Evidence map›Paper›PMID 41752237›Full record

ArticleInternational journal of environmental research and public health2026

Prevalence and Correlates of Probable Depression and Anxiety Among Homeless Individuals During the COVID-19 Pandemic in Germany.

Veronika Kowalski, André Hajek, Victoria Van Rüth, Wiebke Graf, Katharina Dost, Anna Brennecke, Hans-Helmut König, Klaus Püschel, Benjamin Ondruschka, Fabian Heinrich and 1 more

Abstract readMulticenter Study
In one paragraph

Article in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Veronika KowalskiInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, Germany.ORCID 0009-0007-0948-5074
André HajekDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.ORCID 0000-0002-6886-2745
Victoria Van RüthInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, Germany.
Wiebke GrafInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, Germany.
Katharina DostInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, Germany.
Anna BrenneckeInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, Germany.
Hans-Helmut KönigDepartment of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.ORCID 0000-0001-5711-6862
Klaus PüschelInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, Germany.
Benjamin OndruschkaInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, Germany.
Fabian HeinrichInstitute of Legal Medicine, University Medical Center Hamburg-Eppendorf, 22529 Hamburg, Germany.ORCID 0000-0002-2922-4863
Franziska StallbaumI. Department of Medicine, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.

Funding

Deutsche Forschungsgemeinschaft 493624519German Red Cross district association Hamburg Altona and Mitte e.V. Germany no grant number (provision of a vehicle free of charge)Volkswagen Foundation AZ: 99269
6 · The paper itself

Abstract

objectiveHomeless individuals are vulnerable, and a high burden of mental health problems is suspected. We aim to identify the prevalence and key predictors of probable depression and anxiety among homeless individuals in Germany during the Coronavirus disease-2019 (COVID-19) pandemic. STUDY

designNationwide multicentre cross-sectional study including clinical, laboratory, and questionnaire-based data on the health of homeless individuals in Germany.

methodsData were used from the

resultsA high prevalence of probable depression (26.8% [95% CI: 23.2-30.3]) and anxiety (27.2% [95% CI: 23.7-30.7]) was found. Logistic regressions showed both probable depression and anxiety associated with being female (depression: OR 1.80 [95% CI: 1.06-3.03]; anxiety: OR: 1.69 [95% CI: 1.03-2.76]), daily use of any illegal substances (depression: OR 3.20 [95% CI: 1.87-5.49]; anxiety: OR 2.04 [95% CI: 1.21-3.45]), and fear of contracting COVID-19 (little fear, depression: OR: 1.81 [95% CI 1.01-3.23], some fear, anxiety: OR: 2.52 [95% CI: 1.31-4.83]). Probable depression was associated with longer durations of homelessness (OR: 1.004, [95% CI: 1.001-1.007].

conclusionsProbable depression and anxiety are highly prevalent in homeless individuals throughout. Key predictors may help to identify individuals in need and design targeted interventions.

Indexed as

AnxietyCOVID-19DepressionIll-Housed PersonsAdultCross-Sectional StudiesFemaleGermanyHumansMaleMiddle AgedPandemicsPrevalenceSARS-CoV-2anxietyCOVID-19depressionhomelessmental healthpublic health

Identifiers

PMID41752237
PMCPMC12941050

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