Health impacts of cold exposure among people experiencing homelessness: A narrative systematic review on risks and risk-reduction approaches
Akhanemhe R, Petrokofsky C, Ismail SA
Public health · 5 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Eventos clínicos como enfermedad o muerte
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2025-01-28 · Public Health · vol. 240 · págs. 80–87
- Editorial
- Elsevier BV
- Citado
- 7 citas · más que el 82% de estudios similares · 1.7× el promedio de su campo
- Referencias
- 31 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Homelessness and Social Issues · Climate Change and Health Impacts · Thermal Regulation in Medicine
- Palabras clave
- homelessness, cold exposure, hypothermia, risk reduction interventions, health care utilization, mortality risk, rough sleeping
- MeSH
- humans, hypothermia, risk reduction behavior, cold temperature, ill-housed persons
3 autores
- Rebecca Akhanemhe🇬🇧UK Health Security Agency
- Carl Petrokofsky🇬🇧UK Health Security Agency
- Sharif Ismail🇬🇧 · autor de correspondenciaUK Health Security Agency
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To systematically review evidence from high income countries on health risks from cold weather exposure among people experiencing homelessness (PEH) and assess evidence on risk-reduction interventions and their effectiveness.
Study design
Narrative systematic review.
Methods
Keyword-structured searches were performed in CINAHL, Emcare, Medline, SocINDEX, Scopus, OpenGrey, Social Policy and Practice and Web of Science, and supplemented by grey literature searches in a selection of other databases, from 1973 to 2024. Articles were double-screened on title/abstract and full text. Extracted data included information on study setting and population, health risks from cold exposure, intervention characteristics and effect sizes where reported. Studies were critically appraised using Joanna Briggs Institute checklists.
Results
24 studies were included, predominantly from the UK and US. People sleeping rough were found to be at greater risk than the general population of mortality due to hypothermia, and of hypothermic injury. Studies assessing health service utilisation indicated higher than population average admission rates due to cold exposure among PEH. Studies on interventions to reduce health risks from cold exposure in these populations all addressed multi-component programmes including shelter provision as a central component. Evidence of effectiveness was very limited.
Conclusion
PEH are at greater risk of death from hypothermia, and of hypothermic injury due to cold exposure than the general population. The use of overnight shelters and severe weather emergency plans are established approaches in high income settings for reducing risks from cold exposure among those sleeping rough, but further evidence on effectiveness is needed.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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