PortalPublikationenThe Mental and Physical Health of the Homeless–Evidence From...

The Mental and Physical Health of the Homeless–Evidence From the National Survey on Psychiatric and Somatic Health of Homeless Individuals (the NAPSHI Study)

Standard

The Mental and Physical Health of the Homeless–Evidence From the National Survey on Psychiatric and Somatic Health of Homeless Individuals (the NAPSHI Study). / Bertram, Franziska; Hajek, André; Dost, Katharina; Graf, Wiebke; Brennecke, Anna; Kowalski, Veronika; Rüth, Victoria van; König, Hans-Helmut; Wulff, Birgit; Ondruschka, Benjamin; Püschel, Klaus; Heinrich, Fabian.

in: DTSCH ARZTEBL INT, Jahrgang 119, Nr. 50, 16.02.2022, S. 861-868.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Bertram, F, Hajek, A, Dost, K, Graf, W, Brennecke, A, Kowalski, V, Rüth, VV, König, H-H, Wulff, B, Ondruschka, B, Püschel, K & Heinrich, F 2022, 'The Mental and Physical Health of the Homeless–Evidence From the National Survey on Psychiatric and Somatic Health of Homeless Individuals (the NAPSHI Study)', DTSCH ARZTEBL INT, Jg. 119, Nr. 50, S. 861-868. https://doi.org/10.3238/arztebl.m2022.0357

APA

Bertram, F., Hajek, A., Dost, K., Graf, W., Brennecke, A., Kowalski, V., Rüth, V. V., König, H-H., Wulff, B., Ondruschka, B., Püschel, K., & Heinrich, F. (2022). The Mental and Physical Health of the Homeless–Evidence From the National Survey on Psychiatric and Somatic Health of Homeless Individuals (the NAPSHI Study). DTSCH ARZTEBL INT, 119(50), 861-868. https://doi.org/10.3238/arztebl.m2022.0357

Vancouver

Bertram F, Hajek A, Dost K, Graf W, Brennecke A, Kowalski V et al. The Mental and Physical Health of the Homeless–Evidence From the National Survey on Psychiatric and Somatic Health of Homeless Individuals (the NAPSHI Study). DTSCH ARZTEBL INT. 2022 Feb 16;119(50):861-868. https://doi.org/10.3238/arztebl.m2022.0357

Bibtex

@article{c9d8c09d2ac14d7fbceb1e12f9b358e2,
title = "The Mental and Physical Health of the Homeless–Evidence From the National Survey on Psychiatric and Somatic Health of Homeless Individuals (the NAPSHI Study)",
abstract = "BACKGROUND: The health status of homeless individuals in Germany has been described incompletely. Mental and somatic illnesses seem to contribute to the high mortality in this cohort.METHODS: In this national, multicenter, cross-sectional study, data were collected on the health of 651 homeless individuals in the metropolitan regions of Hamburg, Frankfurt, Leipzig, and Munich metropolitan regions. The lifetime prevalences of physician-diagnosed mental and somatic illnesses were determined with interviewbased questionnaires. Furthermore, clinical and laboratory examinations were carried out. Multivariable regressions were performed to identify determinants of health status and access to care.RESULTS: High prevalences of both mental and somatic illnesses were confirmed. Particularly, cardiovascular and metabolic diseases were highly prevalent. Evidence for possible unrecognized arterial hypertension and possible unrecognized hypercholesterolemia was found in 27.5% and 15.6% of homeless individuals, respec - tively. 23.1% of study participants reported having received a diagnosis of a mental illness. Evidence for a possible unrecognized mental illness was found in 69.7%. A history of immigration from another country to Germany was found to be an important determinant of the summed scores for mental, somatic, and possible unrecognized illness. Homeless individuals of non-German origin were more likely to be living without shelter (p = 0.03) and to lack health insurance (p < 0.001).CONCLUSION: High prevalence rates for mental and somatic illnesses and limited access to mainstream medical care were found. Homeless individuals appear to receive inadequate care for mental illness. Healthcare programs for homeless individuals in Germany should pay particular attention to homeless migrants.",
keywords = "Cross-Sectional Studies, Health Status, Humans, Insurance, Health, Mental Disorders/epidemiology, Surveys and Questionnaires",
author = "Franziska Bertram and Andr{\'e} Hajek and Katharina Dost and Wiebke Graf and Anna Brennecke and Veronika Kowalski and R{\"u}th, {Victoria van} and Hans-Helmut K{\"o}nig and Birgit Wulff and Benjamin Ondruschka and Klaus P{\"u}schel and Fabian Heinrich",
year = "2022",
month = feb,
day = "16",
doi = "10.3238/arztebl.m2022.0357",
language = "English",
volume = "119",
pages = "861--868",
journal = "DTSCH ARZTEBL INT",
issn = "1866-0452",
publisher = "Deutscher Arzte-Verlag",
number = "50",

