Evidence map›Paper›PMID 25390578›Full record

ReviewLancet (London, England)2014

The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations.

Seena Fazel, John R Geddes, Margot Kushel

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Lancet (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 690 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
690citing papers in PubMed, 7 pooled it
90.6field-weighted citation impact, top 1% of its field
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.

NCT03781297 nacompletednot on this mapstarted 2019, after this paper: background citation

Protocol for a Feasibility Study of Narrative Exposure Therapy in Homeless Individuals With Post-Traumatic Stress Disorder

TypeinterventionalSponsorUniversity of OttawaRan2019 to 2020Enrolled15ConditionsPTSDArmsNarrative Exposure Therapy, Genealogical Services
NCT06065553 unknown statusnot on this mapstarted 2023, after this paper: background citation

Study on the Prevalence of Psychiatric and Substance Abuse Disorders Among People in Precarious Situations, Extreme Exclusion and/or Wandering on Cayenne and Its Surroundings.

TypeobservationalSponsorCentre Hospitalier de CayenneRan2023 to 2025Enrolled150ConditionsPsychiatric Disorder, Substance Use Disorders
3 · Its place in the literature

Who cites it

690 citing papers in PubMed, 7 syntheses or guidelines pooled it, 1,571 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Tackling Inequalities in Access to Medicines for People Experiencing Homelessness: A Meta-Ethnography and Qualitative Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  4. Effectiveness of Interventions for Meaningful Activity Participation in Homelessness: A Systematic Review.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2024
    Pooled it
  5. Pooled it
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  8. Trial
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  17. Article
  18. Review
  19. [Patient navigation in severe mental illness-challenges, models, and perspectives].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
    Review
  20. Article

630 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Seena FazelDepartment of Psychiatry, University of Oxford, Oxford, UK. Electronic address: seena.fazel@psych.ox.ac.uk.
John R GeddesDepartment of Psychiatry, University of Oxford, Oxford, UK.
Margot KushelUniversity of California San Francisco/San Francisco General Hospital, San Francisco, CA, USA.
University of Oxford · GBUniversity of California, San Francisco · US

Funding

Wellcome Trust 095806
6 · The paper itself

Abstract

In the European Union, more than 400,000 individuals are homeless on any one night and more than 600,000 are homeless in the USA. The causes of homelessness are an interaction between individual and structural factors. Individual factors include poverty, family problems, and mental health and substance misuse problems. The availability of low-cost housing is thought to be the most important structural determinant for homelessness. Homeless people have higher rates of premature mortality than the rest of the population, especially from suicide and unintentional injuries, and an increased prevalence of a range of infectious diseases, mental disorders, and substance misuse. High rates of non-communicable diseases have also been described with evidence of accelerated ageing. Although engagement with health services and adherence to treatments is often compromised, homeless people typically attend the emergency department more often than non-homeless people. We discuss several recommendations to improve the surveillance of morbidity and mortality in homeless people. Programmes focused on high-risk groups, such as individuals leaving prisons, psychiatric hospitals, and the child welfare system, and the introduction of national and state-wide plans that target homeless people are likely to improve outcomes.

Indexed as

Health PolicyHealth StatusAdultAgedAge DistributionAustraliaCanadaChronic DiseaseDelivery of Health CareDeveloped CountriesEuropeHealth ServicesHumansIll-Housed PersonsInfectionsMental Disorders

Identifiers

PMID25390578
PMCPMC4520328
OpenAlexW2105368594

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.