Mental, neurologic, and substance use (MNS) disorders among street homeless people in Ethiopia

Ayano, Getinet; Assefa, Dawit; Haile, Kibrom; Chaka, Asrat; Solomon, Haddish; Hagos, Petros; Yohannis, Zegeye; Haile, Kelemua; Bekana, Lulu; Agidew, Melkamu; Demise, Seife; Tsegaye, Belachew; Solomon, Melat

doi:10.1186/s12991-017-0163-1

Cited by 29 publications

(53 citation statements)

References 48 publications

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“…The records were mostly published in the last decade (2009-2019). Apart from one study from North Africa [40], all other studies were conducted in sub- Sahara Africa predominantly South Africa [30,[36][37][38]44] and Ethiopia [11,39,42,45,46]. The remaining studies were conducted in Nigeria [35], Ghana [41], and Mozambique [43].…”

Section: Selection Of Sources Of Evidencementioning

confidence: 99%

“…One study sampled from both streets and shelters [38], and one study failed to mention category of homeless people studied [40]. Only two study assessed the duration of homelessness and found that most participants were chronically homeless [11,39]. Two studies sampled only women [37,45] and the remainder recruited both males and females.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…African countries generally have a housing challenge manifested in high housing deficits, higher prices, growing slums, overcrowding, and homelessness particularly in urban areas [11]. Although official data on homelessness in Africa are scarce and definitions and measurements vary from country to country, available country estimates show a high prevalence.…”

Section: Introductionmentioning

confidence: 99%

“…Homeless people experience poor health, suffer from a range of physical and mental problems related to their sleeping conditions and the environment in which they live. Substance abuse, violence, and malnourishment are overrepresented in the homeless population [7,11]. Within Africa, the prevalence of physical and mental health problems in the homeless population may differ from country to country depending on treatment coverage and support services available, as well as differences in family support systems and cultural responses to illnesses [21].…”

Section: Introductionmentioning

confidence: 99%

“…Their delayed clinical presentation leads to increased reliance on emergency departments and higher rates of hospitalisation for preventable conditions [25]. From the society and community perspective, high prevalence of homelessness puts excessive pressure on scarce resources including health care services [11].…”

Section: Introductionmentioning

confidence: 99%

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Health problems and healthcare service utilisation amongst homeless adults in Africa- a scoping review

2020

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Background: Homelessness is a growing concern as it affects a large number of people worldwide. Individuals and families experiencing homelessness are vulnerable in terms of health and underutilise health services. Despite being a global problem, not much is known about the range and breath of literature exploring health problems and health care service utilisation among homeless adults in Africa.Objectives: To identify the nature and scope of existing evidence on physical and mental health, and health service utilisation among homeless adults in Africa. The review aimed to examine how research is conducted, identify gaps, guide future research, and make recommendations for development and implementation of policies and practices. . Studies published between 1980 and 2019 that examined the health problems and health service utilisation among homeless adults in Africa were considered. Manual search in reference lists and grey literature was also done to add reports. Data was extracted manually using a charting developed. A descriptive analysis and narrative synthesis were performed.Results: Of 761 records found, 14 satisfied the pre-determined inclusion and exclusion criteria. Three themes emerged from the studies: Physical health problems, mental health problems; and healthcare services utilisation. Of the 14 included studies, nine studied and reported physical health problems such as sexually transmitted infections, injuries and disabilities, respiratory and cardiac diseases. Five studies explored mental health problems such as psychotic disorders, mood disorders, self-harm and suicidal behaviour. Only five studies investigated utilisation of different types of health care services among homeless people.Conclusions: Evidence shows that homeless adults suffered from a range of physical and mental health problems, and underutilisation of health care services. However, there is lack of information on the complex interrelationship between homelessness and health, as well as differences in prevalence of health problems among the various sub-groups of homeless. There is also lack of information regarding utilisation other important healthcare services such as mental health services, alcohol and drugs services, and accident and emergency service, and future researches should address that. Also, attention should be given to intervention models for complex and effective physical and psychiatric care as well as social support to address the homeless people's health vulnerabilities.

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Section: Selection Of Sources Of Evidencementioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health problems and healthcare service utilisation amongst homeless adults in Africa- a scoping review

2020

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The homeless, seizures, and epilepsy: a review

Pontes Silva,

Gama Marques

2023

J Neural Transm

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This review aims to estimate the prevalence of seizures and epilepsy among homeless people in current literature as well as understand the main adversities that this group withstands. We conducted a search for “epilep*”, “seizur*”, and “homeles*” in titles and abstracts of articles in PubMed. Overall, 25 articles met the final inclusion criteria and warranted analyses. This study suggests that the prevalence of epilepsy in the homeless population is between 2 and 30%, whereas the prevalence of homelessness in people with epilepsy is between 2 and 4%. Every study included in this review corroborates the increased prevalence of seizures and epilepsy among the homeless, which puts them at risk for worse outcomes related to this condition and numerous associated comorbidities. Further evidence is needed to clarify the distinction of primary and secondary seizures in this group, which shows a high rate of confounding factors for seizures like substance abuse or withdrawal and head injury, and to decrease the burden of epilepsy and homelessness in an already resource-deficient community.

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Suicidal Ideation and Attempt among Homeless People: a Systematic Review and Meta-Analysis

Ayano¹,

Tsegay

Abraha

et al. 2019

Psychiatr Q

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Mental, neurologic, and substance use (MNS) disorders among street homeless people in Ethiopia

Cited by 29 publications

References 48 publications

Health problems and healthcare service utilisation amongst homeless adults in Africa- a scoping review

Health problems and healthcare service utilisation amongst homeless adults in Africa- a scoping review

The homeless, seizures, and epilepsy: a review

Suicidal Ideation and Attempt among Homeless People: a Systematic Review and Meta-Analysis

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