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无家可归者:他们可能接触到 COVID-19 的情况。

People experiencing homelessness: Their potential exposure to COVID-19.

机构信息

The Suicidology Research Group from Universidade Federal do Ceará (UFC), Fortaleza, Ceará, Brazil.

School of Medicine of Juazeiro do Norte - FMJ/Estácio, Juazeiro do Norte, Ceará, Brazil.

出版信息

Psychiatry Res. 2020 Jun;288:112945. doi: 10.1016/j.psychres.2020.112945. Epub 2020 Apr 11.

Abstract

BACKGROUND

Insufficient housing quality is associated with stress and mental health impacts. Crowding, pollution, noise, inadequate lighting, lack of access to green spaces, and other environmental factors associated with slums can exacerbate mental health disorders, including depression, anxiety, violence, and other forms of social dysfunction.

METHOD

The studies were identified using large-sized newspapers with international circulation.

RESULTS

Experts say that people who sleep in shelters or on the streets already have lower life expectancy, suffer from addiction, and have underlying health conditions that put them at greater risk should they develop the virus. There are just so many competing and unmet needs, which makes it much harder for homeless to contend with all of this. If exposed, people experiencing homelessness might be more susceptible to illness or death due to the prevalence of underlying physical and mental medical conditions and a lack of reliable and affordable health care. Nevertheless, without an urgent solution, people experiencing homelessness will remain in limbo.

CONCLUSIONS

Many people living on the streets already have a diminished health condition, higher rates of chronic illnesses or compromised immune systems, all of which are risk factors for developing a more serious manifestation of the coronavirus infection. Those suffering from mental illness may have difficulty in recognizing and responding to the threat of infection. Homeless people have less access to health care providers who could otherwise order diagnostic testing and, if confirmed, isolate them from others in coordination with local health departments.

摘要

背景

住房质量不足与压力和心理健康问题有关。与贫民窟相关的拥挤、污染、噪音、采光不足、缺乏绿色空间等环境因素会加剧心理健康障碍,包括抑郁、焦虑、暴力和其他形式的社会功能障碍。

方法

使用具有国际发行量的大型报纸来确定研究。

结果

专家表示,睡在收容所或街头的人已经预期寿命更短,患有成瘾问题,并且存在潜在的健康状况,使他们在感染病毒时面临更大的风险。有太多相互竞争和未满足的需求,这使得无家可归者更难应对所有这些问题。如果暴露,无家可归者可能更容易因潜在的身心医疗条件以及缺乏可靠和负担得起的医疗保健而患病或死亡。然而,如果没有紧急解决方案,无家可归者将继续处于困境。

结论

许多在街上生活的人已经存在健康状况不佳、慢性疾病发病率较高或免疫系统受损的情况,所有这些都是感染冠状病毒更严重表现的风险因素。那些患有精神疾病的人可能难以识别和应对感染的威胁。无家可归者获得医疗保健提供者的机会较少,否则医疗保健提供者可以下令进行诊断测试,如果确诊,他们可以与当地卫生部门协调将其隔离。

相似文献

1
People experiencing homelessness: Their potential exposure to COVID-19.无家可归者:他们可能接触到 COVID-19 的情况。
Psychiatry Res. 2020 Jun;288:112945. doi: 10.1016/j.psychres.2020.112945. Epub 2020 Apr 11.
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Ensuring mental health access for vulnerable populations in COVID era.确保新冠疫情时代弱势群体能够获得心理健康服务。
J Psychiatr Res. 2020 Oct;129:147-148. doi: 10.1016/j.jpsychires.2020.07.011. Epub 2020 Jul 15.

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