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Amenable mortality within the New Zealand homeless population: we can do better!

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Authors:
Summary:

The rate of amenable mortality among homeless people in New Zealand was examined using coroners’ findings for 171 deaths of persons with no fixed abode from 2008 to 2019. The mean age of death was 45.7 years in the homeless population, which corresponded to a reduced life expectancy of 30 years compared with the housed population. Most homeless people had died alone in public places (56%) or private vehicles (14%) as a result of natural causes (45.7%) or suicide (41.5%). Over 75% of deaths were amenable to timely and effective healthcare interventions. The authors commented that the high amenable mortality rate is indicative of the considerable challenges homeless people experience accessing the healthcare system.

Comment:
Like many of you providing health services for people without housing, I see the impact. Some suggest that the stress of it ages people, resulting in long-term conditions. COVID brought this to the fore too, and some places, including our clinic, set up swabbing services (i.e., mobile clinics, clinics close to soup kitchens) with homeless communities in mind. I hope such targeted services continue.
Reference: N Z Med J. 2020;133(1527):26-38.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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