| Titre : | A Population-Based Assessment of the Health of Homeless Families in New York City, 2001-2003. (2011) |
| Auteurs : | Bonnie-D KERKER ; Tracy AGERTON ; Jay BAINBRIDGE ; Yussef BENNANI ; Andrew FACIANO ; Lisa FORGIONE ; Joseph KENNEDY ; Dova MARDER ; Lorna-E THORPE ; Department of Health and Mental Hygiene. New York. NY. USA ; Department of Homeless Services. New York. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 101, n° 3, 2011) |
| Pagination : | 546-553 |
| Langues: | Anglais |
| Mots-clés : | Population ; Sans domicile fixe ; Famille ; Milieu urbain ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 9R0xpqtq. Diffusion soumise à autorisation]. Objectives. We compared estimated population-based health outcomes for New York City (NYC) homeless families with NYC residents overall and in low-income neighborhoods. Methods. We matched a NYC family shelter user registry to mortality, tuberculosis, HIV/AIDS, and blood lead test registries maintained by the NYC Department of Health and Mental Hygiene (2001-2003). Results. Overall adult age-adjusted death rates were similar among the 3 populations. HIV/AIDS and substance-use deaths were 3 and 5 times higher for homeless adults than for the general population ; only substance-use deaths were higher than for low-income adults. Children who experienced homeless-ness appeared to be at an elevated risk of mortality (41.3 vs 22.5 per 100000 ; P<. 05). Seven in 10 adult and child deaths occurred outside shelter. Adult HIV/AIDS diagnosis rates were more than twice citywide rates but comparable with low-income rates, whereas tuberculosis rates were 3 times higher than in both populations. Homeless children had lower blood lead testing rates and a higher proportion of lead levels over 10 micrograms per deciliter than did both comparison populations. Conclusions. Morbidity and mortality levels were comparable between homeless and low-income adults ; homeless children's slightly higher risk on some measures possibly reflects the impact of poverty and poor-quality, unstable housing. |
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