Assessment of health status and quality of life of homeless persons in Belgrade, Serbia

Sarajlija, M.; Jugović, Aleksandar; Živaljević, Dragan; Merdović, Boro; Sarajlija, Adrijan

doi:10.2298/vsp1402167s

Cited by 10 publications

(11 citation statements)

References 36 publications

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“…As it can be seen, findings revealed that one of the key problems afflicting homeless girls is the presence of anxiety and depression symptoms. This coincides with previous studies in other countries [49,61,62] that show that such groups suffer from these because of growing up among vulnerable conditions that constitute one of the predominant reasons for abandoning their homes and entering an organization. Also, it was observed that they tend to be unassertive because they exhibit greater difficulty in defending their rights and interests; they cannot express their ideas and feelings without being aggressive, and are hostile and unable to establish healthy relationships.…”

Section: Findings and Conclusionsupporting

confidence: 91%

What Works to Improve the Well-Being of Homeless Girls?

Castaños-Cervantes¹

2017

Well-Being and Quality of Life - Medical Perspective

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Homeless girls are victims of physical, sexual, and psychological abuse more frequently than the rest of the population. Consequently, their well-being is severely affected. Nonetheless, there is little information about this social group which leads to lack of proper care that, in turn, reduces their quality of life. This research was conducted to develop and test a path model of well-being in a group of 240 Mexican homeless girls aged 6-23 years. Anxiety, depression, assertiveness, and emotion regulation strategies were used as predictors of well-being. Findings reveal significant direct effects of depression and functional emotion regulation strategies on well-being. Results also show significant indirect effects of anxiety, assertiveness, and dysfunctional emotion regulation strategies through depression. The fit indices achieved, x 2 (3)=1.116, p=.773; NFI=.997, RFI=.985, IFI=1.005, TLI=1.026, CFI=1.000, p=.000; RMSEA(90% CI)=.000(.000-.073), p=.889, demonstrate that the model reliably predicts well-being. Thus, the model fit is acceptable. The current study provides unique findings in terms of a path model that highlights anxiety, depression, emotion regulation strategies, and assertiveness as critical indicators for well-being in homeless girls. Hence, it is essential to consider such factors in order to promote well-being in this group, thereby improving their health and quality of life.

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Section: Findings and Conclusionsupporting

confidence: 91%

What Works to Improve the Well-Being of Homeless Girls?

Castaños-Cervantes¹

2017

Well-Being and Quality of Life - Medical Perspective

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“…Of 2122 identified studies, 37 were identified as potentially-relevant (Table 1). These studies reported on 73 health screening or health assessment tools, across 11 domains: oral health [22–32]; health related quality of life, and health status [9, 33–48]; nutrition [49–56]; psychological and cognitive function [9, 22, 34, 35, 41, 42, 44, 56–59]; substance use [28, 33–36, 51, 57]; injury [29, 30, 36, 58]; chronic conditions [33, 44, 45, 60, 57]; demography and anthropometry [34–40, 44, 49, 51–55, 60]; functional decline and frailty [9, 37, 38, 54]; hearing and vision [9, 36, 61]; and pelvic floor health [9].…”

