scholarly journals Health status and health behaviour of the Hungarian homeless people

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Emese Nagy-Borsy ◽  
Zsolt Vági ◽  
Petra Skerlecz ◽  
Blanka Szeitl ◽  
István Kiss ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Status ◽  
General Population ◽  
Homeless People ◽  
Good Health ◽  
Homeless Population ◽  
Income Quintile ◽  
Comprehensive Health ◽  
European Health Interview Survey ◽  
Almost All

Abstract Background Homelessness has risen recently in Europe, but there is lack of comprehensive health data on this population. Our aim was to characterize the health of the Hungarian homeless population. Methods We performed a health survey with 453 homeless individuals. The results were compared to the age and sex standardized data of the general Hungarian population and its lowest income quintile from the European Health Interview Survey 2014. The differences by the ETHOS classification within the homeless population were also studied. Results Significantly fewer homeless people reported good health status than in the general population or in its lowest income quintile (p< 0.001). Of the participants 70% had at least one chronic disease, only 41% of them visited a GP and 35% took medication in the previous 12 months. While 59% of the lowest income quintile and 50% of the general population had at least one chronic disease, almost all of them visited a physician and took medication. The highest prevalence of morbidity (80%) and multimorbidity (46%) was reported in the houseless group. The majority of the homeless people were current smokers, the prevalence was much higher than in the two reference populations (p< 0.001). The prevalence of heavy drinkers was the highest among the roofless participants (40%). Conclusions Homeless people have much poorer health and they utilize health services less than the most disadvantaged quintile of the general population. There is a clear social gradient within the homeless population, as well, which calls for integrated approaches for specific interventions to improve their health.

scholarly journals Health status and health behaviour of the Hungarian homeless people

2020 ◽  
Author(s):  
Emese Nagy-Borsy ◽  
Zsolt Vági ◽  
Petra Skerlecz ◽  
Blanka Szeitl ◽  
István Kiss ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Status ◽  
General Population ◽  
Homeless People ◽  
Good Health ◽  
Homeless Population ◽  
Income Quintile ◽  
Comprehensive Health ◽  
European Health Interview Survey ◽  
Almost All

Abstract Background Homelessness has risen recently in Europe, but there is lack of comprehensive health data on this population. Our aim was to characterize the health of the Hungarian homeless population.Methods We performed a health survey with 453 homeless individuals. The results were compared to the age and sex standardized data of the general Hungarian population and its lowest income quintile from the European Health Interview Survey 2014. The differences by the ETHOS classification within the homeless population were also studied.Results Significantly fewer homeless people reported good health status than in the general population or in its lowest income quintile (p < 0.001). Of the participants 70% had at least one chronic disease, only 41% of them visited a GP and 35% took medication in the previous 12 months. While 59% of the lowest income quintile and 50% of the general population had at least one chronic disease, almost all of them visited a physician and took medication. The highest prevalence of morbidity (80%) and multimorbidity (46%) was reported in the houseless group. The majority of the homeless people were current smokers, the prevalence was much higher than in the two reference populations (p < 0.001). The prevalence of heavy drinkers was the highest among the roofless participants (40%).Conclusions Homeless people have much poorer health and they utilize health services less than the most disadvantaged quintile of the general population. There is a clear social gradient within the homeless population, as well, which calls for integrated approaches for specific interventions to improve their health.

scholarly journals Screening of problem gambling among a homeless population in Warsaw

2019 ◽  
Vol 36 (6) ◽  
pp. 542-555 ◽  
Author(s):  
Łukasz Wieczorek ◽  
Jakub Stokwiszewski ◽  
Justyna I Klingemann
Keyword(s):  
Public Health ◽  
General Population ◽  
Problem Gambling ◽  
Homeless People ◽  
Severity Index ◽  
Homeless Persons ◽  
Health Concern ◽  
Homeless Population ◽  
Addictive Disorders ◽  
Prevention Programmes

