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Homelessness and health-related outcomes in the Republic of Ireland: a systematic review, meta-analysis and evidence map

AIM: To map existing research on homelessness and health in the Republic of Ireland, and to synthesize the evidence on housing-related disparities in health. METHODS: Peer-reviewed articles and conference abstracts published in English between 2012–2022 were retrieved from 11 bibliographic databases...

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Detalles Bibliográficos
Autores principales: Ingram, Carolyn, Buggy, Conor, Elabbasy, Darin, Perrotta, Carla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233198/
https://www.ncbi.nlm.nih.gov/pubmed/37361314
http://dx.doi.org/10.1007/s10389-023-01934-0
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author Ingram, Carolyn
Buggy, Conor
Elabbasy, Darin
Perrotta, Carla
author_facet Ingram, Carolyn
Buggy, Conor
Elabbasy, Darin
Perrotta, Carla
author_sort Ingram, Carolyn
collection PubMed
description AIM: To map existing research on homelessness and health in the Republic of Ireland, and to synthesize the evidence on housing-related disparities in health. METHODS: Peer-reviewed articles and conference abstracts published in English between 2012–2022 were retrieved from 11 bibliographic databases if they contained empirical data on homelessness and health in Ireland, and – in a subsequent screening stage – at least one measure of health disparity between the homeless and general populations. Reviewers extracted relative risks (RR), 95% confidence intervals (CI), and calculated pooled RR of comparable health disparities using pairwise random-effects meta-analyses. RESULTS: One hundred four articles contained empirical data on the health of homeless individuals residing in Ireland, addressing primarily substance use, addiction and mental health. Homelessness was associated with increased risk of illicit drug use (RR 7.33 [95% CI 4.2, 12.9]), reduced access to a general practitioner (GP) (RR 0.73 [CI 95% 0.71, 0.75]), frequent emergency department (ED) presentation (pooled RR 27.8 [95% CI 4.1, 189.8]), repeat presentation for self-harm (pooled RR 1.6 [95% CI 1.2, 2.0]) and premature departure from hospital (pooled RR 2.65 [95% CI 1.27, 5.53]). CONCLUSIONS: Homelessness in Ireland is associated with reduced access to primary care and overreliance on acute care. Chronic conditions amongst homeless individuals are understudied. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10389-023-01934-0.
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spelling pubmed-102331982023-06-01 Homelessness and health-related outcomes in the Republic of Ireland: a systematic review, meta-analysis and evidence map Ingram, Carolyn Buggy, Conor Elabbasy, Darin Perrotta, Carla Z Gesundh Wiss Review Article AIM: To map existing research on homelessness and health in the Republic of Ireland, and to synthesize the evidence on housing-related disparities in health. METHODS: Peer-reviewed articles and conference abstracts published in English between 2012–2022 were retrieved from 11 bibliographic databases if they contained empirical data on homelessness and health in Ireland, and – in a subsequent screening stage – at least one measure of health disparity between the homeless and general populations. Reviewers extracted relative risks (RR), 95% confidence intervals (CI), and calculated pooled RR of comparable health disparities using pairwise random-effects meta-analyses. RESULTS: One hundred four articles contained empirical data on the health of homeless individuals residing in Ireland, addressing primarily substance use, addiction and mental health. Homelessness was associated with increased risk of illicit drug use (RR 7.33 [95% CI 4.2, 12.9]), reduced access to a general practitioner (GP) (RR 0.73 [CI 95% 0.71, 0.75]), frequent emergency department (ED) presentation (pooled RR 27.8 [95% CI 4.1, 189.8]), repeat presentation for self-harm (pooled RR 1.6 [95% CI 1.2, 2.0]) and premature departure from hospital (pooled RR 2.65 [95% CI 1.27, 5.53]). CONCLUSIONS: Homelessness in Ireland is associated with reduced access to primary care and overreliance on acute care. Chronic conditions amongst homeless individuals are understudied. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10389-023-01934-0. Springer Berlin Heidelberg 2023-06-01 /pmc/articles/PMC10233198/ /pubmed/37361314 http://dx.doi.org/10.1007/s10389-023-01934-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review Article
Ingram, Carolyn
Buggy, Conor
Elabbasy, Darin
Perrotta, Carla
Homelessness and health-related outcomes in the Republic of Ireland: a systematic review, meta-analysis and evidence map
title Homelessness and health-related outcomes in the Republic of Ireland: a systematic review, meta-analysis and evidence map
title_full Homelessness and health-related outcomes in the Republic of Ireland: a systematic review, meta-analysis and evidence map
title_fullStr Homelessness and health-related outcomes in the Republic of Ireland: a systematic review, meta-analysis and evidence map
title_full_unstemmed Homelessness and health-related outcomes in the Republic of Ireland: a systematic review, meta-analysis and evidence map
title_short Homelessness and health-related outcomes in the Republic of Ireland: a systematic review, meta-analysis and evidence map
title_sort homelessness and health-related outcomes in the republic of ireland: a systematic review, meta-analysis and evidence map
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233198/
https://www.ncbi.nlm.nih.gov/pubmed/37361314
http://dx.doi.org/10.1007/s10389-023-01934-0
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