Section: Resultsmentioning

confidence: 99%

“…Relevant to homeless, but not specifically validated Retinal camera, ophthalmoscope, air puff tonometer [61]Adult populations internationally, relevant to homeless, but not specifically validatedDomain 9: Mental health, psychological and cognitive function Boston Naming Test (BNT) [59]Originally developed for individuals with aphasia or other language disturbance caused by stroke, Alzheimer’s disease, or other dementing disorder, now available for children. Relevant to homeless, but not specifically validated Centre for Epidemiological Studies Depression Scale [22]Children, adolescents and adults worldwide, relevant to homeless but not specifically validated Color Trails test [59]Children, adolescents and adults worldwide, relevant to homeless but not specifically validated Controlled Oral Word Association Test (FAS) [59]Adolescents and adults worldwide, relevant to homeless but not specifically validated Geriatric Depression Scale (GDS-12R) [56]Older adults, validated on healthy, medically ill and mild to moderately cognitively impaired older adults, relevant to homeless but not specifically validated Grooved Pegboard Test [59]Children, adolescents, adults, validated on many conditions, relevant to homeless but not specifically validated Mini Mental State Examination (MMSE) [10]Adults worldwide, relevant to homeless but not specifically validated Neuropsychological Assessment Questionnaire [59]Adults worldwide, relevant to homeless but not specifically validated Repeatable Battery for Assessment of Neuropsychological Status (RBANS) [58]Developed for adults with dementia, now validated on many conditions, and for children & adolescents, relevant to homeless but not specifically validated Rey-Osterrieth Complex Figure Design (Rey-O) [41]Children, adolescents, adults worldwide, tested for dementia, relevant to homeless but not specifically validated Ruff Figural Fluency Test (RFFT) [59]Adolescents and adults worldwide, relevant to homeless, but not specifically validated Stroop Color Word test [59]Children and adolescents The Beck Depression Inventory-II, BDI-II [35, 45][71]Adolescents and adults worldwide, validated for homeless men The Elderly Cognitive Assessment Questionnaire (ECAQ) [56]Adults worldwide, tested for older adults, relevant to ...…”

Section: Resultsmentioning

confidence: 99%

“…These tools addressed domains of health-related quality of life and health status, substance use, injury, mental health and psychological and cognitive function. They comprised:Addiction Severity Index (ASI) [33]Beck Depression Index (BDI II) [35, 45]Brain Injury Screening Questionnaire (BISQ) [58]Brief Instrumental Functioning Scale [9]Colorado Coalition for Homelessness Consumer Outcome Scale [34]Delighted-Terrible Faces Scale (DTFS) [40]Rural Homelessness Interview Schedule [35]Life Fulfilment Scale (LFS) [44]Nottingham Health Profile [44]Short Form Survey-12 (SF-12) and/or Short Form Survey-36 (SF-36) [39, 60, 41]World Health Organization Quality of Life 100 (WHOQoL 100) and/or World Health Organization Quality of Life BREF (WHOQoL-BREF) [26, 42, 43]…”

Section: Resultsmentioning

confidence: 99%

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Health assessments and screening tools for adults experiencing homelessness: a systematic review

et al. 2019

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Background Homelessness is increasing globally. It results in poorer physical and mental health than age matched people living in permanent housing. Better information on the health needs of people experiencing homelessness is needed to inform effective resourcing, planning and service delivery by government and care organisations. The aim of this review was to identify assessment tools that are valid, reliable and appropriate to measure the health status of people who are homeless. Methods Data sources: A systematic literature search was conducted in PubMed (and Medline), PsychInfo, Scopus, CINAHL and ERIC from database inception until September 2018. Key words used were homeless, homelessness, homeless persons, vagrancy, health status, health, health issues, health assessment and health screening. The protocol was registered with PROSPERO. The National Health and Medical Research Council of Australia (NHMRC) hierarchy of evidence was applied; methodological quality of included articles was assessed using the McMaster critical appraisal tools and psychometric properties of the tools were appraised using the International Centre for Allied Health Evidence Ready Reckoner. Results Diverse tools and measures ( N = 71) were administered within, and across the reviewed studies ( N = 37), with the main focus being on general health, oral health and nutrition. Eleven assessment tools in 13 studies had evidence of appropriate psychometric testing for the target population in domains of quality of life and health status, injury, substance use, mental health, psychological and cognitive function. Methodological quality of articles and tools were assessed as moderate to good. No validated tools were identified to assess oral health, chronic conditions, anthropometry, demography, nutrition, continence, functional decline and frailty, or vision and hearing. However, assessments of physical constructs (such as oral health, anthropometry, vision and hearing) could be applied to homeless people on a presumption of validity, because the constructs would be measured with clinical indicators in the same manner as people living in permanent dwellings. Conclusions This review highlighted the need to develop consistent and comprehensive health assessment tools validated with, and tailored for, adults experiencing homelessness. Electronic supplementary material The online version of this article (10.1186/s12889-019-7234-y) contains supplementary material, which is available to authorized users.

