Graduate Institute of Business Administration, Fu Jen Catholic University, New Taipei City 242304, Taiwan.
Artificial Intelligence Development Center, Fu Jen Catholic University, New Taipei City 242304, Taiwan.
Int J Environ Res Public Health. 2021 Feb 10;18(4):1716. doi: 10.3390/ijerph18041716.
The safety and health of homeless people are important social issues. Metabolic syndrome (MetS) is a sub-health-risk phenomenon that has been severely aggravated worldwide in recent years. The purpose of this study was to investigate the prevalence and risk factors of MetS among the homeless in Taipei City, Taiwan. In this study, a convenience sampling was conducted at homeless counseling agencies in Taipei City from April 2018 to September 2018. A total of 297 homeless participants were recruited, from whom clinical indicators and questionnaire information were collected. Through statistical verification, analysis of variance (ANOVA), and logistic regression, we found the following main conclusions for homeless adults in Taipei: (1) The prevalence of MetS was estimated to be 53%, with 50% meeting four or more diagnostic conditions. (2) Dyslipidemia (high-density lipoprotein (HDL) deficiency and elevated triglyceride (TG)) showed the strongest association with the prevalence of MetS; more than 83% of people with HDL deficiency or hypertriglyceridemia had MetS. For the patient groups meeting more MetS diagnostic conditions, the values of high-density lipoprotein cholesterol (HDL-C), TG, and total cholesterol (TC) increased significantly. (3) The deterioration of MetS was significantly related to the high prevalence of hyperlipidemia (HL). (4) The homeless who were divorced, separated or widowed were more likely to suffer from MetS.
homeless 人群的安全和健康是重要的社会问题。代谢综合征（MetS）是一种亚健康风险现象，近年来在全球范围内严重加剧。本研究旨在调查台湾台北市 homeless 人群代谢综合征的患病率和危险因素。在这项研究中，我们于 2018 年 4 月至 2018 年 9 月在台北市 homeless 咨询机构进行了便利抽样。共招募了 297 名 homeless 参与者，从他们那里收集了临床指标和问卷信息。通过统计验证、方差分析（ANOVA）和逻辑回归，我们得出了以下关于台北 homeless 成年人的主要结论：（1）MetS 的患病率估计为 53%，其中 50%符合四项或更多诊断条件。（2）血脂异常（高密度脂蛋白（HDL）缺乏和甘油三酯（TG）升高）与 MetS 的患病率关联最强；超过 83%的 HDL 缺乏或高甘油三酯血症患者患有 MetS。对于符合更多 MetS 诊断条件的患者组，高密度脂蛋白胆固醇（HDL-C）、TG 和总胆固醇（TC）的值显著升高。（3）MetS 的恶化与高脂血症（HL）的高患病率显著相关。（4）离婚、分居或丧偶的 homeless 人群更易患 MetS。
