ArticleBMJ open2019
Health-related quality of life and prevalence of six chronic diseases in homeless and housed people: a cross-sectional study in London and Birmingham, England.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 5 of them syntheses that pooled it.
What it found
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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.
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Who cites it
72 citing papers in PubMed, 5 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- 'You can change your life through sports'-physical activity interventions to improve the health and well-being of adults experiencing homelessness: a mixed-methods systematic review.British journal of sports medicine · 2024Pooled it
- The Impact of Being Homeless on the Clinical Outcomes of COVID-19: Systematic Review.International journal of public health · 2023Pooled it
- Interventions to mitigate the risks of COVID-19 for people experiencing homelessness and their effectiveness: a systematic review.Frontiers in public health · 2023Pooled it
- Cardiovascular disease in homeless versus housed individuals: a systematic review of observational and interventional studies.Heart (British Cardiac Society) · 2020Pooled it
- Physical functioning limitations and physical activity of people experiencing homelessness: A scoping review.HRB open research · 2020Pooled it
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- Opportunistic screening for COPD among socially marginalized patients.BMC pulmonary medicine · 2024Trial
- 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
- Heat Perceptions, Behaviors, and Barriers of Unhoused Individuals in Germany.Public health challenges · 2026Article
- Development of Sarcopenia Management Systems for Former Homeless Older Adults Residing in Supportive Housing: Mixed Methods Study.Asian/Pacific Island nursing journal · 2026Article
- Empowerment and quality of life through cancer prevention in people experiencing homelessness: evaluating the Health Navigator Model.Health and quality of life outcomes · 2026Article
- Peer advocacy and access to hospital care for people who are homeless in London, UK, 2019-2023: a cohort study.BMJ open · 2026Article
- Factors Associated With Rising Homelessness Within US States, 2019 to 2024.JAMA network open · 2026Article
- Health Challenges in Vulnerable Populations: Neurological and Vascular Diseases Among People Experiencing Homelessness in Gdańsk, Poland: An Observational Study.Journal of clinical medicine · 2026Article
- Dermatological diagnoses among people experiencing homelessness in the USA.Skin health and disease · 2026Article
- Challenges and opportunities in embedding core components of substance use health care into Housing First programs.Frontiers in public health · 2026Article
- The impact and cost-effectiveness of scaling up HCV treatment for achieving elimination among people who inject drugs in England: a synopsis including evidence synthesis and economic modelling.Health technology assessment (Winchester, England) · 2026Article
- Feasibility and acceptability of strategies aiming to increase smoking cessation rates among people experiencing homelessness: A scoping review.Tobacco prevention & cessation · 2026Article
12 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo compare health-related quality of life and prevalence of chronic diseases in housed and homeless populations.
designCross-sectional survey with an age-matched and sex-matched housed comparison group.
settingHostels, day centres and soup runs in London and Birmingham, England.
participantsHomeless participants were either sleeping rough or living in hostels and had a history of sleeping rough. The comparison group was drawn from the Health Survey for England. The study included 1336 homeless and 13 360 housed participants. OUTCOME MEASURES: Chronic diseases were self-reported asthma, chronic obstructive pulmonary disease (COPD), epilepsy, heart problems, stroke and diabetes. Health-related quality of life was measured using EQ-5D-3L.
resultsHoused participants in more deprived neighbourhoods were more likely to report disease. Homeless participants were substantially more likely than housed participants in the most deprived quintile to report all diseases except diabetes (which had similar prevalence in homeless participants and the most deprived housed group). For example, the prevalence of chronic obstructive pulmonary disease was 1.1% (95% CI 0.7% to 1.6%) in the least deprived housed quintile; 2.0% (95% CI 1.5% to 2.6%) in the most deprived housed quintile; and 14.0% (95% CI 12.2% to 16.0%) in the homeless group. Social gradients were also seen for problems in each EQ-5D-3L domain in the housed population, but homeless participants had similar likelihood of reporting problems as the most deprived housed group. The exception was problems related to anxiety, which were substantially more common in homeless people than any of the housed groups.
conclusionsWhile differences in health between housed socioeconomic groups can be described as a 'slope', differences in health between housed and homeless people are better understood as a 'cliff'.
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Registered trials
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