2017
DOI: 10.1371/journal.pone.0189938
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Mortality among the homeless: Causes and meteorological relationships

Abstract: BackgroundThe homeless constitute a subpopulation particularly exposed to atmospheric conditions, which, in the temperate climate zone, can result in both cold and heat stress leading to the increased mortality hazard. Environmental conditions have become a significant independent risk factor for mortality from specific causes, including circulatory or respiratory diseases. It is known that this group is particularly prone to some addictions, has a shorter life span, its members often die of different causes t… Show more

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Cited by 78 publications
(52 citation statements)
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“…Findings that homeless individuals were all exposed outdoors is also consistent with previous research on mortality among the homeless in NYC, which found that hypothermia decedents were all street (i.e., unsheltered) homeless individuals [ 17 ]. Another study of large urban areas of Poland also found that homeless individuals died of hypothermia in both extreme and moderate cold periods, highlighting the need for further research on potential temperature thresholds for cold-related health impacts in this population [ 26 ].…”
Section: Discussionmentioning
confidence: 99%
“…Findings that homeless individuals were all exposed outdoors is also consistent with previous research on mortality among the homeless in NYC, which found that hypothermia decedents were all street (i.e., unsheltered) homeless individuals [ 17 ]. Another study of large urban areas of Poland also found that homeless individuals died of hypothermia in both extreme and moderate cold periods, highlighting the need for further research on potential temperature thresholds for cold-related health impacts in this population [ 26 ].…”
Section: Discussionmentioning
confidence: 99%
“…Poor health literacy is a significant problem, especially among homeless individuals who already bear a disproportionate burden of disease and disability, and require a high level of care and access to health services (Baggett et al, 2013;Romaszko, Cymes, Dragańska, Kuchta, & Glińska-Lewczuk, 2017). A study by Sleath and colleagues (2006) exploring barriers to taking medication among homeless women found that homeless women with low health literacy were more likely to report barriers to giving their child needed medicine compared to those with high health literacy.…”
mentioning
confidence: 99%
“…Another study reported difficulty with navigating through a complex healthcare system, a potential manifestation of poor health literacy, as a barrier to accessing primary health care among homeless adults (Campbell, O'Neill, Gibson, & Thurston, 2015). Not surprisingly, homeless individuals have a life expectancy of about 18 years shorter than the general population (Romaszko et al, 2017).…”
mentioning
confidence: 99%
“…Homelessness (living without stable, safe, permanent, appropriate housing, or the immediate prospect, means and ability of acquiring it(1)) is detrimental for almost every life dimension of affected individuals. Being homeless is a crucial stress factor for well-being as it re ects severe material deprivation, and in addition erodes mental, cognitive and physical health (2)(3)(4)(5)(6)(7)(8), exposes individuals to risky conditions and behaviors (e.g., violence, bad meteorological conditions, discrimination) (8-10), and precludes access to such basic services as sanitation, health care, water or food. (11)(12)(13) Access to food is a consistent unmet need of homeless populations.…”
Section: Introductionmentioning
confidence: 99%