Prevalence of Hypertension in Homeless Adults: An Interprofessional Education Community-Based Health Fairs Cross-Sectional Study in Urban Long Beach, California

Ngo, Albert Nguessan; Islam, Mohammed A.; Aoyagi, Judy; Sandor, Zsuzsanna; Szabó, Sándor

doi:10.1007/s40292-020-00424-8

Cited by 7 publications

(6 citation statements)

References 15 publications

(17 reference statements)

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“…The mainly male and middle-aged study population was characterized by a high proportion of comorbidities. In contrast to other studies on PEH, we observed considerably less cardiovascular diseases (8.6%) compared to California/USA (61.5%) and Berlin/Germany (17–37.2%), as well as less respiratory diseases (5.8%) than in Ontario/Canada (24.9% for asthma and COPD) ( 10 , 16 , 31 ). Differences may be explained by a possible underestimation of comorbidities in our study as they were self-reported and documented based on the medical history.…”

Section: Discussioncontrasting

confidence: 99%

“…PEH are considered particularly vulnerable to develop severe COVID-19 due to an increased prevalence of pre-existing health conditions and risk factors ( 10 ). Studies in high income countries found a higher prevalence of HIV, hepatitis C and tuberculosis in PEH than in the general population ( 11 , 12 ), and hypertension, diabetes, COPD, asthma and other non-communicable diseases are frequent and often poorly controlled ( 13 – 16 ). Mental disorders are also increased among PEH ( 14 , 17 , 18 ), and additional pandemic stressors may worsen pre-existing conditions, such as depression, posttraumatic stress disorder, sleeping disorder, psychosis or substance use disorders ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

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A COVID-19 isolation facility for people experiencing homelessness in Berlin, Germany: a retrospective patient record study

Hörig

Klaes²,

Krasovski-Nikiforovs³

et al. 2023

Front. Public Health

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IntroductionPeople experiencing homelessness (PEH) are disproportionately affected by the COVID-19 pandemic. For many PEH it is impossible to isolate due to the lack of permanent housing. Therefore, an isolation facility for SARS-CoV-2 positive PEH was opened in Berlin, Germany, in May 2020, offering medical care, opioid and alcohol substitution therapy and social services. This study aimed to assess the needs of the admitted patients and requirements of the facility.Materials and methodsThis was a retrospective patient record study carried out in the isolation facility for PEH in Berlin, from December 2020 to June 2021. We extracted demographic and clinical data including observed psychological distress from records of all PEH tested positive for SARS-CoV-2 by RT-PCR. Data on duration and completion of isolation and the use of the facilities’ services were analyzed. The association of patients’ characteristics with the completion of isolation was assessed by Student’s t-test or Fisher’s exact test.ResultsA total of 139 patients were included in the study (89% male, mean age 45 years, 41% with comorbidities, 41% non-German speakers). 81% of patients were symptomatic (median duration 5 days, range 1–26). The median length of stay at the facility was 14 days (range 2–41). Among the patients, 80% had non-COVID-19 related medical conditions, 46% required alcohol substitution and 17% opioid substitution therapy. Three patients were hospitalized due to low oxygen saturation. No deaths occurred. Psychological distress was observed in 20%, and social support services were used by 65% of PEH. The majority (82%) completed the required isolation period according to the health authority’s order. We did not observe a statistically significant association between completion of the isolation period and sociodemographic characteristics.ConclusionThe specialized facility allowed PEH a high compliance with completion of the isolation period. Medical care, opioid and alcohol substitution, psychological care, language mediation and social support are essential components to address the specific needs of PEH. Besides contributing to infection prevention and control, isolation facilities may allow better access to medical care for SARS-CoV-2 infected PEH with possibly positive effects on the disease course.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A COVID-19 isolation facility for people experiencing homelessness in Berlin, Germany: a retrospective patient record study

Hörig

Klaes²,

Krasovski-Nikiforovs³

et al. 2023

Front. Public Health

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“…Hence, the health profession students within this program also had an opportunity to learn several principles, including the level of education and economic aspects when implementing their interventions. It is in line with the study by Ngo et al (2021), who reported that hypertension and cardiovascular risk could be identified by conducting CBE-IPE in homeless adults.…”

