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Maatregelen voor daklozen verbeteren de leefomstandigheden voor daklozen en Rotterdammers, maar leiden niet tot sterfteafname

Tijdschrift voor gezondheidswetenschappen volume 93, pages 172–175 (2015)Cite this article

Samenvatting

De sterfte onder daklozen is aanzienlijk hoger dan die in de algemene bevolking. De gemeente Rotterdam nam vanaf 2006 maatregelen om het forse aantal dak- en thuislozen in de stad terug te dringen en om passende zorg, inkomen en huisvesting voor hen te arrangeren. Hierdoor zijn de leefomstandigheden van deze kwetsbare groep aanzienlijk verbeterd. Onderzocht is of deze maatregelen ook van invloed waren op de sterfte onder daklozen.

Abstract

The effect of local policy actions on mortality among homeless people Background: Homeless people have a 3-5 fold increased risk of mortality compared to general populations. After 2005, policy actions being implemented in Rotterdam, the Netherlands, have improved the living conditions of this group. This study examines the effect of policies aimed at improving living conditions on mortality risks of the homeless.

Methods: Register-based 10-year follow-up study of homeless in Rotterdam, the Netherlands. The Participants are homeless adults (18+), who visited one or more services for homeless people in Rotterdam in 2001. The intervention of local policies after 2005 to get homeless people into housing, increase their participation in employment and other regular day-time activities, and controlling drug and alcohol addictions. The main outcome measure is mortality rate ratios calculated with Poisson regression. Differences in mortality between the periods 2001-2005 vs. 2006-2010 were assessed. In a sensitivity analysis differences between alternative periods were analyzed.

Results: The cohort of homeless adults in 2001 consisted of 1870 men and 260 women, with a mean age of 40.3 years. During the 10-year of follow- up, 265 persons (232 males and 33 females) died. Adjusted for age and sex, no significant difference in mortality was observed between the periods 2001-2005 and 2006-2010 (p=0.9683). A different splitting in periods did not change the results.

Conclusion: Five years of local policy efforts improved their living conditions, but left the mortality rate of a homeless cohort unchanged. Incomplete reach of the program and long previous histories of homelessness ask for additional policies beyond the provision of housing and other services. Attention to the prevention of homelessness seems needed.

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Authors and Affiliations

  1. Erasmus MC, afdeling Maatschappelijke gezondheidszorg, Rotterdam, The Netherlands

    Wilma J. Nusselder, Caspar W.N. Looman, Colette J.T. Slockers & Ed F. van Beeck

  2. GGD, Rotterdam, The Netherlands

    Luuk Krol

  3. Erasmus MC, afdeling Maatschappelijke gezondheidszorg, 3063, Rijnwaterstraat 10, HC, Rotterdam, The Netherlands

    Marcel T. Slockers

Authors
  1. Marcel T. Slockers
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  2. Wilma J. Nusselder
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  3. Caspar W.N. Looman
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  4. Colette J.T. Slockers
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  5. Luuk Krol
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  6. Ed F. van Beeck
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Correspondence to Marcel T. Slockers.

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Slockers, M., Nusselder, W., Looman, C. et al. Maatregelen voor daklozen verbeteren de leefomstandigheden voor daklozen en Rotterdammers, maar leiden niet tot sterfteafname. Tijdschr Gezondheidswet 93, 172–175 (2015). https://doi.org/10.1007/s12508-015-0070-2

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  • DOI: https://doi.org/10.1007/s12508-015-0070-2