HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Barrow, S M Articles by Struening, E L Search for Related Content PubMed PubMed Citation Articles by Barrow, S M Articles by Struening, E L

Mortality among homeless shelter residents in New York City.

S M Barrow, D B Herman, P Córdova and E L Struening

New York State Psychiatric Institute, New York 10032, USA. barrows@pi.cpmc.columbia.edu

OBJECTIVES: This study examined the rates and predictors of mortality among sheltered homeless men and women in New York City. METHODS: Identifying data on a representative sample of shelter residents surveyed in 1987 were matched against national mortality records for 1987 through 1994. Standardized mortality ratios were computed to compare death rates among homeless people with those of the general US and New York City populations. Logistic regression analysis was used to examine predictors of mortality within the homeless sample. RESULTS: Age-adjusted death rates of homeless men and women were 4 times those of the general US population and 2 to 3 times those of the general population of New York City. Among homeless men, prior use of injectable drugs, incarceration, and chronic homelessness increased the likelihood of death. CONCLUSIONS: For homeless shelter users, chronic homelessness itself compounds the high risk of death associated with disease/disability and intravenous drug use. Interventions must address not only the health conditions of the homeless but also the societal conditions that perpetuate homelessness.

This article has been cited by other articles:

				M. B. Kushel, I. H. Yen, L. Gee, and M. E. Courtney Homelessness and Health Care Access After Emancipation: Results From the Midwest Evaluation of Adult Functioning of Former Foster Youth Arch Pediatr Adolesc Med, October 1, 2007; 161(10): 986 - 993. [Abstract] [Full Text] [PDF]

				J. J. Runquist and P. G. Reed Self-Transcendence and Well-Being in Homeless Adults J Holist Nurs, March 1, 2007; 25(1): 5 - 13. [Abstract] [PDF]

				M. B. Kushel and C. Miaskowski End-of-Life Care for Homeless Patients: "She Says She Is There to Help Me in Any Situation" JAMA, December 27, 2006; 296(24): 2959 - 2966. [Abstract] [Full Text] [PDF]

				T. E. Martinez and M. R. Burt Impact of Permanent Supportive Housing on the Use of Acute Care Health Services by Homeless Adults Psychiatr Serv, July 1, 2006; 57(7): 992 - 999. [Abstract] [Full Text] [PDF]

				D. Buchanan, B. Doblin, T. Sai, and P. Garcia The Effects of Respite Care for Homeless Patients: A Cohort Study Am J Public Health, July 1, 2006; 96(7): 1278 - 1281. [Abstract] [Full Text] [PDF]

				T. Podymow, J. Turnbull, and D. Coyle Shelter-based palliative care for the homeless terminally ill Palliative Medicine, March 1, 2006; 20(2): 81 - 86. [Abstract] [PDF]

				E. Roy, N. Haley, P. Leclerc, B. Sochanski, J.-F. Boudreau, and J.-F. Boivin Mortality in a Cohort of Street Youth in Montreal JAMA, August 4, 2004; 292(5): 569 - 574. [Abstract] [Full Text] [PDF]

				T. P. O'Toole, J. L. Gibbon, B. H. Hanusa, P. J. Freyder, A. M. Conde, and M. J. Fine Self-Reported Changes in Drug and Alcohol Use After Becoming Homeless Am J Public Health, May 1, 2004; 94(5): 830 - 835. [Abstract] [Full Text] [PDF]

				A. M. Cheung and S. W. Hwang Risk of death among homeless women: a cohort study and review of the literature Can. Med. Assoc. J., April 13, 2004; 170(8): 1243 - 1247. [Abstract] [Full Text] [PDF]

				R. T. Penson, L. A. Fergus, R. J. Haston, J. R. Clark, A. Demotses, J. J. O'Connell, B. A. Chabner, and T. J. Lynch Jr. The Kenneth B. Schwartz Center at Massachusetts General Hospital Hematology-Oncology Department: Hope for the Homeless Oncologist, October 1, 2003; 8(5): 488 - 495. [Abstract] [Full Text] [PDF]

				M. Nordentoft and N. Wandall-Holm 10 year follow up study of mortality among users of hostels for homeless people in Copenhagen BMJ, July 10, 2003; 327(7406): 81. [Abstract] [Full Text] [PDF]

				D. McCormack and J. MacIntosh Research with Homeless People Uncovers a Model of Health West J Nurs Res, November 1, 2001; 23(7): 679 - 697. [Abstract] [PDF]

				L. HECHT and B. COYLE Elderly Homeless: A Comparison of Older and Younger Adult Emergency Shelter Seekers in Bakersfield, California American Behavioral Scientist, September 1, 2001; 45(1): 66 - 79. [Abstract] [PDF]

				T. F. Brewer, S. J. Heymann, S. M. Krumplitsch, M. E. Wilson, G. A. Colditz, and H. V. Fineberg Strategies to Decrease Tuberculosis in US Homeless Populations: A Computer Simulation Model JAMA, August 15, 2001; 286(7): 834 - 842. [Abstract] [Full Text] [PDF]

				M. B. Kushel, E. Vittinghoff, and J. S. Haas Factors Associated With the Health Care Utilization of Homeless Persons JAMA, January 10, 2001; 285(2): 200 - 206. [Abstract] [Full Text] [PDF]

				J. D. Plumb Homelessness: reducing health disparities Can. Med. Assoc. J., July 1, 2000; 163(2): 172 - 173. [Full Text] [PDF]

				S. W. Hwang Mortality Among Men Using Homeless Shelters in Toronto, Ontario JAMA, April 26, 2000; 283(16): 2152 - 2157. [Abstract] [Full Text] [PDF]

				C. C. Wang, J. L. Cash, and L. S. Powers Who Knows the Streets as Well as the Homeless? Promoting Personal and Community Action through Photovoice Health Promot Pract, January 1, 2000; 1(1): 81 - 89. [Abstract] [PDF]

				Other articles noted Evid. Based Ment. Health, November 1, 1999; 2(4): 104 - 104. [Full Text]