The physical well-being of old homeless men.

The physical well-being of old homeless men.
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无家可归的老人的身体健康状况。

DOI:
10.1093/geronj/43.4.s121
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发表时间:
1988
期刊:
Journal of gerontology
影响因子:
--
通讯作者:
Holmes,D
Holmes,D
中科院分区:
--
文献类型:
--
作者:
Cohen,CI;Teresi,JA;Holmes,D

文献摘要

被引文献

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本研究探讨了各种问题的病因,患病率和治疗身体疾病的老年无家可归的男子。样本包括195名非街头居民(177人居住在廉价旅馆,18人居住在公寓)和86名街头居民在纽约市的包厘街。样本包括50岁及以上的男性。Bowery男性在所有身体健康量表上的得分均低于年龄匹配的社区男性样本,其中最大的差异发生在呼吸、胃肠道、水肿、听力、高血压和动态量表上。波威里镇的男性看医生的频率与社区男性相当,波威里镇的男性对自己健康状况的评价也比20年前的男性要好得多。身体不好往往在到达鲍厄里之前就出现了。然而,分层回归分析确定了与目前健康状况不佳有关的几个变量----压力、未满足的需求、相对年轻、机构/机构接触。这些变量的识别指出了值得临床医生和服务提供者密切关注的领域
This study addressed a variety of issues related to the etiology, prevalence, and treatment of physical disorders among aging homeless men. The sample consisted of 195 nonstreet dwellers (177 residing in flophouses, 18 in apartments) and 86 street dwellers on the Bowery in New York City. The sample comprised men aged 50 and older. Bowery men scored worse than an aged-matched sample of community men on all physical health scales, with the greatest differences occurring in the respiratory, gastrointestinal, edema, hearing, hypertension, and ambulatory scales. Frequency of visits to doctors by the Bowery men was comparable to that of the community men, and the Bowery men rated their health substantially better than did their counterparts of two decades ago. Poor physical health often appeared to antedate arrival on the Bowery. However, a hierarchical regression analysis identified several variables — stress, unfulfilled needs, being relatively young, institutional/agency contacts — that were associated with current levels of poor health. Identification of these variables pointed to areas that warrant closer attention by clinicians and service providers