Fear of COVID-19 among homeless individuals in Germany in mid-2021

Hajek, André; Bertram, Franziska; Rüth, Victoria van; Dost, Katharina; Graf, Wiebke; Brenneke, Anna; Kowalski, Veronika; Püschel, Klaus; Schuler, Christine L.; Ondruschka, Benjamin; Heinrich, Fabian; König, Hans‐Helmut

doi:10.3389/fpubh.2022.915965

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…A German study from 2021 indicated low fear of COVID-19 among PEH. They also described higher fear of COVID-19 among PEH aged 50 to 64 (49) which is the main age group in our cohort and might explain the mainly positive attitude toward the COVID-19 vaccination. That age might have a strong impact on the attitude toward vaccine attitude is also mentioned by a Danish study von COVID-19 vaccine coverage among PEH.…”

Section: Discussionsupporting

confidence: 51%

Determinants of COVID-19 vaccine acceptance and access among people experiencing homelessness in Germany: A qualitative interview study

Grune

Savelsberg

Kobus

et al. 2023

Front. Public Health

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IntroductionPeople experiencing homelessness face lower life expectancy, higher prevalence of somatic and mental diseases and a more difficult access to healthcare compared to people in secure living. During the COVID-19 pandemic transmission rates were higher among people experiencing homelessness and preventive public health measures were not properly adapted to the specific needs of people experiencing homelessness. Thus, goal of our study was understanding the determinants of acceptability and access of the COVID-19 vaccine.Materials and methodsWe conducted a qualitative interview study with twenty guideline interviews with adult people currently experiencing homelessness in Berlin, Germany (August 2021 – April 2022). Participants were approached in a purposive sampling strategy. The interviews were analyzed with qualitative content analysis according to Mayring.ResultsAcceptance and attitude toward the COVID-19 vaccine is influenced by confidence in the vaccine as well as in the political and healthcare system, the individual COVID-19 risk perception and sense of collective responsibility. Overall, the acceptance of the vaccine was high among our participants. Facilities offering low threshold COVID-19 vaccines for people experiencing homelessness were perceived as helpful. Language barriers and the need for identity documents were major barriers to access the COVID 19 vaccine.DiscussionPeople experiencing homelessness are a marginalized and vulnerable group often underrepresented in the public and scientific discourse. During the COVID-19 pandemic, preventive public health measures, including the COVID-19 vaccine, failed to consider specific needs of people experiencing homelessness. Multidimensional strategy to enhance inclusive healthcare are needed to improve access and to reduce discrimination and stigmatization.

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Section: Discussionsupporting

confidence: 51%

Determinants of COVID-19 vaccine acceptance and access among people experiencing homelessness in Germany: A qualitative interview study

Grune

Savelsberg

Kobus

et al. 2023

Front. Public Health

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Sterbefälle wohnungsloser Menschen vor und während der COVID-19-Pandemie in Hamburg

Laudien,

Püschel,

Lohner

et al. 2024

Rechtsmedizin

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ZusammenfassungHamburg verzeichnet in der gesamten Bundesrepublik die mitunter höchsten Zahlen an Wohnungslosen.Während die Bevölkerung während der Pandemie dazu aufgerufen wurde, zu Hause zu bleiben, blieben Wohnungslose auf sich allein gestellt auf der Straße zurück, kurzzeitig sogar vollständig von jeglichen Hilfsangeboten abgeschnitten.Ziel dieser Arbeit war herauszufinden, ob sich die Sterbefälle zweier Kalenderjahre durch pandemische Maßnahmen voneinander unterschieden.Todesfälle 112 Wohnungsloser in Hamburg aus den Jahren 2019 (n = 42) und 2021 (n = 70) wurden hinsichtlich des Geschlechts, Alters, Nationalität, Substanzmittelabusus, Ort des Versterbens und der Todesursachen verglichen.Bereits zu Beginn der Pandemie wurde diskutiert, dass es unter wohnungslosen Menschen zu besonders hohen Transmissionsraten von SARS-CoV‑2 kommen würde. Während einige Studien dies nicht nachweisen können, belegen andere die rasche Virusausbreitung insbesondere innerhalb von Notunterkünften. In der Studie, die dieser Arbeit zugrunde liegt, verstarben 3 (4,3 %) von 70 Wohnungslosen im Jahr 2021 mit oder an SARS-CoV‑2.Es zeigten sich bis auf einen frequenteren Substanzmittelabusus in 2021 (p = 0,009) und eine geringere Anzahl Verstorbener aufgrund von Hypothermie in 2021 (p = 0,023) keine signifikanten Veränderungen durch die Pandemie.Sozialarbeiter diskutieren eine Verbesserung im Kontakt mit den Wohnungslosen mit der Chance gezielter Hilfe.Für relevante Differenzen muss eine longitudinale Betrachtung der postpandemischen Sterbefälle in der Zukunft folgen, um eine veränderte oder verbesserte Situation zu bewerten.

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Fear of COVID-19 and mental health status among the medical students of a selected medical college in Bangladesh

Billah,

Sayef,

Nur

et al. 2024

Ir J Med Sci

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Fear of COVID-19 among homeless individuals in Germany in mid-2021

Cited by 3 publications

References 20 publications

Determinants of COVID-19 vaccine acceptance and access among people experiencing homelessness in Germany: A qualitative interview study

Determinants of COVID-19 vaccine acceptance and access among people experiencing homelessness in Germany: A qualitative interview study

Sterbefälle wohnungsloser Menschen vor und während der COVID-19-Pandemie in Hamburg

Fear of COVID-19 and mental health status among the medical students of a selected medical college in Bangladesh

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