This study assessed the physical and psychological health parameters of adults experiencing homelessness to inform the development and delivery of health services by comparing with a housed population in the same South Australian city. Adults experiencing homelessness, known to existing support services, were invited to participate in a comprehensive assessment of their physical and mental health using questionnaires and objective assessments. Descriptive analyses using the percentage of participants failing to attain recommended published thresholds and accumulated health deficits for 16 health assessments were compared for the young group of people experiencing homelessness (18–40 years), the middle aged and older people experiencing homelessness (40–75 years), and a housed population of the middle aged and older people (40–75 years). Those experiencing homelessness had multiple and potentially inter-related health deficits compared with a population of people not experiencing homelessness in the same city. They were significantly less likely to meet healthy population norms for clinical frailty (p < 0.001), psychological distress (p < 0.001), grip strength (p < 0.001), lung function (p < 0.001), sleep quality (p < 0.001), and pelvic floor bother (p = 0.002). Significantly more accumulated health deficits were found for people experiencing homelessness when compared with the same ages for those who were not (mean 6.5 (SD 2.4) compared with 5.0 (SD 2.1)). This considerably increased for people experiencing homelessness aged less than 40 years (mean 8.7 (1.7)). Priorities for health service provision for people of different ages experiencing homelessness, when compared with housed community dwellers, have been described. The provision of targeted health assessments and service provision that specifically address healthcare needs among people experiencing homelessness are likely to have the biggest impacts across multiple health domains.

中文翻譯：

無家可歸者和無家可歸者的健康狀況：改善的機(jī)會(huì)

本研究評(píng)估了無家可歸成年人的身心健康參數(shù)，通過與南澳大利亞州同一城市的住房人口進(jìn)行比較，為衛(wèi)生服務(wù)的開發(fā)和提供提供信息?，F(xiàn)有支持服務(wù)已知的無家可歸成年人被邀請參與使用問卷和客觀評(píng)估對其身心健康進(jìn)行全面評(píng)估。使用未達(dá)到建議的已發(fā)布閾值的參與者百分比和 16 項(xiàng)健康評(píng)估的累積健康缺陷進(jìn)行描述性分析，對無家可歸的年輕人群（18-40 歲）、無家可歸的中老年人（40-75 歲）和有住房的中老年人群（40-75 歲）進(jìn)行了比較。與同一城市中沒有無家可歸的人群相比，那些無家可歸的人存在多種且可能相互關(guān)聯(lián)的健康缺陷。他們顯著降低滿足臨床虛弱 （p < 0.001）、心理困擾 （p < 0.001）、握力 （p < 0.001）、肺功能 （p < 0.001）、睡眠質(zhì)量 （p < 0.001） 和盆底困擾 （p = 0.002） 的健康人群標(biāo)準(zhǔn)。與無家可歸者的相同年齡相比，無家可歸者發(fā)現(xiàn)的累積健康缺陷明顯更多（平均值 6.5 （SD 2.4） 對 5.0 （SD 2.1））。對于 40 歲以下的無家可歸者，這一比例大大增加（平均 8.7 （1.7））。與有家可歸的社區(qū)居民相比，已經(jīng)描述了為不同年齡的無家可歸者提供衛(wèi)生服務(wù)的優(yōu)先事項(xiàng)。 提供有針對性的健康評(píng)估和服務(wù)提供，專門解決無家可歸者的醫(yī)療保健需求，可能會(huì)在多個(gè)健康領(lǐng)域產(chǎn)生最大的影響。

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網(wǎng)址: Health Status of People Who Are and Are Not Experiencing Homelessness: Opportunities for Improvement,International Journal of Environmental Research and Public Health http://www.u1s5d6.cn/newsview1393593.html