University Library
  • Login
A gateway to Melbourne's research publications
Minerva Access is the University's Institutional Repository. It aims to collect, preserve, and showcase the intellectual output of staff and students of the University of Melbourne for a global audience.
View Item 
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne School of Health Sciences
  • Nursing
  • Nursing - Research Publications
  • View Item
  • Minerva Access
  • Medicine, Dentistry & Health Sciences
  • Melbourne School of Health Sciences
  • Nursing
  • Nursing - Research Publications
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

    Long-term effects of homelessness on mortality: a 15-year Australian cohort study

    Thumbnail
    Download
    Published version (83.50Kb)

    Citations
    Altmetric
    Author
    Seastres, RJ; Hutton, J; Zordan, R; Moore, G; Mackelprang, J; Kiburg, KV; Sundararajan, V
    Date
    2020-09-21
    Source Title
    Australian and New Zealand Journal of Public Health
    Publisher
    WILEY
    University of Melbourne Author/s
    Sundararajan, Vijaya; Moore, Gaye; Hutton, Jennifer; Zordan, Rachel; Kiburg, Katerina
    Affiliation
    Nursing
    Medicine and Radiology
    Metadata
    Show full item record
    Document Type
    Conference Paper
    Citations
    Seastres, R. J., Hutton, J., Zordan, R., Moore, G., Mackelprang, J., Kiburg, K. V. & Sundararajan, V. (2020). Long-term effects of homelessness on mortality: a 15-year Australian cohort study. AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 44, (6), pp.476-481. WILEY. https://doi.org/10.1111/1753-6405.13038.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/252293
    DOI
    10.1111/1753-6405.13038
    Abstract
    OBJECTIVE: To examine the effect of homelessness on mortality. METHODS: This 15-year retrospective longitudinal cohort study compared mortality outcomes of homeless and non-homeless adults attending the emergency department of an inner-city public hospital in Melbourne, Victoria between 1 January 2003 and 31 December 2004. Homeless individuals had ≥1 recorded episodes of homelessness within the recruitment period, categorised by type: primary, secondary, tertiary, marginally housed. Non-homeless individuals were stably housed throughout. RESULTS: Over 15 years, homeless individuals had a higher mortality rate (11.89 vs. 8.10 per 1,000 person-years), significantly increased mortality risk (rate ratio 1.47, 95% confidence interval [CI] 1.26-1.71) and younger median age at death (66.60 vs. 78.19 years) compared to non-homeless individuals. Using adjusted Cox proportional hazards models, primary (hazard ratio [HR] 2.05, 95%CI 1.67-2.50), secondary (HR 1.60, 95%CI 1.23-2.10) and tertiary (HR 1.72, 95%CI 1.16-2.56) homelessness were independent risk factors for premature mortality. CONCLUSION: At least one recorded episode of primary, secondary, or tertiary homelessness was associated with premature mortality and younger age at death over a 15-year period. Implications for public health: Accurately identifying individuals experiencing primary, secondary or tertiary homelessness at the emergency department may enable targeted interventions that could potentially reduce their risk of premature mortality.

    Export Reference in RIS Format     

    Endnote

    • Click on "Export Reference in RIS Format" and choose "open with... Endnote".

    Refworks

    • Click on "Export Reference in RIS Format". Login to Refworks, go to References => Import References


    Collections
    • Minerva Elements Records [45689]
    • Medicine and Radiology - Research Publications [2346]
    • Nursing - Research Publications [176]
    Minerva AccessDepositing Your Work (for University of Melbourne Staff and Students)NewsFAQs

    BrowseCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
    My AccountLoginRegister
    StatisticsMost Popular ItemsStatistics by CountryMost Popular Authors