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首页> 美国卫生研究院文献>British Medical Journal >Mortality among residents of shelters rooming houses and hotels in Canada: 11 year follow-up study
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Mortality among residents of shelters rooming houses and hotels in Canada: 11 year follow-up study

机译：加拿大庇护所客房和酒店居民的死亡率：11年的随访研究

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>Objective To examine mortality in a representative nationwide sample of homeless and marginally housed people living in shelters, rooming houses, and hotels.>Design Follow-up study.>Setting Canada 1991-2001.>Participants 15 100 homeless and marginally housed people enumerated in 1991 census.>Main outcome measures Age specific and age standardised mortality rates, remaining life expectancies at age 25, and probabilities of survival from age 25 to 75. Data were compared with data from the poorest and richest income fifths as well as with data for the entire cohort>Results Of the homeless and marginally housed people, 3280 died. Mortality rates among these people were substantially higher than rates in the poorest income fifth, with the highest rate ratios seen at younger ages. Among those who were homeless or marginally housed, the probability of survival to age 75 was 32% (95% confidence interval 30% to 34%) in men and 60% (56% to 63%) in women. Remaining life expectancy at age 25 was 42 years (42 to 43) and 52 years (50 to 53), respectively. Compared with the entire cohort, mortality rate ratios for men and women, respectively, were 11.5 (8.8 to 15.0) and 9.2 (5.5 to 15.2) for drug related deaths, 6.4 (5.3 to 7.7) and 8.2 (5.0 to 13.4) for alcohol related deaths, 4.8 (3.9 to 5.9) and 3.8 (2.7 to 5.4) for mental disorders, and 2.3 (1.8 to 3.1) and 5.6 (3.2 to 9.6) for suicide. For both sexes, the largest differences in mortality rates were for smoking related diseases, ischaemic heart disease, and respiratory diseases.>Conclusions Living in shelters, rooming houses, and hotels is associated with much higher mortality than expected on the basis of low income alone. Reducing the excessively high rates of premature mortality in this population would require interventions to address deaths related to smoking, alcohol, and drugs, and mental disorders and suicide, among other causes.
机译：>目的：研究在全国范围内有代表性的无家可归者和边远住房中的死亡率，这些人居住在庇护所，客房和酒店中。>设计后续研究。>设置< / strong>加拿大1991-2001年。>参与者 1991年人口普查中有15到100位无家可归和边缘化住房的人。>主要结果指标特定年龄和标准化年龄的死亡率，剩余预期寿命25岁，以及25岁至75岁之间的生存概率。将数据与最贫穷和最富有的五分之一收入人群的数据以及整个队列的数据进行比较>结果， 3280死亡。这些人的死亡率大大高于收入最低的五分之一人口，死亡率最高的是年轻人。在无家可归或边际住房的人中，男性生存至75岁的概率为32％（95％置信区间为30％至34％），女性为60％（56％至63％）。 25岁时的剩余预期寿命分别为42岁（42至43岁）和52岁（50至53岁）。与整个队列比较，男性和女性的与毒品有关的死亡比率分别为11.5（8.8至15.0）和9.2（5.5至15.2），酒精相关的死亡率为6.4（5.3至7.7）和8.2（5.0至13.4）相关死亡，精神疾病为4.8（3.9至5.9）和3.8（2.7至5.4），自杀为2.3（1.8至3.1）和5.6（3.2至9.6）。对于男女，死亡率差异最大的是吸烟相关疾病，局部缺血性心脏病和呼吸系统疾病。>结论生活在避难所，客房和旅馆中与死亡率相比要高得多。仅靠低收入的基础。要降低该人群过早死亡率的过高，就需要采取干预措施，以解决与吸烟，酗酒和吸毒以及精神障碍和自杀等相关的死亡。

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