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Associations between Duration of Homelessness and Cardiovascular Risk Factors: A Pilot Study
Jie Gao1, Haiyan Qu2, Keith M McGregor1
1Department of Clinical and Diagnostic Science, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Insights
Longer homelessness duration increases cardiovascular disease risk factors like diabetes and high cholesterol in homeless individuals. Frequency of homelessness did not show a significant association with these risks.
Area of Science:
- Public Health
- Cardiology
- Sociology
Background:
- Cardiovascular disease (CVD) disproportionately impacts the homeless population in the U.S.
- Understanding the link between homelessness duration/frequency and CVD risk is crucial.
- Addressing health disparities in homeless individuals requires targeted interventions.
Purpose of the Study:
- To investigate the correlation between a history of homelessness and cardiovascular disease (CVD) risk factors.
- To examine how duration and frequency of homelessness relate to CVD risk in a specific population.
Main Methods:
- Study conducted in Birmingham, AL, recruiting 61 homeless adults from shelters.
- Data collected via interviews, physical measurements, and capillary blood draws.
- Analysis focused on associations between homelessness history and CVD risk factors.
Main Results:
- Positive association found between duration of homelessness and CVD risk factors: diabetes mellitus, total cholesterol, and low-density lipoprotein (LDL).
- No significant association was observed between the frequency of homelessness and any CVD risk factors.
- The study highlights duration as a key factor in CVD risk for this population.
Conclusions:
- Longer duration of homelessness is linked to increased cardiovascular disease risk factors.
- Frequency of homelessness does not appear to be a significant predictor of CVD risk.
- Future research should refine methods for assessing homelessness history and include broader risk factors.
Abstract:
Cardiovascular disease (CVD) in the United States disproportionally affects people who are homeless. This disparity is a critical concern that needs to be addressed to improve the health of individuals who are homeless. The connections between a history of homelessness, i.e., its duration and frequency, and CVD risk are not well understood. The present study sought to investigate how a history of homelessness is correlated with CVD risk factors in a sample of homeless persons in the Deep South. This study recruited participants who were homeless from two local adult homeless shelters in Birmingham, AL. Participants (n = 61) underwent interviews, physical measurements, and a capillary blood draw. Their mean age was 47 years, and 82% were men. Results showed the duration of homelessness was positively associated with several CVD risk factors (diabetes mellitus, total cholesterol, and low-density lipoprotein). However, there was no significant association between frequency of homelessness and any CVD risk factors. To get the more accurate estimate of CVD risk in this population, future research should incorporate additional risk factors related to homelessness and seek to develop a robust strategy to collect an accurate history of homelessness.
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