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Mortality Among Homeless Adults in Boston

Mortality Among Homeless Adults in Boston ORIGINAL INVESTIGATION Shifts in Causes of Death Over a 15-Year Period Travis P. Baggett, MD, MPH; Stephen W. Hwang, MD, MPH; James J. O’Connell, MD; Bianca C. Porneala, MS; Erin J. Stringfellow, MSW; E. John Orav, PhD; Daniel E. Singer, MD; Nancy A. Rigotti, MD Background: Homeless persons experience excess mor- with Massachusetts adults, mortality disparities were most tality, but US-based studies on this topic are outdated or pronounced among younger individuals, with rates about lack information about causes of death. To our knowl- 9-fold higher in 25- to 44-year-olds and 4.5-fold higher edge, no studies have examined shifts in causes of death in 45- to 64-year-olds. In comparison with 1988-1993 for this population over time. rates, reductions in deaths from human immunodefi- ciency virus (HIV) were offset by 3- and 2-fold in- Methods: We assessed all-cause and cause-specific mor- creases in deaths owing to drug overdose and psychoac- tality rates in a cohort of 28 033 adults 18 years or older tive substance use disorders, resulting in no significant who were seen at Boston Health Care for the Homeless difference in overall mortality. Program from January 1, 2003, through December 31, 2008. Deaths were identified through probabilistic link- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2013.1604
pmid
23318302
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL INVESTIGATION Shifts in Causes of Death Over a 15-Year Period Travis P. Baggett, MD, MPH; Stephen W. Hwang, MD, MPH; James J. O’Connell, MD; Bianca C. Porneala, MS; Erin J. Stringfellow, MSW; E. John Orav, PhD; Daniel E. Singer, MD; Nancy A. Rigotti, MD Background: Homeless persons experience excess mor- with Massachusetts adults, mortality disparities were most tality, but US-based studies on this topic are outdated or pronounced among younger individuals, with rates about lack information about causes of death. To our knowl- 9-fold higher in 25- to 44-year-olds and 4.5-fold higher edge, no studies have examined shifts in causes of death in 45- to 64-year-olds. In comparison with 1988-1993 for this population over time. rates, reductions in deaths from human immunodefi- ciency virus (HIV) were offset by 3- and 2-fold in- Methods: We assessed all-cause and cause-specific mor- creases in deaths owing to drug overdose and psychoac- tality rates in a cohort of 28 033 adults 18 years or older tive substance use disorders, resulting in no significant who were seen at Boston Health Care for the Homeless difference in overall mortality. Program from January 1, 2003, through December 31, 2008. Deaths were identified through probabilistic link-

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Feb 11, 2013

References