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Health Status of People Who Are and Are Not Experiencing Homelessness: Opportunities for Improvement,International Journal of Environmental Research and Public Health

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2025-06-10 22:18

This study assessed the physical and psychological health parameters of adults experiencing homelessness to inform the development and delivery of health services by comparing with a housed population in the same South Australian city. Adults experiencing homelessness, known to existing support services, were invited to participate in a comprehensive assessment of their physical and mental health using questionnaires and objective assessments. Descriptive analyses using the percentage of participants failing to attain recommended published thresholds and accumulated health deficits for 16 health assessments were compared for the young group of people experiencing homelessness (18–40 years), the middle aged and older people experiencing homelessness (40–75 years), and a housed population of the middle aged and older people (40–75 years). Those experiencing homelessness had multiple and potentially inter-related health deficits compared with a population of people not experiencing homelessness in the same city. They were significantly less likely to meet healthy population norms for clinical frailty (p < 0.001), psychological distress (p < 0.001), grip strength (p < 0.001), lung function (p < 0.001), sleep quality (p < 0.001), and pelvic floor bother (p = 0.002). Significantly more accumulated health deficits were found for people experiencing homelessness when compared with the same ages for those who were not (mean 6.5 (SD 2.4) compared with 5.0 (SD 2.1)). This considerably increased for people experiencing homelessness aged less than 40 years (mean 8.7 (1.7)). Priorities for health service provision for people of different ages experiencing homelessness, when compared with housed community dwellers, have been described. The provision of targeted health assessments and service provision that specifically address healthcare needs among people experiencing homelessness are likely to have the biggest impacts across multiple health domains.

中文翻译：

无家可归者和无家可归者的健康状况：改善的机会

本研究评估了无家可归成年人的身心健康参数，通过与南澳大利亚州同一城市的住房人口进行比较，为卫生服务的开发和提供提供信息。现有支持服务已知的无家可归成年人被邀请参与使用问卷和客观评估对其身心健康进行全面评估。使用未达到建议的已发布阈值的参与者百分比和 16 项健康评估的累积健康缺陷进行描述性分析，对无家可归的年轻人群（18-40 岁）、无家可归的中老年人（40-75 岁）和有住房的中老年人群（40-75 岁）进行了比较。与同一城市中没有无家可归的人群相比，那些无家可归的人存在多种且可能相互关联的健康缺陷。他们显着降低满足临床虚弱（p < 0.001）、心理困扰（p < 0.001）、握力（p < 0.001）、肺功能（p < 0.001）、睡眠质量（p < 0.001）和盆底困扰（p = 0.002）的健康人群标准。与无家可归者的相同年龄相比，无家可归者发现的累积健康缺陷明显更多（平均值 6.5 （SD 2.4）对 5.0 （SD 2.1））。对于 40 岁以下的无家可归者，这一比例大大增加（平均 8.7 （1.7））。与有家可归的社区居民相比，已经描述了为不同年龄的无家可归者提供卫生服务的优先事项。提供有针对性的健康评估和服务提供，专门解决无家可归者的医疗保健需求，可能会在多个健康领域产生最大的影响。