Department of Public Health & Primary Care, School of Medicine, Trinity College Dublin, D24H74 Dublin, Ireland.
North Dublin City GP Training Scheme, D07H984 Dublin, Ireland.
Int J Environ Res Public Health. 2022 Mar 9;19(6):3219. doi: 10.3390/ijerph19063219.
Persons experiencing homelessness (PEH) are at heightened risk for infection, morbidity, and mortality from COVID-19. However, health consequences of the pandemic extend far beyond those directly caused by the virus. This scoping review aimed to explore the impacts of the COVID-19 pandemic on the health and well-being of PEH in North America and Europe. A systematic search of academic and grey literature was conducted in September 2021. To be included, studies had to include primary data related to the impact of the pandemic on health or well-being of PEH and be written in English. All potentially relevant references were independently screened by two reviewers, and minor conflicts were settled with input of a third reviewer. A total of 96 articles met criteria for inclusion. Data extraction was completed for all included studies, and findings synthesised and presented thematically. Numerous health impacts of the pandemic on PEH were identified, including SARS-CoV-2 infection, morbidity, mortality, and hospitalisation, fear of infection, access to housing, hygiene, PPE, food, as well as mental health, substance use, other health-related outcomes and treatment services. Gaps in the literature relating to persons using alcohol, access to mental health support, and violence were also identified. Implications for future research are discussed.
无家可归者（PEH）感染、患病和死于 COVID-19 的风险更高。然而，大流行对健康的影响远不止于病毒直接造成的那些。本范围综述旨在探讨 COVID-19 大流行对北美的无家可归者健康和福祉的影响。2021 年 9 月，对学术和灰色文献进行了系统搜索。要被纳入，研究必须包括与大流行对无家可归者健康或福祉的影响有关的主要数据，并且必须用英文书写。两名审查员独立筛选了所有潜在相关的参考文献，较小的冲突由第三名审查员的意见解决。共有 96 篇文章符合纳入标准。对所有纳入的研究都完成了数据提取，并以主题形式综合和呈现了研究结果。确定了大流行对无家可归者造成的许多健康影响，包括 SARS-CoV-2 感染、发病、死亡和住院、对感染的恐惧、获得住房、卫生、个人防护设备、食物以及心理健康、药物使用、其他与健康相关的结果和治疗服务。还确定了与使用酒精者、获得心理健康支持以及暴力有关的文献空白。讨论了对未来研究的影响。