Background: While homelessness and problem gambling are both recognised as social and public health concerns and the prevalence of addictive disorders among homeless populations tends to be high. These questions have been studied predominantly independently. Aim: The aim of the study was to explore the co-occurrence of the two phenomena among the homeless population using shelters and night shelters in Warsaw, and, more specifically, to provide information about the forms and frequency of gambling in this homeless population. Method: Homeless persons ( N = 690) were interviewed in rehabilitation-shelters ( n = 17) and night-shelters ( n = 2) in Warsaw from November 2015 until January 2016. The core component of the questionnaire was a screening test (Problem Gambling Severity Index). In addition, data regarding the intensity of gambling and various types of games or settings were collected. Results: The prevalence of problem gambling in this population of homeless people was 11.3%, whereas the prevalence of problem gambling in the general population in Poland is much lower (0.7%). Similarly to the general population, the most prevalent gambling games in the homeless population were lotteries; however, homeless people gambled in lotteries almost three times more often compared to the general population. Conclusions: This is the first study examining the prevalence of problem gambling in the homeless population in Poland. The findings of the study suggest that problem gambling among the homeless is a significant social and public health concern. High rates of problem gambling in the homeless population show the need to identify and monitor this problem in shelters and consequently to provide easier access to gambling treatment or prevention programmes.

Advocacy and Enumeration

2001 ◽  
Vol 45 (1) ◽  
pp. 105-120 ◽  
Author(s):  
CYNTHIA J. BOGARD
Keyword(s):  
New York ◽  
Local Community ◽  
Homeless People ◽  
Homeless Population ◽  
Important Research ◽  
Research Activity ◽  
The Past ◽  
General Terms ◽  
Almost All

Enumerating or estimating the numbers of homeless people has become an important research activity in the past few decades. The methodologies of almost all efforts to count homeless people have been closely linked to advocacy activities such as providing shelter and food to those in need. Yet the effect of advocacy work on estimating or enumerating homeless populations has not been much examined in the enumeration literature. This work reviews the methodology of enumeration as it has been influenced by the work of advocates both in general terms and through examining the methods used to conduct a study of a suburban homeless population in New York in 1994. Enumeration methods that overtly take local advocacy activities into account can provide an enriched assessment of homelessness as it exists in relation to surrounding structural conditions. In this case, advocacy work actively prevented literal homelessness for most families in the local community.

scholarly journals Cardiovascular Diseases and Women: Knowledge, Attitudes, and Behavior in the General Population in Italy

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Luisa Maria Roberta Tedesco ◽  
Gabriella Di Giuseppe ◽  
Francesco Napolitano ◽  
Italo Francesco Angelillo
Keyword(s):  
Risk Factors ◽  
Health Status ◽  
Cardiovascular Diseases ◽  
General Population ◽  
Perceived Risk ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Appropriate Behavior ◽  
High Cholesterol Level ◽  
Almost All

Background. The objectives of the study were to document knowledge, attitudes, and behaviors of women regarding cardiovascular diseases (CVDs) and the determinants associated.Materials and Methods. The cross-sectional survey was conducted among a random sample of 830 women older than 18 years from the general population in Italy.Results. Almost all participants reported having heard about CVDs, and among them 89.4% and 74.7% identified smoking and high cholesterol level as risk factors. Only 26.5% identified the main CVDs risk factors. Women more knowledgeable were married and better educated and self-perceived a worse health status. Only 23% knew the main CVDs preventive measures and this knowledge was significantly higher in women who are unemployed, who are more educated, who have received information about CVDs from physicians, and who know the main risk factors. Respondents with lower education, those with at least three children, those who self-perceived a worse health status, and those who need information were most likely to have a positive attitude toward the perceived risk of developing CVDs. Women with two or three children or more were at high risk profiles 49% and 56% lower than women with one child.Conclusions. Educational programs are needed among women as support to improve knowledge and appropriate behavior about CVDs.

scholarly journals Do Older Indonesian with Chronic Disease Still Be Able to Engage in an Activity and Feel Happy?

2020 ◽  
Vol 4 (2) ◽  
pp. 1-13
Author(s):  
Santi SULANDARI ◽  
Afrilin Dewi PURNAMA ◽  
Mei WIJAYANTI ◽  
Fitriana Dwi HASTUTI ◽  
Permata Ashfi RAIHANA
Keyword(s):  
Chronic Disease ◽  
Health Status ◽  
Qualitative Study ◽  
Older People ◽  
Thematic Analysis ◽  
Good Health ◽  
Poor Health Status ◽  
Central Java ◽  
Surrounding Environment ◽  
Depth Interview

