Increased Mortality Among Older Veterans Admitted to VA Homelessness Programs
Increased Mortality Among Older Veterans Admitted to VA Homelessness Programs
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DOI：
10.1176/appi.ps.201500095
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发表时间：
2016-04-01
影响因子：
3.8
通讯作者：
Casey, Roger J.
中科院分区：
文献类型：
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作者：
Schinka, John A.;Bossarte, Robert M.;Casey, Roger J.
目的：国家死亡指数数据进行了检查，以描述老年退伍军人谁是homeless.Methods的死亡率模式：无家可归和卫生保健记录从美国退伍军人事务部被用来确定老年人（年龄55-59）和老年人（年龄≥ 60）退伍军人谁是（N = 4,475）或不是（N = 20,071）无家可归。生存功能和死亡原因的两个样本超过11年的随访period.Results：实质上更多的退伍军人谁是无家可归者（34.9%）与对照组相比（18.2%）死亡。与对照组相比，无家可归的退伍军人在死亡时大约年轻2.5岁。无家可归的老年退伍军人的存活率最低（58%）。没有疾病类别似乎是减少生存时间的关键。自杀是两倍频繁的无家可归者（0.4%）与对照组（0.2%）sample.Conclusions：老年退伍军人谁是无家可归的经历过多的死亡率和自杀风险增加。
Objective: National Death Index data were examined to describe mortality patterns among older veterans who are homeless.Methods: Homelessness and health care records from the U.S. Department of Veterans Affairs were used to identify old (ages 55-59) and older (ages >= 60) veterans who were (N = 4,475) or were not (N = 20,071) homeless. Survival functions and causes of death of the two samples over an 11-year follow-up period were compared.Results: Substantially more veterans who were homeless (34.9%) died compared with the control sample (18.2%). Veterans who were homeless were approximately 2.5 years younger at time of death compared with the control sample. Older veterans who were homeless had the lowest survival rate (58%). No disease category appeared to be critical in reducing survival time. Suicide was twice as frequent in the homeless (.4%) versus the control (.2%) sample.Conclusions: Older veterans who were homeless experienced excess mortality and increased suicide risk.