Somatische Erkrankungen Wohnungsloser in Deutschland. Ein narratives Literaturreview der Jahre 2009–2019

Schindel, Daniel; Kleyer, Christine; Schenk, Liane

doi:10.1007/s00103-020-03213-9

Cited by 14 publications

(13 citation statements)

References 49 publications

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“…Existing studies show stark health discrepancies of PEH when compared to people in secure living situations. For instance, a systematic review from 2020 reveals a higher prevalence of cardiovascular, musculoskeletal, and respiratory diseases among PEH compared to the population in secure housing in Germany (4). A meta-analysis from 2017 draws a similar picture: mental health problems among PEH are considerably higher as compared to people in secure housing.…”

Section: Introductionmentioning

confidence: 99%

Determinants of COVID-19 vaccine acceptance and access among people experiencing homelessness in Germany: A qualitative interview study

Grune

Savelsberg

Kobus

et al. 2023

Front. Public Health

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IntroductionPeople experiencing homelessness face lower life expectancy, higher prevalence of somatic and mental diseases and a more difficult access to healthcare compared to people in secure living. During the COVID-19 pandemic transmission rates were higher among people experiencing homelessness and preventive public health measures were not properly adapted to the specific needs of people experiencing homelessness. Thus, goal of our study was understanding the determinants of acceptability and access of the COVID-19 vaccine.Materials and methodsWe conducted a qualitative interview study with twenty guideline interviews with adult people currently experiencing homelessness in Berlin, Germany (August 2021 – April 2022). Participants were approached in a purposive sampling strategy. The interviews were analyzed with qualitative content analysis according to Mayring.ResultsAcceptance and attitude toward the COVID-19 vaccine is influenced by confidence in the vaccine as well as in the political and healthcare system, the individual COVID-19 risk perception and sense of collective responsibility. Overall, the acceptance of the vaccine was high among our participants. Facilities offering low threshold COVID-19 vaccines for people experiencing homelessness were perceived as helpful. Language barriers and the need for identity documents were major barriers to access the COVID 19 vaccine.DiscussionPeople experiencing homelessness are a marginalized and vulnerable group often underrepresented in the public and scientific discourse. During the COVID-19 pandemic, preventive public health measures, including the COVID-19 vaccine, failed to consider specific needs of people experiencing homelessness. Multidimensional strategy to enhance inclusive healthcare are needed to improve access and to reduce discrimination and stigmatization.

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Section: Introductionmentioning

confidence: 99%

Determinants of COVID-19 vaccine acceptance and access among people experiencing homelessness in Germany: A qualitative interview study

Grune

Savelsberg

Kobus

et al. 2023

Front. Public Health

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“…Another strength includes the study design, as longitudinal data is available for a long period of time (14 years) and for a large, representative population (about 3 000 medical records). As no inclusion criteria are applied, a broad range of social and health situations will be analysed, including marginalised groups in research such as women and young patients (48). Further, a big strength of the present study is the consideration of the course of time for both cross sectional analysis (analysis of trends) and longitudinal analysis (inter and intra individually) of data.…”

Section: Discussionmentioning

confidence: 99%

“…Further, homeless people are di cult to sample which limits most research and results in small and highly selected samples. A recent review found that previous research is highly selective were participants are often older, male and from a subgroup setting as for example from supervised drug consumption facilities (48). Thus, there is a clear lack of investigation among women and younger individuals.…”

Section: Introductionmentioning

confidence: 99%

Homelessness and Health: A retrospective analysis of medical records from 2006 - 2020 to explore the health and social situation of homeless people in Berlin. A study protocol.

Lech

Schenk

Castro³

et al. 2021

Preprint

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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,https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021172

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“…Obdachlose Menschen weisen bspw. erhöhte Prävalenzraten in den Bereichen der psychischen Störungen 3 4 , Infektionskrankheiten 5 und anderen somatischen Erkrankungen 6 7 auf. Auch ist Drogenmissbrauch recht häufig 8 .…”

Section: Introductionunclassified

Inanspruchnahme von Gesundheitsleistungen bei Obdachlosen: Ergebnisse der Hamburger Obdachlosenbefragung

et al. 2021

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Zusammenfassung Ziel der Studie Bisher mangelt es an Studie zur Inanspruchnahme von Gesundheitsleistungen bei Obdachlosen. Deshalb zielt diese Arbeit darauf ab, die Inanspruchnahme von Gesundheitsleistungen bei Obdachlosen zu beschreiben. Methodik Die Daten für diese Arbeit stammen aus der Hamburger Obdachlosenbefragung (n=150, mittleres Alter 44,6 Jahre (SD: 12,5 Jahre)), die zwischen dem 25. Mai und dem 3. Juni 2020 in Hamburg durchgeführt wurde. Die Inanspruchnahme von Gesundheitsleistungen wurde im Detail erfasst (u. a., Krankenversichertenstatus, Inanspruchnahme ambulanter und stationärer Leistungen, Medikamenteneinnahme, Gründe für fehlende Inanspruchnahme von Gesundheitsleistungen). Ergebnisse Insgesamt hatten 61,2% der Obdachlosen eine Gesundheitskarte. Ungefähr zwei Drittel (65,9%) der Obdachlosen hatten in den letzten 12 Monaten irgendeine medizinische Leistung in Anspruch genommen. Wesentlicher Grund für eine Nicht-Inanspruchnahme war der fehlende Bedarf (74,6%). Insgesamt waren 39,8% in den letzten 12 Monaten mindestens einmal im Krankenhaus. Mobile Hilfen haben in den letzten 12 Monaten gut ein Drittel der Obdachlosen (34,2%) in Anspruch genommen (primär das Krankenmobil, weniger das Zahnmobil sowie das ArztMobil Hamburg). Insgesamt haben ca. 37,7% der Obdachlosen Medikamente regelmäßig eingenommen. Schwierigkeiten bei dem Zugang zu Medikamenten begründeten sich primär über zu hohe Preise (63,6%). Knapp die Hälfte der Obdachlosen (47,0%) hatte in den letzten 3 Monaten keinen Arzt in Anspruch genommen. Schlussfolgerung Unsere Arbeit hat die Inanspruchnahme von Gesundheitsleistungen bei Obdachlosen beschrieben. Es bedarf weiterer Anstrengungen, um die sich daraus ergebenden Herausforderungen (z. B. im Zugang zu medizinischen Leistungen) anzugehen. Weitere Forschungen in diesem Bereich sind daher unerlässlich.

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Somatische Erkrankungen Wohnungsloser in Deutschland. Ein narratives Literaturreview der Jahre 2009–2019

Cited by 14 publications

References 49 publications

Determinants of COVID-19 vaccine acceptance and access among people experiencing homelessness in Germany: A qualitative interview study

Determinants of COVID-19 vaccine acceptance and access among people experiencing homelessness in Germany: A qualitative interview study

Homelessness and Health: A retrospective analysis of medical records from 2006 - 2020 to explore the health and social situation of homeless people in Berlin. A study protocol.

Inanspruchnahme von Gesundheitsleistungen bei Obdachlosen: Ergebnisse der Hamburger Obdachlosenbefragung

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