0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Brief Communications |

Causes of Death in Homeless Adults in Boston

Stephen W. Hwang, MD, MPH; E. John Orav, PhD; James J. O'Connell, MD; Joan M. Lebow, MD; and Troyen A. Brennan, MD, JD, MPH
[+] Article and Author Information

From the Boston Health Care for the Homeless Program, Boston City Hospital, Brigham and Women's Hospital, and the Harvard School of Public Health, Boston, Massachusetts. Acknowledgments: The authors thank Alice Knowles of JSI for invaluable data management services and Charlene Zion of the Massachusetts Registry of Vital Records and Statistics, Christine Payne of the Massachusetts Department of Public Health, and Jean Slosek of ORHADS, Boston Public Health Commission, for providing mortality and census data. Grant Support: By the Department of Medicine of Boston University School of Medicine and a Health Services Research Fellowship from the Agency for Health Care Policy and Research (Dr. Hwang). Requests for Reprints: Stephen Hwang, MD, MPH, Inner City Health Program, St. Michael's Hospital, Room 4-160C, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada. Current Author Addresses: Dr. Hwang: Inner City Health Program, St. Michael's Hospital, Room 4-160C, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada.


Copyright ©2004 by the American College of Physicians


Ann Intern Med. 1997;126(8):625-628. doi:10.7326/0003-4819-126-8-199704150-00007
Text Size: A A A

Background: Homeless persons have high mortality rates.

Objective: To ascertain causes of death in a group of homeless persons.

Design: Cohort study.

Patients: 17 292 adults seen by the Boston Health Care for the Homeless Program from 1988 to 1993.

Measurements: Cause-specific mortality rates adjusted for race and rate ratios that compare mortality rates in homeless persons with those in the general population of Boston.

Results: Homicide was the leading cause of death among men who were 18 to 24 years of age (mortality rate, 242.7 per 100 000 person-years; rate ratio, 4.1). The acquired immunodeficiency syndrome was the major cause of death in men (mortality rate, 336.5 per 100 000 person-years; rate ratio, 2.0) and women (mortality rate, 116.0 per 100 000 person-years; rate ratio, 5.0) who were 25 to 44 years of age. Heart disease and cancer were the leading causes of death in persons who were 45 to 64 years of age.

Conclusions: The most common causes of death among homeless adults who have contact with clinicians vary by age group. Efforts to reduce the rate of death among homeless persons should focus on these causes.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)