ArticleBJGP open2017
Multimorbidity, disadvantage, and patient engagement within a specialist homeless health service in the UK: an in-depth study of general practice data.
Article in BJGP open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.
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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.
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Who cites it
41 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The prevalence of multimorbidity with mental and physical health for people who experience homelessness: a systematic review.European journal of public health · 2025Pooled it
- Targeted interventions to improve the social and economic circumstances of people with mental ill-health from marginalised communities: a systematic review.Psychological medicine · 2025Pooled it
- Prevalence and risk factors of frailty in people experiencing homelessness: A systematic review and meta-analysis.The Journal of frailty & aging · 2025Pooled it
- Pooled it
- Trial
- Trial
- Treatment burden for people experiencing homelessness with a recent non-fatal overdose: a questionnaire study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Trial
- Assessing the feasibility, acceptability and accessibility of a peer-delivered intervention to reduce harm and improve the well-being of people who experience homelessness with problem substance use: the SHARPS study.Harm reduction journal · 2022Trial
- A peer-delivered intervention to reduce harm and improve the well-being of homeless people with problem substance use: the SHARPS feasibility mixed-methods study.Health technology assessment (Winchester, England) · 2022Trial
- Perspectives of clinicians caring for people experiencing homelessness on point of care tests: an online survey.BMJ open · 2026Article
- Observational
- Article
- Comparing major comorbidity indices as predictors of all-cause mortality in the Veterans Affairs health care system.Journal of clinical epidemiology · 2025Article
- The public health significance of prior homelessness: findings on multimorbidity and mental health from a nationally representative survey.Epidemiology and psychiatric sciences · 2024Article
- Milestone intermediate care unit: Integrated health and social care for people experiencing homelessness - A novel approach.Future healthcare journal · 2024Article
- Improving access to general practice for and with people with severe and multiple disadvantage: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Protocol for a pilot randomised controlled trial to evaluate integrated support from pharmacist independent prescriber and third sector worker for people experiencing homelessness: the PHOENIx community pharmacy study.Pilot and feasibility studies · 2023Article
- Social exclusion and its impact on health over the life course: A realist review protocol.HRB open research · 2023Article
- Improving access to general practice for people with severe and multiple disadvantage: a realist review protocol (The Connection Study).Wellcome open research · 2023Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a paucity of current health data regarding users of a specialist homeless health service in the UK.
aimTo describe the health of users of a specialist homeless health service by assessing levels of multimorbidity, social exclusion - by measuring severe and multiple disadvantage (SMD) - and patient engagement with health care. DESIGN &
settingAnalysis of patient-level data from computerised records of patients registered with a specialist homeless health service in Glasgow, Scotland.
methodData for 133 patients were extracted using a data extraction form. Multimorbidity and SMD were described using categorisation adapted from previous literature in this field. Stepwise regression analysis was carried out to assess the relationship between domains of SMD experienced and the number of long-term conditions (LTCs) a patient had.
resultsThe average age of patients in the cohort was 42.8 years, however levels of multimorbidity were comparable to those aged ≥85 years in the general population. The average number of LTCs was 2.8 per patient, with 60.9% of patients having both mental and physical comorbidity. SMD was categorised into three domains: homelessness; substance misuse; and previous imprisonment. More than 90.0% of patients experienced ≥2 domains of SMD, and SMD experiences were associated with multimorbidity: as domains of SMD experiences increased, so did the number of LTCs a patient was recorded as having.
conclusionThis cohort of patients has a complex burden of health and social care needs, which may act as barriers in the provision of effective health care.
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