This study aimed to understand what activities could be done by older Indonesian who are physically sick and how those activities can make them feel happy. It was a qualitative study conducted in the Surakarta, Central Java, Indonesia. A total of 6 older people aged >60 years and suffering from the chronic disease were selected for this study. The data were collected by an in-depth interview. The data were analyzed using thematic analysis with the help of the NVivo 12 QSR program. Older people with chronic disease were still able to be active in worship, socializing with the surrounding environment, working, doing the daily chores, and doing older people gymnastic. The benefit of staying engaged in the activity, including the ability to feel happy, be motivated to get a reward, exchange ideas, and share experience, help others, be calm, and have good health. This study emphasized the importance of being engaged in activities for older people to achieve happiness even though there had poor health status.

scholarly journals The access of the homeless persons with tuberculosis to the health care: an integrative review

10.3823/2384 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Annelissa Andrade Virgínio de Oliveira ◽  
Rita de Cassia Cordeiro de Oliveira ◽  
Khivia Kiss da Silva Barbosa ◽  
Ana Valéria Machado Mendonça ◽  
Maria Fátima de Sousa ◽  
...  
Keyword(s):  
Health Care ◽  
General Population ◽  
Health Services ◽  
Health Services Accessibility ◽  
Homeless People ◽  
Homeless Persons ◽  
Homeless Person ◽  
Care Process ◽  
Homeless Population ◽  
Tb Control

Introduction: The Tuberculosis (TB) keeps being a big public health problem in the world, having the poverty, the bad life condition, the bad income distribution, the social iniquity and the disability on the health system as a substrate to its maintenance. Objective: To identify the scientific knowledge produced under the access to the health service of the homeless person sick by TB. Method: Integrative literature review conducted from April to June, 2016, having as inclusion criteria: publications written in Portuguese, English or Spanish, published from 1990 to 2015, indexed on the data basis: LILACS, SciELO, MEDLINE and Web of Science and portals Virtual Health Library (VHL) and MEDLINE/PubMed, that had the text completely available online. As searching strategy was used the Boolean operator AND, with the descriptors: Tuberculosis, health services accessibility; homeless persons. To obtain the information that answered the research guideline question was elaborated a form that contemplated the following items: identification, theme, descriptors or key-words, abstract, introduction, method, results, discussion, conclusions and references. The search resulted in 51 articles that, observed with the inclusion and exclusion criteria, resulted in 10 complete articles. The data analyzes was made in qualitative terms, summarized in three categories: I) Specific characteristics of the homeless people access to the health services to tuberculosis diagnostic and treatment; II) Access difficulty to the health care: factors related to homeless people and factors related to health services; III) Strategies to overcome the access difficulties of the homeless person (HLP)  to the health care. Results: pointed that the homeless people have a higher risk to get sick by TB, presenting TB incidence rate 10 to 20 times higher than the general population. Many obstacles that limited those people access to the health services were identified. Many times they presented difficulty to identify the appropriated place to search for assistance and not always this place had the opened doors to this social group. Another important finding treats about the low adhesion to the TB treatment, because treating about the search for health care, the homeless people are less inclined to search the health services, seen that living on the street implies in a daily fight for survival. To those people, the sickness treatment has a lower priority than the meal obtaining, the searching for shelter, or the search for a job. Discussion: It was observed that by the fact to be exposed to many risk factors, such as: alcoholism, chemical dependence, environmental exposition, inadequate sleeping accommodations, crowed shelters, stress, psycho disturbs, poverty, HIV infection, weak nutrition, affected immunity through the pre-existent conditions, lack of access to health services, cognitive affection and the adverse effects to the health by the lack of home, the homeless people have high risk to get sick and the high TB mortality rate if compared to the general population. Thus it is evident the serious problem that this disease represents to this specific group, justifying urgently the necessity of specific actions to the TB control in this population. The most important element during the TB elimination will be a significant decreasing of the agglomerations, on the poverty and the barriers to the health care. To increase the access to the health care is essential on the homeless population TB control. It is necessary to highlight that when health services that attends their necessity are provided, the homeless individuals will access to the health care at the same rhythm as the general population. Conclusion: It is necessary that the health actions break the strictly technical caring barriers and include the psychosocial and educative perspective in all the health care process to homeless people with different conformations due to the individuals’ singularities and their scenarios. Thus, the search by the more integral care and, therefore, more efficient possible, it is wait that be included on the health team daily work, routines and process to a systematic search for the health necessities, and developed abilities to recognize the adequacy of the offers to the specific context, in which is given the meeting from the individual and the team. Keywords: Tuberculosis; health services accessibility; homeless persons.

