| A population-based assessment of the health of homeless families in New York City, 2001-2003. | |
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MedLine Citation:
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PMID: 21233439 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article Date: 2011-01-13 |
Journal Detail:
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Title: American journal of public health Volume: 101 ISSN: 1541-0048 ISO Abbreviation: Am J Public Health Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-02-10 Completed Date: 2011-03-29 Revised Date: 2013-04-15 |
Medline Journal Info:
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Nlm Unique ID: 1254074 Medline TA: Am J Public Health Country: United States |
Other Details:
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Languages: eng Pagination: 546-53 Citation Subset: AIM; IM |
Affiliation:
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Department of Health and Mental Hygiene, New York, NY 10013, USA. bkerker@health.nyc.gov |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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7439-92-1/Lead |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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