Woodhall-Melnik Julia, Misir Vachan, Kaufman-Shriqui Vered, O'Campo Patricia, Stergiopoulos Vicky, Hwang Stephen
Centre for Research on Inner City Health, St. Michael's Hospital, Toronto, Ontario, Canada.
Centre for Research on Inner City Health, St. Michael's Hospital, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
PLoS One. 2015 Sep 29;10(9):e0137069. doi: 10.1371/journal.pone.0137069. eCollection 2015.
Research suggests that individuals experiencing homelessness have high rates of overweight and obesity. Unhealthy weights and homelessness are both associated with increased risk of poor health and mortality. Using longitudinal data from 575 participants at the Toronto site of the At Home/Chez Soi randomized controlled trial, we investigate the impact of receiving a Housing First intervention on the Body Mass Index (BMI) and waist circumference of participants with moderate and high needs for mental health support services. The ANCOVA results indicate that the intervention resulted in no significant change in BMI or waist circumference from baseline to 24 months. The findings suggest a need for a better understanding of factors contributing to overweight, obesity, and high waist circumference in populations who have histories of housing precarity and experience low-income in tandem with other concerns such as mental illness and addictions.
International Standard Randomized Control Trial Number Register ISRCTN42520374.
研究表明，无家可归者中超重和肥胖的比例很高。不健康的体重和无家可归都与健康状况不佳和死亡率增加有关。利用“在家/在自己家”随机对照试验多伦多站点575名参与者的纵向数据，我们调查了接受“优先住房”干预对心理健康支持服务有中度和高度需求的参与者的体重指数（BMI）和腰围的影响。协方差分析结果表明，从基线到24个月，干预对BMI或腰围没有产生显著变化。研究结果表明，需要更好地了解在有住房不稳定历史、同时经历低收入以及患有精神疾病和成瘾等其他问题的人群中，导致超重、肥胖和高腰围的因素。
国际标准随机对照试验编号注册ISRCTN42520374 。
