, ). PSH may also introduce a variety of environmental risk factors since the average age of the chronically homeless population was mid‐30s when the housing first approach was originally developed in the 1990s (Padgett, Henwood, & Tsemberis, ) and now is approaching 60 years old (Culhane et al, ).…”

Section: Introductionmentioning

confidence: 99%

Examining fall risk among formerly homeless older adults living in permanent supportive housing

Henwood

Rhoades

Lahey³

et al. 2020

Health Soc Care Community

Self Cite

View full text Add to dashboard Cite

Although permanent supportive housing (PSH) has been credited with a decline in the number of chronically homeless adults in the United States since 2007, the extent to which PSH can accommodate the needs of a prematurely aging population, including reducing the likelihood of falls, is unclear. The objective of this study is to examine the prevalence and correlates of falls with a sample of 237 tenants (45‐ to 80‐year olds) from two PSH programmes in Los Angeles from 1 January 2017 to 10 August 2017. We also explore the location and severity of fall‐related injury using a subsample of 66 tenants. Standard surveys queried demographics, health status, history of homelessness and falls. Multivariable logistic regression assessed the correlates of falling in the past year. More than half of the sample had fallen and more than 40% had multiple falls in the past year. Functional impairment, frailty and persistent pain were all associated with increased fall risk. For the 66 tenants who provided more detailed fall information, more than 40% fell at home and of those nearly half fell in their bathroom. Fall‐related injuries were common, with more than one‐third of the subsample experiencing serious injury. These findings suggest that fall prevention is needed in PSH but that more research is needed to understand the degree to which individual and environmental risk factors are contributing to falls.

show abstract

“…The primary objective of the current study was to examine longitudinal change in insomnia as adults transition from homelessness to PSH, and whether additional factors may moderate the relationship between housing and insomnia for persons who have experienced homelessness. Specifically, we hypothesized that screening positive for insomnia would be mitigated upon entry to PSH, and that the relationship between housing status and insomnia would be moderated by mental health symptoms, physical health conditions (e.g., hypertension), and alcohol and tobacco consumption, all of which are experienced at disproportionately high rates among homeless and recently housed adults (6,10).…”

Section: Introductionmentioning

confidence: 99%

Longitudinal effects of permanent supportive housing on insomnia for homeless adults

et al. 2019

Self Cite

View full text Add to dashboard Cite

Objectives.-To examine the longitudinal change in insomnia as adults transition from homelessness to permanent support housing (PSH), and whether additional factors may moderate this relationship. Methods.-Standardized interviews were conducted with 331 homeless participants in Los Angeles prior to moving into PSH. Outcomes were measured 3, 6, and 12 months after move-in. Insomnia was assessed using the sleep condition indicator, which is a two-item validated shortform inventory that is intended to be used in clinical settings as a brief screening instrument for insomnia. Mixed-effects models were used to examine insomnia across all four measurement points and to test for interactions between time and covariates. Results.-Participants were on average approximately 55 years old and had spent an average of 5.6 years homeless in their lifetime, with approximately 70% identifying as male. Sixty-two percent of the sample screened positive for insomnia disorder at baseline. There was a significantly reduced likelihood of insomnia at each measurement period compared to baseline but no differences were found between 3, 6, or 12 months. Mental health symptoms, physical health comorbidities, tobacco consumption, and female gender were associated with an increased likelihood of insomnia. Conclusion.-Findings indicate a significant decrease in insomnia after moving into PSH, regardless of time spent homeless.

show abstract

Examining the health status of homeless adults entering permanent supportive housing

Abstract: These findings suggest that access to housing will not easily remedy the well-documented premature mortality among chronically homeless adults.

Cited by 41 publications

References 9 publications

A retrospective analysis of the health and social situation of homeless people in Berlin: study protocol

A retrospective analysis of the health and social situation of homeless people in Berlin: study protocol

Examining fall risk among formerly homeless older adults living in permanent supportive housing

Longitudinal effects of permanent supportive housing on insomnia for homeless adults

Contact Info

Product

Resources

About