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dc.contributorInstitut d'Assistència Sanitària
dc.contributor.authorCalvo, Fran
dc.contributor.authorFàbregas, Carles
dc.contributor.authorAlfranca, Rebeca
dc.contributor.authorCalvet, Anna
dc.contributor.authorSalvans, Mercè
dc.contributor.authorGiralt, Cristina
dc.contributor.authorCastillejos, Sandra
dc.contributor.authorRived-Ocaña, Mercè
dc.contributor.authorCalvo, Paula
dc.contributor.authorCastillo, Paz
dc.contributor.authorGarre-Olmo, Josep
dc.contributor.authorCarbonell, Xavier
dc.contributor.authorTurró-Garriga, Oriol
dc.date.accessioned2021-12-02T09:21:59Z
dc.date.available2021-12-02T09:21:59Z
dc.date.issued2021-02-11
dc.identifier.citationCalvo F, Turró-Garriga O, Fàbregas C, Alfranca R, Calvet A, Salvans M, et al. Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain): A 10-Year Retrospective Cohort Study. Int J Environ Res Public Health. 2021 Feb;18(4):1762.
dc.identifier.issn1660-4601
dc.identifier.urihttps://hdl.handle.net/11351/6638
dc.descriptionHomelessness; Mortality; Risk factors
dc.description.abstractCurrent evidence suggests that mortality is considerably higher in individuals experiencing homelessness. The aim of this study was to analyze the mortality rate and the mortality risk factors in a sample of individuals experiencing homelessness in the city of Girona over a ten-year period. (2) Methods: We retrospectively examined the outcomes of 475 people experiencing homelessness with the available clinical and social data. Our sample was comprised of 84.4% men and 51.8% foreign-born people. Cox's proportional hazard models were used to identify mortality risk factors between origin groups. (3) Results: 60 people died during the ten-year period. The average age of death was 49.1 years. After adjusting for demographic characteristics and the duration of homelessness, the risk factors for mortality were origin (people born in Spain) (HR = 4.34; 95% CI = 1.89-10.0), type 2 diabetes (HR = 2.9; 95% CI = 1.62-5.30), alcohol use disorder (HR = 1.9; 95% CI = 1.12-3.29), and infectious diseases (HR = 1.6; 95% CI = 1.09-2.39). Our results show a high prevalence of infectious and chronic diseases. Type 2 diabetes emerges as an important risk factor in homelessness. The average age of death of individuals experiencing homelessness was significantly lower than the average age of death in the general population (which is greater than 80 years). Foreign-born homeless people were generally younger and healthier than Spanish-born homeless people. Chronic diseases were controlled better in Spanish-born people, but this group showed an increased risk of mortality.
dc.language.isoeng
dc.publisherMDPI
dc.relation.ispartofseriesInternational journal of environmental research and public health;18(4)
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectIndigents - Mortalitat - Girona (Catalunya)
dc.subjectIndicadors de salut - Girona (Catalunya)
dc.subject.meshHomeless Persons
dc.subject.meshHealth Status Indicators
dc.subject.meshMortality
dc.subject.meshGirona
dc.titleMortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain): A 10-Year Retrospective Cohort Study
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.3390/ijerph18041762
dc.subject.decspersonas sin hogar
dc.subject.decsindicadores de salud
dc.subject.decsmortalidad
dc.subject.decsGirona
dc.relation.publishversionhttps://doi.org/10.3390/ijerph18041762
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.event.productorBiblioteca
dc.contributor.authoraffiliation[Calvo F] Departament de Pedagogia, Institut de Recerca Sobre Qualitat de Vida, Universitat de Girona (UdG), Girona, Spain. [Turró-Garriga O] Grup de recerca Envelliment Discapacitat i Salut, Institut d'Investigació Biomèdica de Girona (IdIBGi), Salt, Spain. [Fàbregas C] Centre d’Acolliment i Serveis Socials “la Sopa”, Ajuntament de Girona, Girona, Spain. [Alfranca R, Salvans M] Centre d'Atenció Primària Santa Clara, Institut Català de la Salut (ICS), Girona, Spain. [Calvet A, Castillo P] Unitat d’Aguts, Institut d’Assistència Sanitària (IAS), Salt, Spain. [Giralt C] Centre d'Atenció Primària Blanes, Institut Català de la Salut(ICS), Blanes, Spain. [Castillejos S] Departament de Pedagogia, Institut de Recerca Sobre Qualitat de Vida, Universitat de Girona (UdG), Girona, Spain. [Rived-Ocaña M] Escola Universitària d’Infermeria i Teràpia Ocupacional, EUIT, Universitat Autònoma de Barcelona (UAB), Terrassa, Spain. [Calvo P] Departament de Ciències Mèdiques, Facultat de Medicina, Universitat de Girona (UdG), Girona, Spain. [Garre-Olmo J] Grup de recerca Envelliment Discapacitat i Salut, Institut d'Investigació Biomèdica de Girona (IdIBGi), Salt, Spain. Departament de Ciències Mèdiques, Facultat de Medicina, Universitat de Girona (UdG), Girona, Spain. [Carbonell X] Facultat de Psicologia, Ciències de l’Educació i l’Esport Blanquerna, Universitat Ramon Llull (URL), Barcelona, Spain
dc.identifier.pmid33670288
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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