居住在永久支持性住房中的个人死亡率:一项回顾性队列研究
Kaitlyn Ramsay1, Hammad Shahid1, Parvin Merchant2
1Department of Medical Studies, University of Toronto, Toronto, ON, Canada.
概括
在支持性住房中,以前无家可归的人仍然面临高死亡率,过量服用药物是主要原因. 有针对性的卫生干预措施至关重要,以减少这一弱势群体中可预防的死亡.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 流行病学 流行病学
背景情况:
- 经历无家可归的人群的死亡率高于一般人群.
- 之前无家可归的人在获得住房后的长期死亡风险仍未得到充分研究.
研究的目的:
- 调查前无家可归者永久支持性住房计划的居民的死亡率模式.
主要方法:
- 从2018年1月1日到2022年12月31日,在加拿大多伦多的一项145个单位的支持性住房计划中观察到了222名居民的队列.
- 卡普兰-梅尔生存分析被用来评估死亡率趋势.
主要成果:
- 在研究期间,居民中有34人死亡 (粗死亡率:每100人年5.10人死亡).
- 大多数死亡 (71%) 发生在住房单位内,药物过量是重要因素,造成至少三分之一的死亡.
- 五年生存率为78%,在40岁或更年轻的人群中,与老年居民相比,没有观察到生存优势.
结论:
- 永久支持性住房居民,即使在住房后,也面临着严重的死亡风险.
- 迫切需要有针对性的卫生干预措施,以减轻可预防的死亡,并改善前无家可归者在支持性住房中的福祉.
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