ArticlePloS one2013
Mortality and life expectancy in homeless men and women in Rotterdam: 2001-2010.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The prevalence of mental disorders among homeless people in high-income countries: An updated systematic review and meta-regression analysis.PLoS medicine · 2021Pooled it
- Pooled it
- Mortality in homeless people enrolled in the French housing first randomized controlled trial: a secondary outcome analysis of predictors and causes of death.BMC public health · 2021Trial
- Methodological innovations in studying marginalized populations in research on neurodegeneration and ageing.Frontiers in aging neuroscience · 2026Review
- Excess mortality among people in homelessness with substance use disorders: a Swedish cohort study.Journal of epidemiology and community health · 2024Article
- Disparities in all-cause mortality among people experiencing homelessness in Toronto, Canada during the COVID-19 pandemic: a cohort study.Frontiers in public health · 2024Article
- Describing the characteristics and symptom profile of a group of urban patients experiencing socioeconomic inequity and receiving palliative care: a descriptive exploratory analysis.Palliative care and social practice · 2024Article
- The collateral damage of the COVID-19 pandemic on homeless people in the Netherlands; a qualitative study on the impact of health and care.Frontiers in medicine · 2024Article
- Immunity against measles, mumps, rubella, and varicella among homeless individuals in Germany - A nationwide multi-center cross-sectional study.Frontiers in public health · 2024Article
- Homelessness and mortality: gender, age, and housing status inequity in Korea.Epidemiology and health · 2024Article
- Vital Needs of Dutch Homeless Service Users: Responsiveness of Local Services in the Light of Health Equity.International journal of environmental research and public health · 2023Article
- Health situation and perceived health status among women experiencing homelessness: A longitudinal study in Spain.Public health nursing (Boston, Mass.) · 2023Article
- Implementation of a threefold intervention to improve palliative care for persons experiencing homelessness: a process evaluation using the RE-AIM framework.BMC palliative care · 2022Article
- Scoping review: Scope of practice of nurse-led services and access to care for people experiencing homelessness.Journal of advanced nursing · 2022Article
- Evaluating the perceived added value of a threefold intervention to improve palliative care for persons experiencing homelessness: a mixed-method study among social service and palliative care professionals.BMC palliative care · 2022Article
- Unstable Housing and Kidney Disease: A Primer.Kidney medicine · 2022Review
- PROTOCOL: Exploring the effect of case management in homelessness per components: A systematic review of effectiveness and implementation, with meta-analysis and thematic synthesis.Campbell systematic reviews · 2022Article
- Unmet service needs and barriers to care of individuals experiencing absolute homelessness in Edmonton, Canada: a cross-sectional survey.Social psychiatry and psychiatric epidemiology · 2022Article
- Doctor-patient interactions that exclude patients experiencing homelessness from health services: an ethnographic exploration.BJGP open · 2021Article
- Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain): A 10-Year Retrospective Cohort Study.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundData on mortality among homeless people are limited. Therefore, this study aimed to describe mortality patterns within a cohort of homeless adults in Rotterdam (the Netherlands) and to assess excess mortality as compared to the general population in that city.
methodsBased on 10-year follow-up of homeless adults aged ≥ 20 years who visited services for homeless people in Rotterdam in 2001, and on vital statistics, we assessed the association of mortality with age, sex and type of service used (e.g. only day care, convalescence care, other) within the homeless cohort, and also compared mortality between the homeless and general population using Poisson regression. Life tables and decomposition methods were used to examine differences in life expectancy.
resultsDuring follow-up, of the 2096 adult homeless 265 died. Among the homeless, at age 30 years no significant sex differences were found in overall mortality rates and life expectancy. Compared with the general Rotterdam population, mortality rates were 3.5 times higher in the homeless cohort. Excess mortality was larger in women (rate ratio [RR] RR 5.56, 95% CI 3.95-7.82) as compared to men (RR 3.31, 95% CI 2.91-3.77), and decreased with age (RR 7.67, 95% CI 6.87-8.56 for the age group 20-44 and RR 1.63, 95% CI 1.41-1.88 for the age group 60+ years). Life expectancy at age 30 years was 11.0 (95% CI 9.1-12.9) and 15.9 (95% CI 10.3-21.5) years lower for homeless men and women compared to men and women in the general population respectively.
conclusionHomeless adults face excessive losses in life expectancy, with greatest disadvantages among homeless women and the younger age groups.
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