Résumé :
|
[BDSP. Notice produite par INIST ttx1WR0x. Diffusion soumise à autorisation]. Context Homeless persons in US cities have high mortality rates. However, few comparison data exist for death rates among homeless persons in other developed countries. Objectives To compare mortality rates among men using homeless shelters and the general population in Toronto, Ontario, and to determine whether mortality rates differ significantly among men using homeless shelters in Canadian and US cities. Design Cohort study conducted from 1995 through 1997, with a mean follow-up of 2.6 years. Participants Men aged 18 years or older who used homeless shelters in Toronto in 1995 (n=8933). Main Outcome Measure Mortality rate ratios comparing age-specific mortality rates among men using homeless shelters in Toronto with those of men in the general population of Toronto and of men using homeless shelters in New York, NY ; Boston, Mass ; and Philadelphia, Pa. Results Men using homeless shelters in Toronto were more likely to die than men in the city's general population. Mortality rate ratios were 8.3 (95% confidence interval [Cl], 4.4-15.6) for men aged 18 to 24 years, 3.7 (95% Cl, 3.0-4.6) for men aged 25 to 44 years, and 2.3 (95% Cl, 1.8-3.0) for men aged 45 to 64 years. In most cases, however, the risk of death was significantly lower for men using homeless shelters in Toronto than for those in US cities. For men aged 25 to 44 years using homeless shelters, mortality rate ratios were 0.52 (95% Cl, 0.41-0.65) for Toronto compared with Boston and 0.61 (95% CI, 0.44-0. (...)
|