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. 2014;21(3):289-97.
doi: 10.1080/17457300.2013.825631. Epub 2013 Sep 6.

Homeless in America: injuries treated in US emergency departments, 2007-2011

Jessica L Mackelprang  1 , Janessa M Graves, Frederick P Rivara
Affiliations

Homeless in America: injuries treated in US emergency departments, 2007-2011

Jessica L Mackelprang et al. Int J Inj Contr Saf Promot. 2014.

Abstract

Despite being a high-risk population, epidemiological research about injuries among homeless individuals is limited. We sought to describe injury characteristics among individuals identified as homeless in the National Electronic Injury Surveillance System (NEISS), and to compare them to age- and sex-matched controls. We searched text narratives for all patients with product-related injuries who presented to NEISS emergency departments from 2007 to 2011 to identify homeless cases (N = 268). A random sample of 2680 age- and sex-matched controls was identified for the same time period. The incident location differed between groups, and the mention of substance use was significantly more common among homeless cases than controls. The body part injured differed significantly between cases and controls for all age groups, with the exception of older adults. Among homeless cases, injuries occurred most frequently to the lower extremities, and sprains/strains, contusions/abrasions and burns were most common. Additional research on injury among homeless individuals is warranted in order to identify meaningful preventive strategies for this at-risk population.

Keywords: emergency department; homelessness; injury.

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Figures

Figure 1a
Figure 1a
Distribution of diagnoses by body region for homeless cases.
Figure 1b
Figure 1b
Distribution of diagnoses by body region for population controls.
See this image and copyright information in PMC

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References

    1. Adams J, Rosenheck R, Gee L, Seibyl CL, Kushel M. Hospitalized younger: a comparison of a national sample of homeless and housed inpatient veterans. Journal of Health Care for the Poor and Underserved. 2007;18:173–184. doi: 10.1353/hpu.2007.0000. - PubMed
    1. Bohl S, Sharma M, Jones C. All-terrain vehicle-related injuries and hospitalization: an examination of the influence of age and alcohol or drugs. Open Epidemiology Journal. 2011;4:123–132.
    1. Collins CL, Smith GA, Comstock RD. Children plus all nonautomobile motorized vehicles (not just all-terrain vehicles) equals injuries. Pediatrics. 2007;120:134–141. doi: 10.1542/peds.2006-3612. - PubMed
    1. Cortes A, Henry M, De La Cruz RJ, Brown S, Khadduri J, Culhane DP. [Retrieved April 27, 2013];The 2012 point-in-time estimate of homelessness: Volume I of the 2012 annual homelessness assessment report. 2012 from https://onecpd.info/resources/documents/2012AHAR_PITestimates.pdf.
    1. Frencher SK, Jr., Benedicto CM, Kendig TD, Herman D, Barlow B, Pressley JC. A comparative analysis of serious injury and illness among homeless and housed low income residents of New York City. Journal of Trauma. 2010;69:S191–9. doi: 10.1097/TA.0b013e3181f1d31e. - PubMed

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