In today's world, wealth accumulates in ever fewer hands. People who live at the margin of the socioeconomic system and are infirm are most prone to become homeless. Many medical and psychiatric problems beset this population. Among them, rheumatic and musculoskeletal diseases are, at the same time, illnesses and barriers to care. Healthcare innovations may decrease the lot of these unfortunate. To correct the root of the problem, we should also set our moral compass to a more egalitarian society.
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http://dx.doi.org/10.1007/s10067-020-05517-2 | DOI Listing |
Sex Transm Dis
March 2025
Department of Research, Cizik School of Nursing, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA.
Background: HPV-related cancer is highly preventable through HPV vaccination and cancer screening, but people experiencing homelessness or housing instability (PEH) may not engage in these behaviors due to conflicting priorities. This systematic review synthesized and estimated HPV-related cancer prevention behaviors among PEH.
Methods: Using PRISMA guidelines, articles published before 2023 were located via PubMed, Ovid/Medline, CINAHL, and Embase.
Geroscience
March 2025
Laboratory of Epidemiology and Population Sciences, National Institute on Aging, NIA/NIH/IRP, 251 Bayview Blvd, Suite 100, Baltimore, MD, 21224, USA.
Polypharmacy is common among older adults and has been linked to adverse outcomes such as dementia, Parkinson's disease (PD), and mortality. However, its influence on transitions between these health states remains understudied in large, population-based cohorts. Using data from 361,970 UK Biobank participants aged 50 and older with up to 15 years of follow-up, we examined the association between polypharmacy, defined as the use of five or more medications, and transitions between health states: healthy, dementia, PD, and mortality.
View Article and Find Full Text PDFAIDS Behav
March 2025
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Approximately 1.5% of incarcerated people live with HIV. Limited information on their pre-incarceration healthcare use which could inform discharge planning efforts to link them to treatment is available.
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April 2025
Department of Pharmacy, School of Pharmacy, University of Washington, Seattle, Washington.
Introduction: COVID-19 surveillance in congregate settings is important to mitigating disease, but the health and economic impact of testing remains unclear.
Methods: The authors developed a Markov model to project the cost-utility of COVID-19 testing strategies in homeless shelters from the healthcare payer and societal perspective over 1 year. Model inputs utilized data from residents aged ≥18 years across 23 Seattle shelters from January 1, 2020, to May 31, 2021.
J Acad Nutr Diet
March 2025
Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Intramural Research Program, NIA/NIH/IRP, Baltimore, MD, 21224 USA.
Background: All-cause mortality risk and dementia occurrence have been previously hypothesized to be linked with food insecurity and poor dietary quality.
Objective: The aims of the study were to test mediation and interactions between food insecurity, diet quality and dementia status in relation to all-cause mortality.
Design: The interplay of food insecurity, diet quality and dementia in their associations with all-cause mortality was studied, in terms of interactions, and mediating effects, using secondary longitudinal data from a sample of older US adults from the Health and Retirement Study (HRS, 2012-2020).
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