Observational studyJournal of general internal medicine2025
Estimating Health Condition Prevalence Among a Statewide Cohort with Recent Homelessness or Incarceration.
Observational study in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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
4 citing papers in PubMed.
- Comparison of statewide substance use disorder prevalence estimates from survey data vs electronic health record data.Drug and alcohol dependence · 2026Article
- Obesity and severe obesity prevalence among youth aged 2-17 in Minnesota, 2020-2025.Preventive medicine reports · 2026Article
- Population Estimates and Hypertension and Diabetes Prevalence: Cross-Sectional Quantitative Study Comparing Electronic Health Record-Derived Counts, Census, and Centers for Disease Control and Prevention Population Level Analysis and Community Estimates.JMIR public health and surveillance · 2026Article
- Design and Implementation of a State-Wide Network for Near Real-Time Public Health Surveillance and Research: The Minnesota Electronic Health Record Consortium Experience.Learning health systems · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
Abstract
backgroundPublic health data systems have limited ability to provide timely, population-level information for people with severe and multiple disadvantages, such as individuals with recent homelessness or incarceration.
objectiveTo generate prevalence estimates for physical health, mental health, and substance use conditions in a statewide cohort that included individuals with recent incarceration or homelessness.
designThis observational cohort analysis was completed in July 2025 and used linked statewide electronic health record (EHR) and administrative data through the Minnesota Electronic Health Record Consortium (MNEHRC) and its Health Trends Across Communities project.
participantsAdults with an encounter at a MNEHRC-participating health system between 2021-2023. MAIN MEASURES: Statewide directly standardized, age and sex-adjusted, prevalence rates of 22 health conditions chosen by public health, healthcare, and research leaders in Minnesota, stratified by recent homelessness, jail incarceration, or prison incarceration. KEY
resultsThis cohort included 4,362,645 individuals (53% female, 73% white), including 20,139 individuals with recent homelessness, 51,470 individuals with recent jail incarceration, and 4,889 individuals with recent prison incarceration. Individuals with recent homelessness or jail or prison incarceration had a higher prevalence of asthma (14.9%, 9.6%, 10.1% respectively, vs. 7.1%) and COPD (10.5%, 6.1%, 5.5%, respectively, vs. 3.0%) compared to the general population. Individuals with recent homelessness had the highest rates of mental health disorders compared to other included groups; recently homeless Black individuals had the highest recorded rates of psychotic disorder diagnoses (18.7%) across racial and ethnic groups experiencing homelessness. Substance use disorders among individuals with recent homelessness or jail or prison incarceration, including opioid use disorder (13.9%, 10.6%, and 13.6%, respectively, vs. 1.4%), were higher compared to the general population.
conclusionsOur findings highlight widespread disparities among people with recent homelessness or incarceration, particularly related to mental health and substance use conditions. Payment and delivery models that account for high levels of co-occurring health and social complexity are needed.
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