Gender, hospitalization and mental disorders among homeless people compared with the general population in Stockholm
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BACKGROUND: The aim was to study the prevalence of mental disorders among homeless men and women admitted for inpatient treatment in hospitals. METHODS: Hospital care utilization of homeless people, 1364 men and 340 women, was compared with a control group consisting of 3750 men and 1250 women from the general population, 1996-2002. RESULTS: Homeless women ran a higher risk for mental disorders than women in the population [risk ratio (RR) 20.88]; their risk was also higher than the risk for homeless men (RR 1.20). Younger homeless women had the highest risk (RR 2.17). Alcohol use disorders were equally common among homeless men and women, but women had more drug use disorders (RR 1.32). Women had higher risk of schizophrenia (RR 2.79), and personality disorders (RR 2.73). When adjustment was made for substance use disorders, no increased risk for mental disorder was found in the homeless group. CONCLUSION: The elevated risk for mental disorders among the homeless was mainly related to substance use problems. Younger homeless women had the highest risk of mental disorder.
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Homeless people have trouble obtaining medical care and taking medications because they lack insurance, face transportation barriers, and must deal with competing priorities.
“Homeless people have difficulty accessing medical care and adhering to medications because of an absence of medical insurance, transportation barriers, and the need to attend to competing priorities.63,86-88”
From The health of homeless people in high-income countries: descriptive epidemiology, health consequences, and clinical and policy recommendations (2014) · cites this paper as [88]
The Discussion says homeless people avoid outpatient contacts and have difficulty managing prescribed medications. It does not attribute those difficulties to lack of insurance, transportation barriers, or competing priorities. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThis higher excess mortality may reflect that younger homeless women, compared with homeless men, practice worse health behaviors, have a higher risk of alcohol/drug use disorders and have a higher risk for psychiatric disorders.
“This higher excess mortality may reflect that younger homeless women, compared with homeless men, practice worse health behaviors [17], [23], have a higher risk of alcohol/drug use disorders [17] and have a higher risk for psychiatric disorders [17].”
From Mortality and life expectancy in homeless men and women in Rotterdam: 2001-2010 (2013) · cites this paper as [17]
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- Authors
- Beijer, U., & Andreasson, S.
- Affiliations
- Karolinska Institutet (SE)
- ORCID
- Beijer, U.
- Venue
- The European Journal of Public Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-04-05
- Volume
- 20
- Issue
- 5
- Pages
- 511-516
- ISSN
- 1101-1262 (ISSN-L)
- 1464-360X
- OpenAlex
- W2123710284
- Cited by
- 45
- References
- 18
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 5 · 2015: 4 · 2014: 3 · 2013: 5 · 2012: 2
- FWCI
- 8.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Stockholms Läns Landsting
- National Institutes of Health
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- homelessness, mental illness, gender differences, hospitalization, substance use disorders, alcoholism, drug use disorders, schizophrenia, personality disorders, young women, Stockholm
- MeSH terms
- Adult, Aged, Aged, 80 and over, Alcoholism, Mental Disorders, Female, Ill-Housed Persons, Hospitalization, Hospitals, Psychiatric, Humans, Male, Middle Aged, Risk Factors, Sex Factors, Sweden, Cohort Studies, Case-Control Studies, Substance-Related Disorders
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