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Mortality among homeless shelter residents in New York City

Author

Listed:
  • Barrow, S.M.
  • Herman, D.B.
  • Córdova, P.
  • Struening, E.L.

Abstract

Objectives. This study examined the rates and predictors of mortality among sheltered homeless men and women in New York City. Methods. Identifying data on a representative sample of shelter residents surveyed in 1987 were matched against national mortality records for 1987 through 1994. Standardized mortality ratios were computed to compare death rates among homeless people with those of the general US and New York City populations. Logistic regression analysis was used to examine predictors of mortality within the homeless sample. Results. Age-adjusted death rates of homeless men and women were 4 times those of the general US population and 2 to 3 times those of the general population of New York City. Among homeless men, prior use of injectable drugs, incarceration, and chronic homelessness increased the likelihood of death. Conclusions. For homeless shelter users, chronic homelessness itself compounds the high risk of death associated with disease/disability and intravenous drug use. Interventions must address not only the health conditions of the homeless but also the societal conditions that perpetuate homelessness.

Suggested Citation

  • Barrow, S.M. & Herman, D.B. & Córdova, P. & Struening, E.L., 1999. "Mortality among homeless shelter residents in New York City," American Journal of Public Health, American Public Health Association, vol. 89(4), pages 529-534.
    • Handle: RePEc:aph:ajpbhl:1999:89:4:529-534_3
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    Cited by:

    1. Nicole Darmon & André Briend, 2006. "Prévention des déficiences chez les personnes sans-abri : intérêt d’un aliment de rue enrichi," Post-Print hal-01201123, HAL.
    2. Fabian Termorshuizen & Addi PL van Bergen & Ronald BJ Smit & Hugo M Smeets & Erik JC van Ameijden, 2014. "Mortality and psychiatric disorders among public mental health care clients in Utrecht: A register-based cohort study," International Journal of Social Psychiatry, , vol. 60(5), pages 426-435, August.
    3. Nicole Darmon & André Briend, 2006. "Prévention des déficiences chez les personnes sans-abri : intérêt d’un aliment de rue enrichi," Cahiers d'Economie et Sociologie Rurales, INRA Department of Economics, vol. 79, pages 53-66.
    4. William N. Evans & David C. Philips & Krista J. Ruffini, 2019. "Reducing and Preventing Homelessness: A Review of the Evidence and Charting a Research Agenda," NBER Working Papers 26232, National Bureau of Economic Research, Inc.
    5. Downes, Henry & Phillips, David C. & Sullivan, James X., 2022. "The effect of emergency financial assistance on healthcare use," Journal of Public Economics, Elsevier, vol. 208(C).
    6. Fernando Fajardo-Bullón & Jesús Pérez-Mayo & Igor Esnaola, 2021. "The Association of Interpersonal Relationships and Social Services with the Self-Rated Health of Spanish Homelessness," IJERPH, MDPI, vol. 18(17), pages 1-18, September.
    7. William N. Evans & David C. Phillips & Krista Ruffini, 2021. "Policies To Reduce And Prevent Homelessness: What We Know And Gaps In The Research," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(3), pages 914-963, June.
    8. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    9. Darmon, Nicole & Briend, André, 2006. "Prévention des déficiences chez les personnes sans-abri : intérêt d’un aliment de rue enrichi," Cahiers d'Economie et de Sociologie Rurales (CESR), Institut National de la Recherche Agronomique (INRA), vol. 79.
    10. Kuehnle, Daniel & Johnson, Guy & Tseng, Yi-Ping, 2023. "JUE Insight: Making it home? Evidence on the long-run impact of an intensive support program for the chronically homeless on housing, employment and health," Journal of Urban Economics, Elsevier, vol. 133(C).
    11. Guirguis-Younger, Manal & Runnels, Vivien & Aubry, Tim & Turnbull, Jeff, 2006. "Carrying out a social autopsy of deaths of persons who are homeless," Evaluation and Program Planning, Elsevier, vol. 29(1), pages 44-54, February.
    12. Vincent A. Fusaro & Helen G. Levy & H. Luke Shaefer, 2018. "Racial and Ethnic Disparities in the Lifetime Prevalence of Homelessness in the United States," Demography, Springer;Population Association of America (PAA), vol. 55(6), pages 2119-2128, December.

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