Document Detail


A population-based assessment of the health of homeless families in New York City, 2001-2003.
MedLine Citation:
PMID:  21233439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We compared estimated population-based health outcomes for New York City (NYC) homeless families with NYC residents overall and in low-income neighborhoods.
METHODS: We matched a NYC family shelter user registry to mortality, tuberculosis, HIV/AIDS, and blood lead test registries maintained by the NYC Department of Health and Mental Hygiene (2001-2003).
RESULTS: Overall adult age-adjusted death rates were similar among the 3 populations. HIV/AIDS and substance-use deaths were 3 and 5 times higher for homeless adults than for the general population; only substance-use deaths were higher than for low-income adults. Children who experienced homelessness appeared to be at an elevated risk of mortality (41.3 vs 22.5 per 100,000; P < .05). Seven in 10 adult and child deaths occurred outside shelter. Adult HIV/AIDS diagnosis rates were more than twice citywide rates but comparable with low-income rates, whereas tuberculosis rates were 3 times higher than in both populations. Homeless children had lower blood lead testing rates and a higher proportion of lead levels over 10 micrograms per deciliter than did both comparison populations.
CONCLUSIONS: Morbidity and mortality levels were comparable between homeless and low-income adults; homeless children's slightly higher risk on some measures possibly reflects the impact of poverty and poor-quality, unstable housing.
Authors:
Bonnie D Kerker; Jay Bainbridge; Joseph Kennedy; Yussef Bennani; Tracy Agerton; Dova Marder; Lisa Forgione; Andrew Faciano; Lorna E Thorpe
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Publication Detail:
Type:  Journal Article     Date:  2011-01-13
Journal Detail:
Title:  American journal of public health     Volume:  101     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-10     Completed Date:  2011-03-29     Revised Date:  2013-07-02    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  546-53     Citation Subset:  AIM; IM    
Affiliation:
Department of Health and Mental Hygiene, New York, NY 10013, USA. bkerker@health.nyc.gov
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Female
HIV Infections / mortality
Health Status Indicators*
Homeless Persons / statistics & numerical data*
Humans
Income
Infant
Lead / blood
Male
Middle Aged
Mortality / trends*
New York City / epidemiology
Population Surveillance
Poverty Areas
Prevalence
Registries
Retrospective Studies
Tuberculosis / mortality
Chemical
Reg. No./Substance:
7439-92-1/Lead
Comments/Corrections

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