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“…Nur in der Hälfte der eingeschlossenen Studien wurde der Begriff Wohnungslosigkeit hinreichend operationalisiert, sodass bereits vor diesem Hintergrund die Vergleichbarkeit eingeschränkt ist. Alternativ fungiert der Ort der Teilnehmer*innengewinnung in den Studien als Indikator für Wohnungslosigkeit, wodurch jedoch unterschiedliche Adressatenkreise der jeweiligen Hilfsund Unterbringungsangebote zusammen betrachtet werden [31][32][33][34]. Auch international wird "Wohnungslosigkeit" häufig nicht oder uneinheitlich definiert [35].…”

Section: Allgemeine Methodik Der Studien Im Vergleichunclassified

Somatische Erkrankungen Wohnungsloser in Deutschland. Ein narratives Literaturreview der Jahre 2009–2019

Schindel

Kleyer

Schenk

2020

Bundesgesundheitsbl

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Zusammenfassung Hintergrund In Deutschland leben Schätzungen zufolge zwischen 337.000 und 650.000 wohnungslose Menschen in gesundheitlich zumeist prekärer Lage. Studien zu ihrer Gesundheit sind selten und methodisch heterogen. Bisherige Übersichtsarbeiten fokussierten auf psychische Erkrankungen. Fragestellung Ziel der Arbeit ist es, einen Überblick über die aktuelle Forschung zu somatischen Erkrankungen von Wohnungslosen in Deutschland zu geben. Methoden Auf Grundlage einer systematischen Literaturrecherche für die Jahre 2009–2019 werden methodisches Vorgehen, Stichprobenzugang und Rekrutierung sowie die berichteten Gesundheitsaspekte betrachtet. Ergebnisse Es wurden 8 Journalbeiträge mit Peer-Review identifiziert. Häufig wurde der Begriff „Wohnungslosigkeit“ nicht operationalisiert. Im Durchschnitt waren die Wohnungslosen 40,9–67 Jahre alt, der Frauenanteil lag bei 0–35,3 %. Der Stichprobenzugang erfolgte in Unterkünften und im Rahmen medizinischer Angebote. Eine Rekrutierungsstrategie war ein modifiziertes Schneeballsystem („respondent driven sampling“) in Verbindung mit Anreizen (Incentives). Häufig wurden Herz-Kreislauf-Erkrankungen (17–37,2 %), Erkrankungen des Muskel-Skelett-Systems (≥20 %) sowie der Atemwege (7–24 %) berichtet. Abhängig vom Ort der Rekrutierung traten vermehrt Infektionskrankheiten auf (Tuberkulose, Hepatitis B und C). Diskussion Studien zur somatischen Gesundheit Wohnungsloser sind häufig selektiv. Überrepräsentiert erscheinen Personen, die älter sind, unteren Bildungsgruppen angehören oder in deutschen Großstädten lebende Männer. Der Begriff „Wohnungslosigkeit“ wird nicht einheitlich verwendet. Im Vergleich mit repräsentativen Bevölkerungsdaten für Deutschland werden erhöhte Erkrankungsrisiken beobachtet. Kohortencharakteristika können diese nur bedingt erklären. Biografische und intersektionale Ansätze werden benötigt, um die multiplen und kumulativen Belastungslagen zu erfassen.

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Assessment of health status and quality of life of homeless persons in Belgrade, Serbia

Cited by 10 publications

References 36 publications

What Works to Improve the Well-Being of Homeless Girls?

What Works to Improve the Well-Being of Homeless Girls?

Health assessments and screening tools for adults experiencing homelessness: a systematic review

Somatische Erkrankungen Wohnungsloser in Deutschland. Ein narratives Literaturreview der Jahre 2009–2019

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