scholarly journals Multimorbidity and emergency department visits by a homeless population: a database study in specialist general practice

2019 ◽  
Vol 69 (685) ◽  
pp. e515-e525 ◽  
Author(s):  
Matthew Bowen ◽  
Sarah Marwick ◽  
Tom Marshall ◽  
Karen Saunders ◽  
Sarah Burwood ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hepatitis C ◽  
General Population ◽  
Alcohol Dependence ◽  
Homeless People ◽  
Multidisciplinary Care ◽  
Emergency Department Visits ◽  
Homeless Population ◽  
Healthcare Needs ◽  
Primary Healthcare Centre

BackgroundEstimating healthcare needs of the homeless is associated with challenges in identifying the eligible population.AimTo explore the demographic characteristics, disease prevalence, multimorbidity, and emergency department visits of the homeless population.Design and settingEMIS electronic database of patient medical records and Quality and Outcomes Framework (QOF) data of all 928 patients registered with a major specialist homeless primary healthcare centre based in the West Midlands in England, from the period of October 2016 to 11 October 2017.MethodPrevalence data on 21 health conditions, multimorbidity, and visits to emergency departments were explored and compared with the general population datasets.ResultsMost homeless people identified were male (89.5%), with a mean age of 38.3 (SD = 11.5) years, and of white British origin (22.1%). Prevalence of substance (13.5%) and alcohol dependence (21.3%), hepatitis C (6.3%), and multimorbidity (21.3%) were markedly higher than in the general population. A third (32.5%) had visited the emergency department in the preceding 12 months. Emergency department visits were associated with a patient history of substance (odds ratio [OR] = 2.69) and alcohol dependence (OR = 3.14).ConclusionA high prevalence of substance and alcohol dependence, and hepatitis C, exists among the homeless population. Their emergency department visit rate is 60 times that of the general population and the extent of multimorbidity, despite their lower mean age, is comparable with that of 60–69-year-olds in the general population. Because of multimorbidity, homeless people are at risk of fragmentation of care. Diversification of services under one roof, preventive services, and multidisciplinary care are imperative.

Health status and health behaviours of the Hungarian homeless caregivers

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Nagy-Borsy ◽  
B Szeitl ◽  
I Kiss ◽  
Z s Rákosy
Keyword(s):  
Mental Health ◽  
Health Status ◽  
General Population ◽  
Health Behavior ◽  
Role Model ◽  
Vegetable Consumption ◽  
Adult Population ◽  
Homeless People ◽  
Health Problems ◽  
High Rate

Abstract Background So far little attention has been given to the physical and mental health of homeless caregivers. Their health behavior can serve as role model for homeless people. For this reason, the aim of our study was to identify the health problems and health behavior of homeless caregivers. Methods We conducted a representative nationwide survey including 559 individuals to determine the homeless caregivers' health status and health behavior. The results were compared with the age and sex adjusted data of the European Health Interview Survey 2014 that was carried out in the general Hungarian adult population. Results The majority of participants (71%) gave positive ratings to their own health, they considered their health status significantly better compared to the general population (p = 0.002). Of them 34% had chronic disease compared to the 39% of the general population, 27% experienced limitation because of their health problems. Their mental status was worse than the general population, 40% had depression compared to the 23% of the reference. Majority of them (59%) were obese or overweight, those who lived in countryside were more likely to be obese or overweight than those who lived in the capital (p = 0.02). Only 41% of them consumed fruits and 26% of them consumed vegetables on a daily basis. These rates were significantly lower compared to the general population, p &lt; 0.008. Most of them (62%) were occasional drinker. The prevalence of current smokers (37%) were higher among them than in the general population (32%) Conclusions In conclusion, the homeless caregivers had worse mental health status than the general Hungarian population. They were also characterized by unhealthy lifestyle such as inadequate fruit and vegetable consumption and high rate of smoking. As caregivers serve as a role model for homeless people, supporting their health and health behavior might have strong effect on health of homeless people as well. Key message The survey’s findings indicate the health program for homeless caregivers would be worthwhile specially focusing on smoking cessation, healthy eating and mental health.

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