ArticleBMJ open2015
Mortality from treatable illnesses in marginally housed adults: a prospective cohort study.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A systematic review and meta-analysis of synthetic cathinone use and psychosis.Psychopharmacology · 2024Pooled it
- Mortality among people with regular or problematic use of amphetamines: a systematic review and meta-analysis.Addiction (Abingdon, England) · 2019Pooled it
- Infectious Diseases Among People Experiencing Homelessness: A Systematic Review of the Literature in the United States and Canada, 2003-2022.Public health reports (Washington, D.C. : 1974)Pooled it
- Observational
- Creating Compassionate Spaces for End-of-Life Care for Older People Experiencing Homelessness: Protocol for an Environmental Assessment of Hospice Settings.JMIR research protocols · 2025Article
- A scoping review of psychiatric conditions associated with chronic pain in the homeless and marginally housed population.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Characterizing Traumatic Brain Injury and Its Association with Losing Stable Housing in a Community-based Sample.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Traumatic brain injury in precariously housed persons: Incidence and risks.EClinicalMedicine · 2022Article
- Component Processes of Decision Making in a Community Sample of Precariously Housed Persons: Associations With Learning and Memory, and Health-Risk Behaviors.Frontiers in psychology · 2021Article
- Practical Strategies Using Medical Cannabis to Reduce Harms Associated With Long Term Opioid Use in Chronic Pain.Frontiers in pharmacology · 2021Article
- Associations of substance use, psychosis, and mortality among people living in precarious housing or homelessness: A longitudinal, community-based study in Vancouver, Canada.PLoS medicine · 2020Article
- Housing situation and healthcare for patients in a psychiatric centre in Berlin, Germany: a cross-sectional patient survey.BMJ open · 2019Article
- Diffusion tensor imaging of neurocognitive profiles in a community cohort living in marginal housing.Brain and behavior · 2019Article
- Article
- Clinical and functional characteristics of young adults living in single room occupancy housing: preliminary findings from a 10-year longitudinal study.Canadian journal of public health = Revue canadienne de sante publique · 2018Article
- The Cedar Project: mortality among young Indigenous people who use drugs in British Columbia.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Article
- Model-based projection of health and economic effects of screening for hepatitis C in Canada.CMAJ open · 2017Article
- The Hotel Study-Clinical and Health Service Effectiveness in a Cohort of Homeless or Marginally Housed Persons.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017Article
- A comparison of psychotic symptoms in subjects with methamphetamine versus cocaine dependence.Psychopharmacology · 2017Article
- Improving mental health service users' with medical co-morbidity transition between tertiary medical hospital and primary care services: a qualitative study.BMC health services research · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
17 authors.
Funding
Abstract
objectivesSocially disadvantaged people experience greater risk for illnesses that may contribute to premature death. This study aimed to evaluate the impact of treatable illnesses on mortality among adults living in precarious housing.
designA prospective cohort based in a community sample.
settingA socially disadvantaged neighbourhood in Vancouver, Canada.
participantsAdults (N=371) living in single room occupancy hotels or recruited from the Downtown Community Court and followed for median 3.8 years.
main outcome measuresParticipants were assessed for physical and mental illnesses for which treatment is currently available. We compared cohort mortality rates with 2009 Canadian rates. Left-truncated Cox proportional hazards modelling with age as the time scale was used to assess risk factors for earlier mortality.
resultsDuring 1269 person-years of observation, 31/371 (8%) of participants died. Compared with age-matched and sex-matched Canadians, the standardised mortality ratio was 8.29 (95% CI 5.83 to 11.79). Compared with those that had cleared the virus, active hepatitis C infection was a significant predictor for hepatic fibrosis adjusting for alcohol dependence and age (OR=2.96, CI 1.37 to 7.08). Among participants <55 years of age, psychosis (HR=8.12, CI 1.55 to 42.47) and hepatic fibrosis (HR=13.01, CI 3.56 to 47.57) were associated with earlier mortality. Treatment rates for these illnesses were low (psychosis: 32%, hepatitis C virus: 0%) compared with other common disorders (HIV: 57%, opioid dependence: 61%) in this population.
conclusionsHepatic fibrosis and psychosis are associated with increased mortality in people living in marginal conditions. Timely diagnosis and intervention could reduce the high mortality in marginalised inner city populations.
Indexed as
Identifiers
What OpenQuestion holds
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.