School of Medicine, Walailak University, Thasala, Nakhon Si Thammarat, Thailand.
Walailak University Hospital, Thasala, Nakhon Si Thammarat, Thailand.
PeerJ. 2024 Sep 4;12:e17884. doi: 10.7717/peerj.17884. eCollection 2024.
Homelessness is a significant global challenge affecting people worldwide. In Thailand, the health-related issues of people experiencing homelessness have not been a major research focus. This scoping review aims to explore the scope of research on health-related issues among people experiencing homelessness in Thailand.
Eight databases (ACI, AMED, Embase, PsycINFO, PubMed, Scopus, TCI, and Web of Science) were searched from inception of each database to August 2022. The search terms consisted of terms related to people experiencing homelessness in Thailand. Research articles published in Thai or English were included.
Of 186 articles, 167 were excluded during duplicate removal ( = 45), title and abstract screening ( = 106), seeking for full-text articles = 2), and full-text screening ( = 14). Nineteen articles were included for extraction and synthesis. Three topics (health status, causes of homelessness and effects of homelessness on health, healthcare and social services) were summarised. The included studies described mental health (., depression, suicide, alcohol and drug dependence), physical health (., poor self-hygiene, injuries, accidents), and health behaviours (., alcohol drinking, substance use, unsafe sex). Social behaviours and health problems linked to homelessness, and several factors related to health and living conditions (., stigma, discrimination) were reported. People experiencing homelessness had some barriers to access to healthcare and social services (., health insurance, social welfare, financial difficulties).
The majority of studies on health-related issues in people experiencing homelessness in Thailand are descriptive studies. Future studies should focus on the interactions and mechanisms between homelessness and health.
homelessness 是一个全球性的重大挑战，影响着世界各地的人们。在泰国，无家可归者的健康问题还不是一个主要的研究重点。本 scoping 综述旨在探讨泰国无家可归者健康相关问题的研究范围。
从每个数据库的创建开始，对 8 个数据库（ACI、AMED、Embase、PsycINFO、PubMed、Scopus、TCI 和 Web of Science）进行了搜索，截止到 2022 年 8 月。搜索词包括与泰国无家可归者相关的术语。纳入以泰语或英语发表的研究文章。
在 186 篇文章中，有 167 篇在重复去除（=45）、标题和摘要筛选（=106）、全文文章检索（=2）和全文筛选（=14）过程中被排除。有 19 篇文章被纳入提取和综合。总结了三个主题（健康状况、无家可归的原因和无家可归对健康的影响、医疗保健和社会服务）。所纳入的研究描述了心理健康（如抑郁、自杀、酒精和药物依赖）、身体健康（如卫生条件差、受伤、事故）和健康行为（如饮酒、药物使用、不安全性行为）。与无家可归有关的社会行为和健康问题，以及与健康和生活条件有关的几个因素（如耻辱、歧视）也有报道。无家可归者在获得医疗保健和社会服务方面存在一些障碍（如医疗保险、社会福利、经济困难）。
泰国无家可归者健康相关问题的大多数研究都是描述性研究。未来的研究应侧重于无家可归与健康之间的相互作用和机制。
