Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /

Background: Current evidence suggests that mortality is considerably higher in individuals experiencing homelessness. The aim of this study was to analyze the mortality rate and the mortality risk factors in a sample of individuals experiencing homelessness in the city of Girona over a ten-year peri...

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Detalles Bibliográficos
Autores: Calvo, Fran,, 0000-0002-0300-8548, Turró-Garriga, Oriol,, 0000-0001-8082-5755, Fàbregas, Carles,, Alfranca, Rebeca,, 0000-0002-2036-9943, Calvet, Anna,, 0009-0005-9960-991X, Salvans, Mercè,, Giralt, Cristina,, Castillejos, Sandra,, Rived-Ocaña, Mercè,, 0000-0002-3361-918X, Calvo, Paula,, Castillo, Paz,, Garre-Olmo, Josep,, 0000-0002-7817-0814, Carbonell, Xavier,, 0000-0002-9714-1568, EUIT
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Repositorio:DDEUIT. Dipòsit Digital de l'Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
OAI Identifier:DIPOSIT-EUIT:60560
Acceso en línea:https://biblioteca.euit.fdsll.cat/cgi-bin/koha/opac-detail.pl?biblionumber=60560
Access Level:acceso abierto
Palabra clave:Indigents
Malalties infeccioses
Salut mental
Immigració
Drogoaddicció
Alcoholisme
Mortalitat
Diabetis mellitus tipus II
Professors
Homelessness
Personas sin techo
Mortality
Mortalidad
Infectious disease
Enfermedades infecciosas
Immigration
Inmigración
Mental health
Salud mental
Drug use disorder
Drogoadicción
Alcohol use disorder
Alcoholismo
Type 2 diabetes
Diabetes tipo II
Descripción
Sumario:Background: Current evidence suggests that mortality is considerably higher in individuals experiencing homelessness. The aim of this study was to analyze the mortality rate and the mortality risk factors in a sample of individuals experiencing homelessness in the city of Girona over a ten-year period. (2) Methods: We retrospectively examined the outcomes of 475 people experiencing homelessness with the available clinical and social data. Our sample was comprised of 84.4% men and 51.8% foreign-born people. Cox's proportional hazard models were used to identify mortality risk factors between origin groups. (3) Results: 60 people died during the ten-year period. The average age of death was 49.1 years. After adjusting for demographic characteristics and the duration of homelessness, the risk factors for mortality were origin (people born in Spain) (HR = 4.34; 95% CI = 1.89-10.0), type 2 diabetes (HR = 2.9; 95% CI = 1.62-5.30), alcohol use disorder (HR = 1.9; 95% CI = 1.12-3.29), and infectious diseases (HR = 1.6; 95% CI = 1.09-2.39). Our results show a high prevalence of infectious and chronic diseases. Type 2 diabetes emerges as an important risk factor in homelessness. The average age of death of individuals experiencing homelessness was significantly lower than the average age of death in the general population (which is greater than 80 years) (4). Conclusions: Foreign-born homeless people were generally younger and healthier than Spanish-born homeless people. Chronic diseases were controlled better in Spanish-born people, but this group showed an increased risk of mortality.

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