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  1. Causes of death in homeless adults in Boston.

    Article - En anglais

    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 100000 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.

    Mots-clés Pascal : Sans domicile fixe, Mortalité, Etiologie, Taux, Race, Sex ratio, Etude cohorte, Epidémiologie, Prévention, Adulte, Homme, Etude comparative

    Mots-clés Pascal anglais : Homeless, Mortality, Etiology, Rate, Race, Sex ratio, Cohort study, Epidemiology, Prevention, Adult, Human, Comparative study

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0264774

    Code Inist : 002B30A03C. Création : 11/06/1997.