Multimorbidity among People Experiencing Homelessness—Insights from Primary Care Data

Shannen Vallesi, Matthew Tuson, Andrew Davies and Lisa Wood
Additional contact information
Shannen Vallesi: School of Population and Global Health, University of Western Australia, Crawley 6009, Australia
Matthew Tuson: UWA Medical School, University of Western Australia, Crawley 6009, Australia
Andrew Davies: Homeless Healthcare, Highgate 6003, Australia
Lisa Wood: School of Population and Global Health, University of Western Australia, Crawley 6009, Australia

IJERPH, 2021, vol. 18, issue 12, 1-16

Abstract: Background: Although the poor health of people experiencing homelessness is increasingly recognised in health discourse, there is a dearth of research that has quantified the nature and magnitude of chronic health issues and morbidity among people experiencing homelessness, particularly in the Australian context. Methods: Analysis of the medical records of 2068 “active” patients registered with a specialist homeless health service in Perth, Western Australia as of 31 December 2019. Results: Overall, 67.8% of patients had at least one chronic physical health condition, 67.5% had at least one mental health condition, and 61.6% had at least one alcohol or other drug (AOD) use disorder. Nearly half (47.8%) had a dual diagnosis of mental health and AOD use issues, and over a third (38.1%) were tri-morbid (mental health, AOD and physical health condition). Three-quarters (74.9%) were multimorbid or had at least two long-term conditions (LTCs), and on average, each patient had 3.3 LTCs. Conclusions: The study findings have substantial implications from both a health risk and healthcare treatment perspective for people experiencing homeless. The pervasiveness of preventable health conditions among people experiencing homelessness also highlights the imperative to improve the accessibility of public health programs and screening to reduce their morbidity and premature mortality.

Keywords: homelessness; primary care; general practice; multimorbidity; dual diagnosis; tri-morbidity; long term conditions (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (7)

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/12/6498/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/12/6498/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:12:p:6498-:d:575907

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().