The prevalence of mental disorders among homeless people in high-income countries: An updated systematic review and meta-regression analysis
PLoS Medicine Aug 27, 2021
Gutwinski S, Schreiter S, Deutscher K, et al. - This systematic review and meta-analysis was performed on studies describing the prevalence of any mental disorder and major psychiatric diagnoses in clearly defined homeless populations in any high-income country.
Researchers retrieved a sample of 39 studies including information from over 8,000 homeless individuals in 11 countries by conducting a systematic database search, extracting data from primary reports, and assessing their risk of bias.
Random effects meta-analyses of 7 common diagnostic categories were performed.
Homeless individuals had an increase in all prevalence estimates compared with general population estimates.
The highest absolute rate, at 37%, was recorded for alcohol use disorders with substantially raised proportional excesses compared with the general population for schizophrenia spectrum disorders and drug use disorders as well.
Prevalence estimates varied substantially between-studies, and as per meta-regression analyses, some of the heterogeneity is due to sampling method, participant gender distribution, and study country.
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