}

RIS

TY - JOUR

T1 - The Mental and Physical Health of the Homeless–Evidence From the National Survey on Psychiatric and Somatic Health of Homeless Individuals (the NAPSHI Study)

AU - Bertram, Franziska

AU - Hajek, André

AU - Dost, Katharina

AU - Graf, Wiebke

AU - Brennecke, Anna

AU - Kowalski, Veronika

AU - Rüth, Victoria van

AU - König, Hans-Helmut

AU - Wulff, Birgit

AU - Ondruschka, Benjamin

AU - Püschel, Klaus

AU - Heinrich, Fabian

PY - 2022/2/16

Y1 - 2022/2/16

N2 - BACKGROUND: The health status of homeless individuals in Germany has been described incompletely. Mental and somatic illnesses seem to contribute to the high mortality in this cohort.METHODS: In this national, multicenter, cross-sectional study, data were collected on the health of 651 homeless individuals in the metropolitan regions of Hamburg, Frankfurt, Leipzig, and Munich metropolitan regions. The lifetime prevalences of physician-diagnosed mental and somatic illnesses were determined with interviewbased questionnaires. Furthermore, clinical and laboratory examinations were carried out. Multivariable regressions were performed to identify determinants of health status and access to care.RESULTS: High prevalences of both mental and somatic illnesses were confirmed. Particularly, cardiovascular and metabolic diseases were highly prevalent. Evidence for possible unrecognized arterial hypertension and possible unrecognized hypercholesterolemia was found in 27.5% and 15.6% of homeless individuals, respec - tively. 23.1% of study participants reported having received a diagnosis of a mental illness. Evidence for a possible unrecognized mental illness was found in 69.7%. A history of immigration from another country to Germany was found to be an important determinant of the summed scores for mental, somatic, and possible unrecognized illness. Homeless individuals of non-German origin were more likely to be living without shelter (p = 0.03) and to lack health insurance (p < 0.001).CONCLUSION: High prevalence rates for mental and somatic illnesses and limited access to mainstream medical care were found. Homeless individuals appear to receive inadequate care for mental illness. Healthcare programs for homeless individuals in Germany should pay particular attention to homeless migrants.

AB - BACKGROUND: The health status of homeless individuals in Germany has been described incompletely. Mental and somatic illnesses seem to contribute to the high mortality in this cohort.METHODS: In this national, multicenter, cross-sectional study, data were collected on the health of 651 homeless individuals in the metropolitan regions of Hamburg, Frankfurt, Leipzig, and Munich metropolitan regions. The lifetime prevalences of physician-diagnosed mental and somatic illnesses were determined with interviewbased questionnaires. Furthermore, clinical and laboratory examinations were carried out. Multivariable regressions were performed to identify determinants of health status and access to care.RESULTS: High prevalences of both mental and somatic illnesses were confirmed. Particularly, cardiovascular and metabolic diseases were highly prevalent. Evidence for possible unrecognized arterial hypertension and possible unrecognized hypercholesterolemia was found in 27.5% and 15.6% of homeless individuals, respec - tively. 23.1% of study participants reported having received a diagnosis of a mental illness. Evidence for a possible unrecognized mental illness was found in 69.7%. A history of immigration from another country to Germany was found to be an important determinant of the summed scores for mental, somatic, and possible unrecognized illness. Homeless individuals of non-German origin were more likely to be living without shelter (p = 0.03) and to lack health insurance (p < 0.001).CONCLUSION: High prevalence rates for mental and somatic illnesses and limited access to mainstream medical care were found. Homeless individuals appear to receive inadequate care for mental illness. Healthcare programs for homeless individuals in Germany should pay particular attention to homeless migrants.

KW - Cross-Sectional Studies

KW - Health Status

KW - Humans

KW - Insurance, Health

KW - Mental Disorders/epidemiology

KW - Surveys and Questionnaires

U2 - 10.3238/arztebl.m2022.0357

DO - 10.3238/arztebl.m2022.0357

M3 - SCORING: Journal article

C2 - 36382585

VL - 119

SP - 861

EP - 868

JO - DTSCH ARZTEBL INT

JF - DTSCH ARZTEBL INT

SN - 1866-0452

IS - 50

ER -