入住退伍军人事务部无家可归者项目的老年退伍军人死亡率上升。
Increased Mortality Among Older Veterans Admitted to VA Homelessness Programs.
作者信息
Schinka John A, Bossarte Robert M, Curtiss Glenn, Lapcevic William A, Casey Roger J
机构信息
Dr. Schinka and Dr. Casey are with the National Center on Homelessness Among Veterans, Tampa, Florida (e-mail:
出版信息
Psychiatr Serv. 2016 Apr 1;67(4):465-8. doi: 10.1176/appi.ps.201500095. Epub 2015 Dec 1.
OBJECTIVE
National Death Index data were examined to describe mortality patterns among older veterans who are homeless.
METHODS
Homelessness and health care records from the U.S. Department of Veterans Affairs were used to identify old (ages 55-59) and older (ages ≥60) veterans who were (N=4,475) or were not (N=20,071) homeless. Survival functions and causes of death of the two samples over an 11-year follow-up period were compared.
RESULTS
Substantially more veterans who were homeless (34.9%) died compared with the control sample (18.2%). Veterans who were homeless were approximately 2.5 years younger at time of death compared with the control sample. Older veterans who were homeless had the lowest survival rate (58%). No disease category appeared to be critical in reducing survival time. Suicide was twice as frequent in the homeless (.4%) versus the control (.2%) sample.
CONCLUSIONS
Older veterans who were homeless experienced excess mortality and increased suicide risk.
目的
研究国家死亡指数数据，以描述无家可归老年退伍军人的死亡模式。
方法
利用美国退伍军人事务部的无家可归和医疗记录，确定年龄在55 - 59岁的老年退伍军人以及年龄≥60岁的年长退伍军人，其中无家可归者有4475人，有家可归者有20071人。比较了两个样本在11年随访期内的生存函数和死亡原因。
结果
与对照样本（18.2%）相比，无家可归的退伍军人死亡比例（34.9%）显著更高。无家可归的退伍军人死亡时的年龄比对照样本小约2.5岁。无家可归的老年退伍军人生存率最低（58%）。没有任何疾病类别在缩短生存时间方面显得至关重要。无家可归者样本中的自杀率（0.4%）是对照样本（0.2%）的两倍。
结论
无家可归的老年退伍军人死亡率过高且自杀风险增加。
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