Evidence map›Paper›PMID 38664800›Full record

ArticleBMC public health2024

Involuntary displacement and self-reported health in a cross-sectional survey of people experiencing homelessness in Denver, Colorado, 2018-2019.

Ashley A Meehan, Katherine E Milazzo, Michael Bien, Samantha K Nall, Katherine Diaz Vickery, Emily Mosites, Joshua A Barocas

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

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
16.1field-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

8 citing papers in PubMed, 19 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Ashley A MeehanDepartment of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, 21205, USA. Ameehan3@jhu.edu.
Katherine E MilazzoOur House Georgia, Atlanta, GA, USA.
Michael BienNational Foundation for the Centers for Disease Control and Prevention, Atlanta, GA, USA.
Samantha K NallDivisions of General Internal Medicine and Infectious Diseases, University of Colorado School of Medicine, Aurora, CO, USA.
Katherine Diaz VickeryHealth, Homelessness, & Criminal Justice Lab, Hennepin Health Care Research Institute, Minneapolis, MN, USA.
Emily MositesOffice of Readiness and Response, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Joshua A BarocasDivisions of General Internal Medicine and Infectious Diseases, University of Colorado School of Medicine, Aurora, CO, USA.
Centers for Disease Control and Prevention · USUniversity of Colorado Denver · USHennepin Healthcare Research Institute · USJohns Hopkins University · US

Funding

Improving medication adherence among people with diabetes who are homelessK23DK118117 · NIDDK · HENNEPIN HEALTHCARE RESEARCH INSTITUTE · PI VICKERY, KATHERINE DIAZ · 2019 to 2023
$1.1M
Strategies to reduce serious bacterial infections and overdose among people who inject drugsK01DA051684 · NIDA · UNIVERSITY OF COLORADO DENVER · PI BAROCAS, JOSHUA ADAM · 2020 to 2024
$809k
NIDA NIH HHS K01 DA051684NIDA NIH HHS K01DA051684NIDDK NIH HHS K23 DK118117NIDDK NIH HHS K23DK118117
6 · The paper itself

Abstract

backgroundThe number of people experiencing unsheltered homelessness in the U.S. is increasing. Municipalities have responded with punitive responses such as involuntary displacement (i.e., encampment sweeps, move along orders), but little is known about the impact of involuntary displacement on health. The purpose of this study was to investigate the association between broadly defined experiences of involuntary displacement and self-reported health conditions among people experiencing homelessness.

methodsWe used logistic regression models to generate odds ratios using publicly available data from a cross-sectional sample of people experiencing homelessness in Denver, Colorado, during September 2018-February 2019. Hosmer-Lemeshow Goodness of Fit tests were used to assess model fit.

resultsAmong 397 people experiencing homelessness, involuntary displacement was significantly associated with self-reported infectious diseases (adjusted odds ratio (aOR) 2.09, 95% CI 1.27, 3.41), substance and alcohol use (aOR 2.83; 95% CI 1.70, 4.73), climate-related conditions (aOR 2.27; 95% CI 1.35, 3.83), and worsening mental health (aOR 2.00; 95% CI 1.24, 3.24) after controlling for potential confounders. No statistically significant associations were identified between involuntary displacement and injuries, musculoskeletal issues, chronic conditions, and chronic mental and emotional issues.

conclusionsThis research quantifies the association between involuntary displacement and multiple infectious and non-infectious health outcomes. While city officials attempt to grapple with increasing unsheltered homelessness, it is important to understand what harms are occurring that are associated with current policies. Our research adds to the growing body of literature that involuntary displacement is a harmful response to unsheltered homelessness. Alternative approaches focused on connections to housing and social services should be prioritized.

Indexed as

Ill-Housed PersonsSelf ReportAdultColoradoCross-Sectional StudiesFemaleHealth StatusHumansMaleMiddle AgedYoung AdultHealth equityHomelessnessInvoluntary displacement

Identifiers

PMID38664800
PMCPMC11044435
OpenAlexW4395463318

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.