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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Authors: 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
Format: article
Status:Published version
Publication Date:2021
Country:España
Repository:DDEUIT. Dipòsit Digital de l'Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
OAI Identifier:DIPOSIT-EUIT:60560
Online Access:https://biblioteca.euit.fdsll.cat/cgi-bin/koha/opac-detail.pl?biblionumber=60560
Access Level:Open access
Keyword: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
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oai_identifier_str DIPOSIT-EUIT:60560
network_acronym_str ES
network_name_str España
repository_id_str
spelling Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /Calvo, Fran,0000-0002-0300-8548Turró-Garriga, Oriol,0000-0001-8082-5755Fàbregas, Carles,Alfranca, Rebeca,0000-0002-2036-9943Calvet, Anna,0009-0005-9960-991XSalvans, Mercè,Giralt, Cristina,Castillejos, Sandra, Rived-Ocaña, Mercè,0000-0002-3361-918XCalvo, Paula,Castillo, Paz,Garre-Olmo, Josep,0000-0002-7817-0814Carbonell, Xavier,0000-0002-9714-1568EUITIndigentsMalalties infecciosesSalut mentalImmigracióDrogoaddiccióAlcoholismeMortalitatDiabetis mellitus tipus IIProfessorsHomelessnessPersonas sin techoMortalityMortalidadInfectious diseaseEnfermedades infecciosasImmigrationInmigraciónMental healthSalud mentalDrug use disorderDrogoadicciónAlcohol use disorderAlcoholismoType 2 diabetesDiabetes tipo IIBackground: 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.Calvo, F.; Turró-Garriga, O.; Fàbregas, C.; Alfranca, R.; Calvet, A.; Salvans, M.; Giralt, C.; Castillejos, S.; Rived-Ocaña, M.; Calvo, P.; et al. Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain): A 10-Year Retrospective Cohort Study. Int. J. Environ. Res. Public Health 2021, 18,1762. https://doi.org/10.3390/ijerph18041762DDEUIT2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://biblioteca.euit.fdsll.cat/cgi-bin/koha/opac-detail.pl?biblionumber=60560reponame:DDEUIT. Dipòsit Digital de l'Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassainstname:InglésInternational Journal of Environmental Research and Public Health 2021;18(4):1762info:eu-repo/semantics/openAccessAquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial i la comunicació pública de l'obra sempre que es reconegui l'autoria de l'obra original.http://creativecommons.org/licenses/by/4.0/DIPOSIT-EUIT:605602026-06-21T12:53:37Z
dc.title.none.fl_str_mv Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /
title Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /
spellingShingle Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /
Calvo, Fran,
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
title_short Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /
title_full Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /
title_fullStr Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /
title_full_unstemmed Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /
title_sort Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain) : A 10-Year Retrospective Cohort Study /
dc.creator.none.fl_str_mv 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
author Calvo, Fran,
author_facet 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
author_role author
author2 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
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv 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
topic 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
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://biblioteca.euit.fdsll.cat/cgi-bin/koha/opac-detail.pl?biblionumber=60560
url https://biblioteca.euit.fdsll.cat/cgi-bin/koha/opac-detail.pl?biblionumber=60560
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv International Journal of Environmental Research and Public Health 2021;18(4):1762
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.source.none.fl_str_mv reponame:DDEUIT. Dipòsit Digital de l'Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
instname:
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collection DDEUIT. Dipòsit Digital de l'Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa
repository.name.fl_str_mv
repository.mail.fl_str_mv
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