Mortality in a cohort of homeless adults in philadelphia

New England Journal of Medicine

Volumn 331, Issue 5, 1994, Pages 304-309

  Hibbs, Jonathan R ^a,b   Benner, Lawrence ^c   Klugman, Lawrence ^c   Spencer, Robert ^c   Macchia, Irene ^d   Mellinger, Anne K ^e   Fife, Daniel ^f,g  

^a CENTERS FOR DISEASE CONTROL AND PREVENTION   (United States)

^b Bureau of Epidemiology   (United States)

^c Off of Mental Hlth/Mental Retard   (United States)

^d Philadelphia Office of Services for Homeless Adults ^*  (United States)

^e PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH   (United States)

^f R W JOHNSON PHARMACEUTICAL RES I   (United States)

^g UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CAUCASIAN; CITY; FEMALE; HEART DISEASE; HOMELESSNESS; HUMAN; INJURY; INTOXICATION; LIVER DISEASE; MALE; MORTALITY; NORMAL HUMAN; PRIORITY JOURNAL; SUBSTANCE ABUSE; SUMMER; UNITED STATES;

AMERICAS; DEMOGRAPHIC FACTORS; DEVELOPED COUNTRIES; DIFFERENTIAL MORTALITY; GEOGRAPHIC FACTORS; HOMELESS PERSONS; MORTALITY; NORTH AMERICA; NORTHERN AMERICA; PENNSYLVANIA; POPULATION; POPULATION DYNAMICS; RESIDENCE CHARACTERISTICS; SPATIAL DISTRIBUTION; UNITED STATES;

ADOLESCENT; ADULT; AGED; CAUSE OF DEATH; CONFIDENCE INTERVALS; ETHNIC GROUPS; FEMALE; HOMELESS PERSONS; HUMANS; MALE; MIDDLE AGED; MORTALITY; PHILADELPHIA; RISK;

EID: 0028094736     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJM199408043310506     Document Type: Article

References (45)

