Cold-related injuries in a cohort of homeless adults

IF 1.1 Q3 SOCIAL WORK Journal of Social Distress and the Homeless Pub Date : 2018-09-18 DOI:10.1080/10530789.2018.1523103

Paige Zhang, K. Bassil, Stephanie Gower, M. Katić, A. Kiss, Evie Gogosis, Stephen W. Hwang

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引用次数: 8

Abstract

ABSTRACT People experiencing homelessness have an increased risk of cold-related injuries. This study determined the rate of emergency department (ED) visits for cold-related injuries among homeless adults and low-income controls in Toronto, Canada. Homeless individuals were recruited at shelters and meal programs. Age- and sex-matched controls living in low-income neighborhoods were selected. ED utilization was ascertained over 4-years of follow-up (2005–9) using administrative databases. A total of 16 ED visits for cold-related injuries were observed among 587 homeless men and 296 homeless women. The rate of ED visits was 6.7 (95% CI, 4.2–12.4) per 1000 person-years of observation among homeless men and 0.9 (95% CI, 0.03–5.6) among homeless women. ED visit rates were significantly higher among homeless men compared to low-income men (P < 0.001) and significantly higher among homeless men compared to homeless women (P = 0.03). Targeted public health interventions are needed to reduce the risk of cold-related injuries among people experiencing homelessness.

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一组无家可归成年人的感冒相关损伤

无家可归的人患感冒相关伤害的风险增加。本研究确定了加拿大多伦多无家可归的成年人和低收入对照者因感冒相关伤害的急诊科(ED)就诊率。无家可归的人在收容所和膳食计划中被招募。选择了年龄和性别匹配的生活在低收入社区的对照组。在4年的随访(2005 - 2009)中，使用行政数据库确定ED的使用情况。在587名无家可归的男性和296名无家可归的女性中，共有16名因感冒相关伤害而去急诊室就诊。无家可归的男性每1000人-年观察的ED就诊率为6.7 (95% CI, 4.2-12.4)，无家可归的女性为0.9 (95% CI, 0.03-5.6)。无家可归男性的ED就诊率显著高于低收入男性(P < 0.001)，而无家可归男性的ED就诊率显著高于无家可归女性(P = 0.03)。需要采取有针对性的公共卫生干预措施，以减少无家可归者因感冒受伤的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of Social Distress and the Homeless SOCIAL WORK-

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