Background Homelessness has risen recently in Europe, but there is lack of comprehensive health data on this population. Our aim was to characterize the health of the Hungarian homeless population. Methods We performed a health survey with 453 homeless individuals. The results were compared to the age and sex standardized data of the general Hungarian population and its lowest income quintile from the European Health Interview Survey 2014. The differences by the ETHOS classification within the homeless population were also studied. Results Significantly fewer homeless people reported good health status than in the general population or in its lowest income quintile (p< 0.001). Of the participants 70% had at least one chronic disease, only 41% of them visited a GP and 35% took medication in the previous 12 months. While 59% of the lowest income quintile and 50% of the general population had at least one chronic disease, almost all of them visited a physician and took medication. The highest prevalence of morbidity (80%) and multimorbidity (46%) was reported in the houseless group. The majority of the homeless people were current smokers, the prevalence was much higher than in the two reference populations (p< 0.001). The prevalence of heavy drinkers was the highest among the roofless participants (40%). Conclusions Homeless people have much poorer health and they utilize health services less than the most disadvantaged quintile of the general population. There is a clear social gradient within the homeless population, as well, which calls for integrated approaches for specific interventions to improve their health.

Background Homelessness has risen recently in Europe, but there is lack of comprehensive health data on this population. Our aim was to characterize the health of the Hungarian homeless population.Methods We performed a health survey with 453 homeless individuals. The results were compared to the age and sex standardized data of the general Hungarian population and its lowest income quintile from the European Health Interview Survey 2014. The differences by the ETHOS classification within the homeless population were also studied.Results Significantly fewer homeless people reported good health status than in the general population or in its lowest income quintile (p < 0.001). Of the participants 70% had at least one chronic disease, only 41% of them visited a GP and 35% took medication in the previous 12 months. While 59% of the lowest income quintile and 50% of the general population had at least one chronic disease, almost all of them visited a physician and took medication. The highest prevalence of morbidity (80%) and multimorbidity (46%) was reported in the houseless group. The majority of the homeless people were current smokers, the prevalence was much higher than in the two reference populations (p < 0.001). The prevalence of heavy drinkers was the highest among the roofless participants (40%).Conclusions Homeless people have much poorer health and they utilize health services less than the most disadvantaged quintile of the general population. There is a clear social gradient within the homeless population, as well, which calls for integrated approaches for specific interventions to improve their health.

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Background So far little attention has been given to the physical and mental health of homeless caregivers. Their health behavior can serve as role model for homeless people. For this reason, the aim of our study was to identify the health problems and health behavior of homeless caregivers. Methods We conducted a representative nationwide survey including 559 individuals to determine the homeless caregivers' health status and health behavior. The results were compared with the age and sex adjusted data of the European Health Interview Survey 2014 that was carried out in the general Hungarian adult population. Results The majority of participants (71%) gave positive ratings to their own health, they considered their health status significantly better compared to the general population (p = 0.002). Of them 34% had chronic disease compared to the 39% of the general population, 27% experienced limitation because of their health problems. Their mental status was worse than the general population, 40% had depression compared to the 23% of the reference. Majority of them (59%) were obese or overweight, those who lived in countryside were more likely to be obese or overweight than those who lived in the capital (p = 0.02). Only 41% of them consumed fruits and 26% of them consumed vegetables on a daily basis. These rates were significantly lower compared to the general population, p &lt; 0.008. Most of them (62%) were occasional drinker. The prevalence of current smokers (37%) were higher among them than in the general population (32%) Conclusions In conclusion, the homeless caregivers had worse mental health status than the general Hungarian population. They were also characterized by unhealthy lifestyle such as inadequate fruit and vegetable consumption and high rate of smoking. As caregivers serve as a role model for homeless people, supporting their health and health behavior might have strong effect on health of homeless people as well. Key message The survey’s findings indicate the health program for homeless caregivers would be worthwhile specially focusing on smoking cessation, healthy eating and mental health.