在安大略省多伦多的无家可归者收容所使用的男性死亡率
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
概括
多伦多的无家可归男性面临的死亡率高于普通人口,但比美国城市的死亡率低. 这项研究强调了北美无家可归人口死亡率的显著差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会医学 社会医学
背景情况:
- 美国城市的无家可归人口的死亡率较高.
- 对于其他发达国家的无家可归者,仅有有限的比较数据.
研究的目的:
- 将多伦多无家可归者收容所的男性死亡率与普通人口进行比较.
- 评估与美国城市相比,多伦多无家可归男性死亡率的差异.
主要方法:
- 一项队列研究跟踪了8,933名18岁以上的男性,他们在1995年至1997年期间使用了多伦多的无家可归庇护所.
- 通过将多伦多的无家可归男性与纽约,波士顿和费城的普通人口和无家可归男性进行比较,计算出死亡率比率.
- 随访时间平均为2.6年.
主要成果:
- 多伦多的无家可归男性的死亡率高于多伦多一般人口,年龄组的死亡率比率从2.3到8.3不等.
- 然而,与波士顿,纽约和费城的无家可归者相比,多伦多的无家可归者死亡率明显较低.
- 例如,多伦多与波士顿 (25-44岁) 的死亡率比率为0.52.
结论:
- 与普通人口相比,多伦多无家可归男性的死亡率较高,但比同等美国城市中心要低得多.
- 该研究发现,加拿大和美国之间的无家可归男性死亡风险存在显著差异.
- 建议进行进一步的研究,以阐明导致这种观察到的差异的因素.
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