Mortality from treatable illnesses in marginally housed adults: a prospective cohort study
| Autor: | William G. Honer, Julio S. G. Montaner, William J. Panenka, Alexander Rauscher, G. William MacEwan, Tari Buchanan, Alasdair M. Barr, Geoffrey N. Smith, Andrea A. Jones, Olga Leonova, Verena Langheimer, Michael Krausz, Donna J. Lang, Krista Schultz, Ric M. Procyshyn, Fidel Vila-Rodriguez, Allen E. Thornton |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Liver Cirrhosis Male Gerontology Canada Substance-Related Disorders Communicable Diseases Vulnerable Populations 03 medical and health sciences 0302 clinical medicine Risk Factors Cause of Death medicine Humans Prospective Studies 030212 general & internal medicine Mortality Prospective cohort study Cause of death Proportional hazards model business.industry Research Mental Disorders Mortality rate Alcohol dependence INFECTIOUS DISEASES General Medicine Hepatitis C Middle Aged medicine.disease 3. Good health 030227 psychiatry Mental Health Standardized mortality ratio Ill-Housed Persons Cohort Housing Female PUBLIC HEALTH business Demography |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2015-008876 |
| Popis: | Objectives Socially disadvantaged people experience greater risk for illnesses that may contribute to premature death. This study aimed to evaluate the impact of treatable illnesses on mortality among adults living in precarious housing. Design A prospective cohort based in a community sample. Setting A socially disadvantaged neighbourhood in Vancouver, Canada. Participants Adults (N=371) living in single room occupancy hotels or recruited from the Downtown Community Court and followed for median 3.8 years. Main outcome measures Participants were assessed for physical and mental illnesses for which treatment is currently available. We compared cohort mortality rates with 2009 Canadian rates. Left-truncated Cox proportional hazards modelling with age as the time scale was used to assess risk factors for earlier mortality. Results During 1269 person-years of observation, 31/371 (8%) of participants died. Compared with age-matched and sex-matched Canadians, the standardised mortality ratio was 8.29 (95% CI 5.83 to 11.79). Compared with those that had cleared the virus, active hepatitis C infection was a significant predictor for hepatic fibrosis adjusting for alcohol dependence and age (OR=2.96, CI 1.37 to 7.08). Among participants |
| Databáze: | OpenAIRE |
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