Effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review.
Effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review.
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DOI：
10.1186/1471-2458-11-638
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发表时间：
2011-08-10
影响因子：
4.5
通讯作者：
Hwang SW
中科院分区：
文献类型：
--
作者：
Fitzpatrick-Lewis D;Ganann R;Krishnaratne S;Ciliska D;Kouyoumdjian F;Hwang SW
在过去五年中，关于对无家可归者的健康和住房状况产生积极影响的干预措施的研究受到了越来越多的关注。这一快速审查审查了最近的证据，有关已被证明可以改善无家可归者的健康的干预措施，特别注重这些干预措施对住房状况的影响。通过对5个电子数据库的结构化检索、对灰色文献和相关期刊的手工检索以及与专家的联系，共识别出1,546篇文章。两名评审员独立筛选前10%的标题和摘要的相关性。评价者之间的可靠性较高，因此只有一名评审员筛选了剩余的标题和摘要。文章被纳入，如果他们在2004年1月和2009年12月之间发表，并检查干预措施的有效性，以改善健康或医疗保健利用的人谁是无家可归，边缘住房，或无家可归的风险。两名评审员独立地对所有相关文章的质量进行评分。确定了84项相关研究;没有一项质量很高，而10项被评为中等质量。对于患有精神疾病的无家可归者，在出院时提供住房，有效地改善了持续住房。对于有药物滥用问题或并发疾病的无家可归者，提供住房与药物使用减少、药物戒断期复发、卫生服务利用和住房保有权增加有关。禁欲依赖住房更有效地支持住房状况，物质戒断，并改善精神疾病的结果比非禁欲依赖住房或没有住房。提供住房也改善了感染艾滋病毒的无家可归者的健康状况。健康促进计划可以减少无家可归者的危险行为。这些研究为改善无家可归者的健康、住房状况和获得医疗保健的干预措施提供了重要的新证据。本次审查中包括的其他研究为早期证据提供了进一步的支持，这些证据发现，对患有并发精神疾病和药物滥用问题的无家可归者进行协调的治疗计划通常会导致比常规护理更好的健康状况和获得医疗保健的机会。这项审查还提供了一个综合的现有证据的干预措施，专门支持无家可归的艾滋病毒感染者。
Research on interventions to positively impact health and housing status of people who are homeless has received substantially increased attention over the past 5 years. This rapid review examines recent evidence regarding interventions that have been shown to improve the health of homeless people, with particular focus on the effect of these interventions on housing status. A total of 1,546 articles were identified by a structured search of five electronic databases, a hand search of grey literature and relevant journals, and contact with experts. Two reviewers independently screened the first 10% of titles and abstracts for relevance. Inter-rater reliability was high and as a result only one reviewer screened the remaining titles and abstracts. Articles were included if they were published between January 2004 and December 2009 and examined the effectiveness of an intervention to improve the health or healthcare utilization of people who were homeless, marginally housed, or at risk of homelessness. Two reviewers independently scored all relevant articles for quality. Eighty-four relevant studies were identified; none were of strong quality while ten were rated of moderate quality. For homeless people with mental illness, provision of housing upon hospital discharge was effective in improving sustained housing. For homeless people with substance abuse issues or concurrent disorders, provision of housing was associated with decreased substance use, relapses from periods of substance abstinence, and health services utilization, and increased housing tenure. Abstinent dependent housing was more effective in supporting housing status, substance abstinence, and improved psychiatric outcomes than non-abstinence dependent housing or no housing. Provision of housing also improved health outcomes among homeless populations with HIV. Health promotion programs can decrease risk behaviours among homeless populations. These studies provide important new evidence regarding interventions to improve health, housing status, and access to healthcare for homeless populations. The additional studies included in this current review provide further support for earlier evidence which found that coordinated treatment programs for homeless persons with concurrent mental illness and substance misuse issues usually result in better health and access to healthcare than usual care. This review also provides a synthesis of existing evidence regarding interventions that specifically support homeless populations with HIV.
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影响因子：
3
作者：
Bradford, DW;Gaynes, BN;Weinberger, M
通讯作者：
Weinberger, M
影响因子：
4.5
作者：
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3.8
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通讯作者：
Rosenheck, Robert A.
影响因子：
3.8
作者：
Essock, SM;Mueser, KT;Swain, K
通讯作者：
Swain, K