Section: M09instsupporting

confidence: 91%

Increasing the value of Community-Based Education through Interprofessional Education

Kristina

Asmara

Sudaryanto

et al. 2023

TAPS

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Introduction: This study aimed to examine the usefulness of Community Based-Education (CBE) and Interprofessional Education (IPE) to community health outcomes. Methods: The design was a mixed-method study. Each small group worked together to identify family health problems, implement interventions, and evaluate the results. The Readiness for Interprofessional Learning Scale (RIPLS) questionnaire was applied to compare students' perceptions before and after the implementation. In addition, qualitative data were acquired from students' comments on the questionnaire, interviews with community representatives, and FGDs with instructors at the end of the program. Results: Three hundred and sixty-seven out of 465 students returned the completed paired questionnaire (78.9 % response rate). Paired t-test showed that student perception of responsibility slightly increased, whereas teamwork and collaboration, negative and positive professional identity decreased somewhat. However, most pre-post students' responses already trended to the positive side (scales 4 and 5). Moreover, the Chi-square test showed that pre-post students' confidence levels significantly increased. Most small groups of students successfully empowered the community to solve health problems. Students, instructors, and representatives of community members appreciated the program. However, several students felt their instructors were not motivated to mentor their tasks, and sometimes they had difficulty conducting home visits together. Conclusion: This study showed that the combination of CBE-IPE contributes to more favourable community health outcomes. However, it was challenging in several aspects of preparation, including highly motivated instructors. Nevertheless, pre and post-implementation students' attitudes are still positive.

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“…As known, the homeless community comprises individuals who frequently suffer from advanced alcoholism, which is often used as a coping mechanism, and which negatively impacts participation in support programs. A study conducted on 78 homeless adults found that 75% matched the alcohol dependence criterion, with significant connections between age, preferred coping strategy, and amount of alcohol consumption [27,28,30,[42][43][44].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of General Health Status of Persons Living in Socio-Economically Disadvantaged Neighborhoods in a Large European Metropolitan City

et al. 2022

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Background: Living in socio-economically disadvantaged neighborhoods can predispose persons to numerous health conditions. The purpose of this study was to report the general health conditions of persons living in disadvantaged neighborhoods in Rome, Italy, a large European metropolitan city. Participants were reached through the mobile facilities of the primary care services of the Dicastery for the Charity Services, Vatican City. Methods: People living in disadvantaged neighborhoods were reached with mobile medical units by doctors, nurses, and paramedics. Demographic characteristics, degree of social integration, housing conditions, and history of smoking and/or alcohol use were investigated. Unstructured interviews and general health assessments were performed to investigate common acute and/or chronic diseases, and history of positivity to COVID-19. Basic health parameters were measured; data were collected and analyzed. Results: Over a 10-month period, 436 individuals aged 18–95 years were enrolled in the study. Most lived in dormitories, whereas a few lived in unsheltered settings. Most participants (76%) were unemployed. Smoking and drinking habits were comparable to the general population. The most common pathological conditions were cardiovascular diseases in 103 subjects (23.39%), diabetes in 65 (14.9%), followed by musculoskeletal system disorders (11.7%), eye diseases (10.5%), psychiatric conditions such as anxiety and depression (9.2%), and chronic respiratory conditions (8.7%). Conclusions: Subjects in our sample showed several pathologic conditions that may be related to their living conditions, thus encouraging the development of more efficient and effective strategies for a population-tailored diagnosis and treatment.

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Prevalence of Hypertension in Homeless Adults: An Interprofessional Education Community-Based Health Fairs Cross-Sectional Study in Urban Long Beach, California

Cited by 7 publications

References 15 publications

A COVID-19 isolation facility for people experiencing homelessness in Berlin, Germany: a retrospective patient record study

A COVID-19 isolation facility for people experiencing homelessness in Berlin, Germany: a retrospective patient record study

Increasing the value of Community-Based Education through Interprofessional Education

Evaluation of General Health Status of Persons Living in Socio-Economically Disadvantaged Neighborhoods in a Large European Metropolitan City

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