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Diabetes and hypertension prevalence in homeless adults in the United States: A systematic review and meta-analysis

Author

Listed:
  • Bernstein, R.S.
  • Meurer, L.N.
  • Plumb, E.J.
  • Jackson, J.L.

Abstract

We estimated hypertension and diabetes prevalence among US homeless adults compared with the general population, and investigated prevalence trends. We systematically searched 5 databases for published studies (1980-2014) that included hypertension or diabetes prevalence for US homeless adults, pooled disease prevalence, and explored heterogeneity sources. Weused the National Health Interview Survey for comparison. We included data from 97 366 homeless adults. The pooled prevalence of selfreported hypertension was 27.0% (95% confidence interval = 23.8%, 29.9%; n = 43 studies) and of diabetes was 8.0% (95% confidence interval = 6.8%, 9.2%; n = 39 studies). We found no difference in hypertension or diabetes prevalence between the homeless and general population. Additional health care and housing resources are needed to meet the significant, growing burden of chronic disease in the homeless population.

Suggested Citation

  • Bernstein, R.S. & Meurer, L.N. & Plumb, E.J. & Jackson, J.L., 2015. "Diabetes and hypertension prevalence in homeless adults in the United States: A systematic review and meta-analysis," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 46-60.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302330_7
    DOI: 10.2105/AJPH.2014.302330
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    Cited by:

    1. Henry Ireys & Tricia Higgins & Ellen Bouchery & Jonathan Brown & Crystal Blyler & Liz Babalola & Michael Barna & Dan Friend & Matt Kehn & Lareina La Flair & Jennifer Lyons & Rachel Miller & Brenda Nat, "undated". "Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: Third Annual Report," Mathematica Policy Research Reports 21cdccaf6416466c986d4ed41, Mathematica Policy Research.
    2. Jessica L. Mackelprang & Janessa M. Graves & Halle M. Schulz, 2024. "Using Photovoice to Explore Determinants of Health among Homeless and Unstably Housed Women," IJERPH, MDPI, vol. 21(2), pages 1-13, February.
    3. Zijun Li & Mina Ma & Yongqi Yang & Yanfei Li & Ke Guo & Minyan Yang & Guanghua Liu & Kehu Yang, 2023. "PROTOCOL: The effectiveness of skills training to increase employment among those experiencing and at risk of homelessness: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(4), December.

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