Cited by 256Homelessness and Social IssuesFrailty in Older AdultsAging, Health, and Disability

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Geriatric Syndromes in Older Homeless Adults

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Brown, Rebecca T., Kiely, Dan K., Bharel, Monica, Mitchell, Susan L.·2012·Journal of General Internal Medicine

DOI 10.1007/s11606-011-1848-9PMC PMC3250555

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Abstract

Background The average age of the US homeless population is increasing. Little is known about the prevalence of geriatric syndromes in older homeless adults.Objective To determine the prevalence of common geriatric syndromes in a sample of older homeless adults, and to compare these prevalences to those reported in the general older population.Design Cross-sectional.Participants Two hundred and forty-seven homeless adults aged 50-69 recruited from eight homeless shelters in Boston, MA.Main measures Interviews and examinations for geriatric syndromes, including functional impairment, cognitive impairment, frailty, depression, hearing impairment, visual impairment, and urinary incontinence. The prevalences of these syndromes in the homeless cohort were compared to those reported in three population-based cohorts.Key results The mean age of the homeless cohort was 56.0 years, and 19.8% were women. Thirty percent of subjects reported difficulty performing at least one activity of daily living, and 53.2% fell in the prior year. Cognitive impairment, defined as a Mini-Mental State Examination score <24, was present in 24.3% of participants; impaired executive function, defined as a Trail Making Test Part B duration >1.5 standard deviations above population-based norms, was present in 28.3% of participants. Sixteen percent of subjects met criteria for frailty, and 39.8% had major depression, defined as a score ≥10 on the Patient Health Questionnaire 9. Self-reported hearing and visual impairment was present among 29.7% and 30.0% of subjects, respectively. Urinary incontinence was reported by 49.8% of subjects. After multivariate adjustment for demographic characteristics, homeless adults were more likely to have functional impairment, frailty, depression, visual impairment and urinary incontinence compared to three population-based cohorts of older persons.Conclusions Geriatric syndromes that are potentially amenable to treatment are common in older homeless adults, and are experienced at higher rates than in the general older population.

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Authors: Brown, R. T., Kiely, D. K., Bharel, M., & Mitchell, S. L.
Affiliations: Beth Israel Deaconess Medical Center (US)
Hebrew SeniorLife (US)
Boston Medical Center (US)
Corresponding author: Brown, Rebecca T.
ORCID: Brown, Rebecca T.
Venue: Journal of General Internal Medicine
Publisher: Springer Science and Business Media LLC
Published: 2011-08-31
Volume: 27
Issue: 1
Pages: 16-22
ISSN: 0884-8734 (ISSN-L)
1525-1497
DOI: 10.1007/s11606-011-1848-9
PMC: PMC3250555
OpenAlex: W2021599942
Cited by: 256
References: 39
Citations by year: 2026: 7 · 2025: 20 · 2024: 19 · 2023: 26 · 2022: 19 · 2021: 27 · 2020: 25 · 2019: 24 · 2018: 15 · 2017: 15 · 2016: 18 · 2015: 16 · 2014: 12 · 2013: 12
FWCI: 14.84
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
Locations: Journal of General Internal Medicine (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: Hartford Foundation for Public Giving
National Institutes of Health
National Institute on Aging (AG-004390, P01AG004390, T32AG023480, K24AG033640)
Topics: Social Sciences › Sociology and Political Science › Homelessness and Social Issues
Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords: geriatric syndromes, homelessness, functional disability, cognitive impairment, frailty, depression, hearing loss, visual impairment, urinary incontinence, falls, executive function, prevalence, older adults
MeSH terms: Activities of Daily Living, Age Factors, Aged, Aged, 80 and over, Cross-Sectional Studies, Depression, Female, Ill-Housed Persons, Humans, Male, Middle Aged, Risk Factors, Urinary Incontinence, Cohort Studies, Geriatric Assessment, Frail Elderly

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