在使用行政数据的全人口观测研究中,无家可归的预测因素和后果:系统审查
Eileen Mitchell1,2, Tanisha Waring3, Elayne Ahern4
1Centre for Public Health, Queen's University Belfast, Belfast, UK. e.mitchell@qub.ac.uk.
BMC public health
|August 23, 2023
概括
无家可归显著恶化健康和社会结果,增加死亡率和医疗保健使用. 本次审查强调了对标准化数据的需求,以更好地了解和解决无家可归者的原因和后果.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 无家可归带来了复杂的公共卫生和社会挑战.
- 有限的数据存在于人口层面的健康和社会护理预测因素/对无家可归者 (PEH) 的生活经验的人的后果.
- 由于专注于子组或临时数据收集,现有研究往往缺乏概括性.
研究的目的:
- 通过使用常规行政数据,系统地审查全人群研究.
- 确定与经历无家可归相关的风险因素和后果.
- 综合现有的关于无家可归者对健康和社会护理影响的证据.
主要方法:
- 在主要数据库 (EMBASE,MEDLINE,CINAHL,PsycINFO,Cochrane图书馆) 进行系统的文献搜索,直到2023年2月.
- 包括英语研究,分析无家可归,健康和社会护理的行政数据.
- 遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 30项研究符合纳入标准,涵盖死亡率,发病率,医疗保健利用率和社会结果.
- 与普通人群相比,无家可归者身体和心理健康状况较差.
- 增加的风险包括更高的住院率,急诊室使用率,死亡率,以及COVID-19等不良结果,失业和监禁,儿童无家可归的影响最大.
结论:
- 这是关于无家可归的原因和后果的全人口行政数据研究的首次系统审查.
- 虽然已经确定了一些风险因素,但研究仍然有限,需要更多的标准化方法.
- 改善数据标准化对于更好地了解无家可归的多方面的影响至关重要.
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