TY - JOUR
T1 - Health, Mortality, and Migration
T2 - A 15-Year Follow-Up Cohort of Persons Experiencing Homelessness
AU - Calvo, Fran
AU - Carbonell, Xavier
AU - Johnsen, Sarah
N1 - Publisher Copyright:
© 2025 Global Alliance for Behavioral Health and Social Justice
PY - 2025
Y1 - 2025
N2 - This study examined the health status and mortality of a cohort of persons experiencing homelessness (PEH) over a 15-year period in Girona, Spain. A prospective analysis was conducted on a cohort of 855 PEH from 2006 to 2021, with sociodemographic and clinical data gathered from public health and social records. During the follow-up period, 6.4% of the sample died, with an average age of death of 53.4 years. Leading causes of death included cancer, suicide, heart disease, cirrhosis of the liver, drug overdose, human immunodeficiency virus/acquired immune deficiency syndrome, chronic obstructive pulmonary disease, meningitis, and sepsis. Multivariate analysis revealed that age, alcohol addiction, and being born in Spain were the factors most strongly correlated with the mortality of PEH. Study findings underscore the significant health issues and sociohealth care inequalities faced by this population and highlight particular disparities between native-born and migrant PEH.
AB - This study examined the health status and mortality of a cohort of persons experiencing homelessness (PEH) over a 15-year period in Girona, Spain. A prospective analysis was conducted on a cohort of 855 PEH from 2006 to 2021, with sociodemographic and clinical data gathered from public health and social records. During the follow-up period, 6.4% of the sample died, with an average age of death of 53.4 years. Leading causes of death included cancer, suicide, heart disease, cirrhosis of the liver, drug overdose, human immunodeficiency virus/acquired immune deficiency syndrome, chronic obstructive pulmonary disease, meningitis, and sepsis. Multivariate analysis revealed that age, alcohol addiction, and being born in Spain were the factors most strongly correlated with the mortality of PEH. Study findings underscore the significant health issues and sociohealth care inequalities faced by this population and highlight particular disparities between native-born and migrant PEH.
KW - homelessness
KW - mortality
KW - overdose, alcohol, addiction
KW - suicide
UR - http://www.scopus.com/inward/record.url?scp=86000297892&partnerID=8YFLogxK
U2 - 10.1037/ort0000831
DO - 10.1037/ort0000831
M3 - Article
C2 - 39977676
AN - SCOPUS:86000297892
SN - 0002-9432
JO - American Journal of Orthopsychiatry
JF - American Journal of Orthopsychiatry
ER -
