Evidence map›Paper›PMID 16808781›Full record

ArticleJournal of general internal medicine2006

BRIEF REPORT: the aging of the homeless population: fourteen-year trends in San Francisco.

Judith A Hahn, Margot B Kushel, David R Bangsberg, Elise Riley, Andrew R Moss

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Geriatric syndromes in older homeless adults.Journal of general internal medicine · 2012
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  16. Housing Insecurity Among Patients With Cancer.Journal of the National Cancer Institute · 2022
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Judith A HahnEpi-Center, Department of Medicine, San Francisco General Hospital, University of California, San Francisco, CA 94143-1372, USA. jhahn@epi-center.ucsf.edu
Margot B Kushel
David R Bangsberg
Elise Riley
Andrew R Moss

Funding

TB PREVENTION AND HIV IN THE HOMELESS--AN INTERVENTIONR01MH054907 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BANGSBERG, DAVID ROY · 1995 to 2014
$20.7M
The Logics for HIV Risk among Street-Based Heroin InjectorsR01DA010164 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI BRANAS, CHARLES C. · 1996 to 2014
$4.9M
Mentoring Patient Oriented Adherence Research in UgandaK24MH087227 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BANGSBERG, DAVID ROY · 2009 to 2013
$776k
Improving Health Care Outcomes Among the HomelessK08HS011415 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUSHEL, MARGOT B · 2002 to 2006
$122k
HTLV-III INFECTION IN SAN FRANCISCO I.V. DRUG USERSR01DA004363 · NIDA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI MOSS, ANDREW R · 1986 to 1993
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AHRQ HHS K08 HS011415AHRQ HHS K08HS11415NIDA NIH HHS 5R01DA004363NIDA NIH HHS R01 DA010164NIDA NIH HHS R01DA010164NIMH NIH HHS 1R01MH054907NIMH NIH HHS R01 MH054907
6 · The paper itself

Abstract

backgroundHomelessness is associated with high rates of health and substance use problems.

objectiveTo examine trends in the age, housing, health status, health service utilization, and drug use of the homeless population over a 14-year period.

designSerial cross-sectional.

participantsWe studied 3,534 literally homeless adults recruited at service providers in San Francisco in 4 waves: 1990-1994, 1996-1998, 1999-2000, and 2003. MEASUREMENTS: Age, time homeless, self-reported chronic conditions, hospital and emergency department utilization, and drug and alcohol use.

resultsThe median age of the homeless increased from 37 to 46 over the study waves, at a rate of 0.66 years per calendar year (P<.01). The median total time homeless increased from 12 to 39.5 months (P<.01). Emergency department visits, hospital admissions, and chronic health conditions increased.

conclusionsThe homeless population is aging by about two thirds of a year every calendar year, consistent with trends in several other cities. It is likely that the homeless are static, aging population cohort. The aging trends suggest that chronic conditions will become increasingly prominent for homeless health services. This will present challenges to traditional approaches to screening, prevention, and treatment of chronic diseases in an aging homeless population.

Indexed as

AgingCross-Sectional StudiesEatingHousingHumansIll-Housed PersonsSan FranciscoTime Factors

Identifiers

PMID16808781
PMCPMC1924700

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.