Evidence map›Paper›PMID 37006541›Full record

ReviewFrontiers in public health2023

Accelerated aging in people experiencing homelessness: A rapid review of frailty prevalence and determinants.

Rhys Mantell, Ye In Jane Hwang, Kylie Radford, Silvija Perkovic, Patricia Cullen, Adrienne Withall

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
21.4field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Dementia care and mortality in people experiencing homelessness: A matched cohort study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Health Deficits Among People Experiencing Homelessness in an Australian Capital City: An Observational Study.International journal of environmental research and public health · 2025
    Observational
  18. Review
  19. Article
  20. Health Status of People Who Are and Are Not Experiencing Homelessness: Opportunities for Improvement.International journal of environmental research and public health · 2024
    Article
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

6 authors at 2 institutions in 1 country.

Rhys MantellSchool of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, Australia.
Ye In Jane HwangSchool of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, Australia.
Kylie RadfordUNSW Ageing Futures Institute, University of New South Wales (UNSW), Sydney, NSW, Australia.
Silvija PerkovicSchool of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, Australia.
Patricia CullenSchool of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, Australia.
Adrienne WithallSchool of Population Health, Faculty of Medicine and Health, University of New South Wales (UNSW), Sydney, NSW, Australia.
UNSW Sydney · AUThe George Institute for Global Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Older people experiencing homelessness (PEH) are a rapidly growing population at risk of accelerated aging and the early onset of geriatric conditions. One construct that shows promise in predicting age-related decline is frailty. Better understanding the rates and causes of frailty in PEH may improve understanding of its antecedents, thereby facilitating more targeted health and aged care service interventions. The aim of this study was to conduct a rapid review on the prevalence and determinants of frailty in adult PEH. Methods: We conducted a rapid review of primary research papers studying PEH and frailty or frailty-related concepts. Results: Fourteen studies were included, which indicate that frailty presents earlier and at higher rates in PEH than community-dwelling cohorts. A notable difficulty for many aging PEH was early-onset cognitive impairment which was associated with a range of negative functional outcomes. Another recurrent theme was the negative impact that drug and alcohol use and dependence can have on the health of PEH. Further, psychosocial and structural determinants such as loneliness, living in an impoverished neighborhood and being female had statistically significant associations with frailty and functional decline in PEH. Discussion and implications: PEH in their 40s and 50s can be frail and experience geriatric conditions, including cognitive impairment. Factors that have important relationships to frailty and functional decline in PEH include cognitive deficits, drug and alcohol dependence and loneliness, as well as upstream determinants such as gender and ethnicity. More targeted data and research on these factors, including cohort studies to better investigate their potentially causal effects, is important for researchers and practitioners assessing and treating frailty in PEH, particularly those interested in early intervention and prevention. Prospero registration ID: CRD42022292549.

Indexed as

FrailtyIll-Housed PersonsAgedAgingFemaleFrail ElderlyGeriatric AssessmentHumansMalePrevalenceaccelerated agingcognitive impairmentfrailtyhomelessnessmarginalized and vulnerable groupssocial determinants of health

Identifiers

PMID37006541
PMCPMC10061143
OpenAlexW4327618485

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.