ASSESSING THE PHYSICAL HEALTH OF HOMELESS ADULTS
ASSESSING THE PHYSICAL HEALTH OF HOMELESS ADULTS
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DOI：
10.1001/jama.262.14.1973
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发表时间：
1989-10-13
影响因子：
120.7
通讯作者：
LINN, LS
中科院分区：
文献类型：
--
作者：
GELBERG, L;LINN, LS
关于无家可归成年人身体健康的信息可能因抽样策略或身体健康的测量方式而存在偏差。使用综合健康测量方法（自我报告和客观测量）的研究依赖于来自收容所或旅馆的样本。然而，更具代表性的基于社区的研究依赖于自我报告或评级。我们进行了第一项同时使用基于社区的样本（N = 529）和综合健康测量方法（一次访谈、一次有限的身体检查和血液检测）的研究。与在其他地方抽样的无家可归者相比，收容所居住者使用非法药物、遭受伤害、皮肤受伤以及天冬氨酸氨基转移酶水平和平均红细胞体积升高的可能性较小。被观察到患有高血压的人中有62%不知道自己的病情。仅对收容所居住者进行抽样，或者仅依赖无家可归成年人的疾病报告，可能会掩盖或低估基于社区的抽样技术和更客观的测量方法所揭示的现有健康问题。
Information on the physical health of homeless adults is potentially biased either by sampling strategy or by measurement of physical health. Studies that used comprehensive health measures (self-reported and objective measures) relied on samples from shelters or hotels. However, more representative community-based studies relied on self-reports or ratings. We conducted the first study to use both a community-based sample (N = 529) and comprehensive measures of health (an inteview, a limited physical examination, and blood testing). Shelter dwellers compared with homeless persons sampled elsewhere were less likely to have used illegal drugs, to have been victimized, to have injured skin, and to have elevated aspartate aminotransferase levels and mean corpuscular volumes. Sixty-two percent of persons observed to have high blood pressure were unaware of their condition. Sampling only shelter dwellers, or relying only on reports of illness by homeless adults, may mask or underestimate existent health problems that are revealed by community-based sampling techniques and more objective measures.