オントリオ州トロントのホームレスシェルターを利用する男性の死亡率
1FK Morrow Inner City Health Research Unit, St Michael's Hospital, University of Toronto, Ontario, Canada. hwangs@smh.toronto.on.ca
JAMA
|May 3, 2000
まとめ
トロントのホームレス男性は,一般人よりも高い死亡率に直面しているが,米国の都市よりも低い死亡率に直面している. この研究は,北米全土のホームレス集団の死亡率の大きな格差を強調しています.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 社会医学 ソーシャル・メディシン
背景:
- 米国の都市におけるホームレス人口は,高い死亡率を示しています.
- 他の先進国のホームレスの比較データは限られている.
研究 の 目的:
- トロントのホームレスシェルターの男性の死亡率と一般人口の死亡率を比較する.
- トロントのホームレス男性の死亡率の違いを,米国の都市と比較して評価する.
主な方法:
- 一つのコホート研究では,18歳以上の8,933人の男性が,1995年から1997年にかけてトロントのホームレスシェルターを利用した.
- 死亡率の比率は,トロントのホームレス男性と一般人口,ニューヨーク,ボストン,フィラデルフィアのホームレス男性を比較して計算された.
- 追跡期間は平均2.6年でした.
主要な成果:
- トロントのホームレス男性の死亡率は,トロントの一般人口よりも高く,年齢層の割合は2.3~8.3でした.
- しかし,トロントのホームレス男性は,ボストン,ニューヨーク,フィラデルフィアのホームレス男性と比較して,著しく低い死亡率を示しました.
- 例えば,トロントとボストンの死亡率比 (25~44歳) は0.52でした.
結論:
- トロントのホームレス男性の死亡率は,一般人口と比較して高いが,米国の都市部と比較してかなり低い.
- この研究は,カナダと米国のホームレス男性における死亡リスクの大きな格差を明らかにした.
- この観察された差異に寄与する要因を明らかにするために,さらなる研究が推奨されます.
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