1. Characteristics and risk behaviors of homeless black men seeking services from the community homeless assistance plan — Dade County, Florida, August 1991 MMWR Morb Mortal Wkly Rep 1991; 40: 865-868
2. Lamb HR, Talbott JA The homeless mentally ill: the perspective of the American Psychiatric Association. JAMA 1986; 256: 498-501
3. Bassuk EL Homeless families. Sci Am 1991; 265: 66-74
4. Lepkowski JM Sampling the difficult-to-sample. J Nutr 1991; 121: 416-423
5. Susser E, Conover S, Struening EL Mental illness in the homeless: problems of epidemiologic method in surveys of the 1980s. Community Ment Health J 1990; 26: 391-414
6. Connelly J, Roderick P, Victor C Health service planning for the homeless population: availability and quality of existing information. Public Health 1990; 104: 109-116
7. Gelberg L, Linn LS Assessing the physical health of homeless adults. JAMA 1989; 262: 1973-1979 [Erratum, JAMA 1989;262:3132.]
8. Parker RM, Rescorla LA, Finkelstein JA, Barnes N, Holmes JH, Stolley PD A survey of the health of homeless children in Philadelphia shelters. Am J Dis Child 1991; 145: 520-526
9. Ferenchick GS Medical problems of homeless and nonhomeless persons attending an inner-city clinic: a comparative study. Am J Med Sci 1991; 301: 379-382
10. Calsyn RJ, Morse G Homeless men and women: commonalities and a service gender gap. Am J Community Psychol 1990; 18: 597-608
11. Susser E, Struening EL, Conover S Psychiatric problems in homeless men: lifetime psychosis, substance use, and current distress in new arrivals at New York City shelters. Arch Gen Psychiatry 1989; 46: 845-850
12. Breakey WR, Fischer PJ, Kramer M, Health and mental health problems of homeless men and women in Baltimore. JAMA 1989; 262: 1352-1357
13. Linn LS, Gelberg L, Leake B Substance abuse and mental health status of homeless and domiciled low-income users of a medical clinic. Hosp Community Psychiatry 1990; 41: 306-310
14. Koegel P, Burnham MA, Farr RK The prevalence of specific psychiatric disorders among homeless individuals in the inner city of Los Angeles. Arch Gen Psychiatry 1988; 45: 1085-1092
15. Padgett D, Struening EL, Andrews H Factors affecting the use of medical, mental health, alcohol, and drug treatment services by homeless adults. Med Care 1990; 28: 805-821
16. Wood D, Valdez RB Barriers to medical care for homeless families compared with housed poor families. Am J Dis Child 1991; 145: 1109-1115
17. Hanzlick R, Lazarchick J Health care history and utilization for Atlantans who died homeless. J Med Assoc Ga 1989; 78: 205-208
18. Gelberg L, Linn LS, Usatine RP, Smith MH Health, homelessness, and poverty: a study of clinic users. Arch Intern Med 1990; 150: 2325-2330
19. Kinchen K, Wright JD Hypertension management in health care for the homeless clinics: results from a survey. Am J Public Health 1991; 81: 1163-1165
20. Paterson CM, Roderick P Obstetric outcome in homeless women. BMJ 1990; 301: 263-266
21. Padgett DK, Struening EL Influence of substance abuse and mental disorders on emergency room use by homeless adults. Hosp Community Psychiatry 1991; 42: 835-838
22. Brudney K, Dobkin J Resurgent tuberculosis in New York City: human immunodeficiency virus, homelessness, and the decline of tuberculosis control programs. Am Rev Respir Dis 1991; 144: 745-749
23. Torres RA, Mani S, Altholz J, Brickner PW Human immunodeficiency virus infection among homeless men in a New York City shelter: association with Mycobacterium tuberculosis infection. Arch Intern Med 1990; 150: 2030-2036
24. Pablos-Mendez A, Raviglione MC, Battan R, Ramos-Zuniga R Drug resistant tuberculosis among the homeless in New York City. N Y State J Med 1990; 90: 351-355
25. Nolan CM, Elarth AM, Barr H, Saeed AM, Risser DR An outbreak of tuberculosis in a shelter for homeless men: a description of its evolution and control. Am Rev Respir Dis 1991; 143: 257-261
26. Tuberculosis among residents of shelters for the homeless — Ohio, 1990 MMWR Morb Mortal Wkly Rep 1991; 40: 869-71, 877
27. Mercat A, Nguyen J, Dautzenberg B An outbreak of pneumococcal pneumonia in two men's shelters. Chest 1991; 99: 147-151
28. Wang EE, King S, Goldberg E, Bock B, Milner R, Read S Hepatitis B and human immunodeficiency virus infection in street youths in Toronto, Canada. Pediatr Infect Dis J 1991; 10: 130-133
29. Sugerman ST, Hergenroeder AC, Chacko MR, Parcel GS Acquired immunodeficiency syndrome and adolescents: knowledge, attitudes, and behaviors of runaway and homeless youths. Am J Dis Child 1991; 145: 431-436
30. Joseph H, Roman-Nay H The homeless intravenous drug abuser and the AIDS epidemic. NIDA Res Monogr 1990; 93: 210-253
31. Deaths among homeless persons — San Francisco, 1985-1990 MMWR Morb Mortal Wkly Rep 1991; 40: 877-880
32. Benner L, Okeke B, Benner MA, Spencer R. Multiple factors affecting epidemiology of mental illness among Philadelphia's homeless population. Presented at the World Psychiatric Association Symposium on Psychiatric Epidemiology and Social Sciences, Oslo, Norway, June 16, 1991.
33. Goldstein I, Bartelt D, Ryan P. Homelessness in Philadelphia. Philadelphia: Coalition on Homelessness in Pennsylvania, 1989:31-2.
34. Commonwealth of Pennsylvania, Department of Health. Pennsylvania vital statistics, annual report. Harrisburg, Pa.: Health Data Center, 1989.
35. Manual of the international statistical classification of diseases, injuries, and causes of death: based on the recommendations of the Ninth Revision Conference, 1975, and adopted by the Twenty-ninth World Health Assembly. Geneva: World Health Organization, 1977.
36. Hetzel BS. The use of mortality and other epidemiological information in the assessment of preventable deaths. In: Hansluwka H, ed. New developments in the analysis of mortality and causes of death. Bangkok, Thailand: Mahidol University, 1986:57-100.
37. Greenland S, Robins JM Estimation of a common effect parameter from sparse follow-up data. Biometrics 1985; 41: 55-68
38. Deaths among the homeless — Atlanta, Georgia MMWR Morb Mortal Wkly Rep 1987; 36: 297-299
39. Hilfiker D Are we comfortable with homelessness? JAMA 1989; 262: 1375-1376
40. Moriyama IM Problems in measurement of accuracy of cause-of-death statistics. Am J Public Health 1989; 79: 1349-1350
41. Hasuo Y, Ueda K, Kiyohara Y, Accuracy of diagnosis on death certificates for underlying causes of death in a long-term autopsy-based population study in Hisayama, Japan, with special reference to cardiovascular diseases. J Clin Epidemiol 1989; 42: 577-584
42. Samphier ML, Robertson C, Bloor MJ A possible artefactual component in specific cause mortality gradients: social class variations in the clinical accuracy of death certificates. J Epidemiol Community Health 1988; 42: 138-143
43. McCord C, Freeman HP Excess mortality in Harlem. N Engl J Med 1990; 322: 173-177
44. Miles SH What are we teaching about indigent patients? JAMA 1992; 268: 2561-2562
45. Doblin BH, Gelberg L, Freeman HE Patient care and professional staffing patterns in McKinney Act clinics providing primary care to the homeless. JAMA 1992; 267: 698-701