Diabetes and hypertension prevalence in homeless adults in the United States: a systematic review and meta-analysis

We estimated hypertension and diabetes prevalence among US homeless adults compared with the general population, and investigated prevalence trends. We systematically searched 5 databases for published studies (1980-2014) that included hypertension or diabetes prevalence for US homeless adults, pool...

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Bibliographic Details
Published in:American journal of public health (1971) 2015-02, Vol.105 (2), p.e46-e60
Main Authors: Bernstein, Rebecca S, Meurer, Linda N, Plumb, Ellen J, Jackson, Jeffrey L
Format: Article
Language:English
Subjects:
Adult
Adults
Aging
Cardiovascular disease
Chronic illnesses
Citation indexes
Confidence intervals
Diabetes
Diabetes Mellitus - epidemiology
Health care access
Health care policy
Heterogeneity
Homeless people
Homeless Persons - statistics & numerical data
Homelessness
Humans
Hypertension
Hypertension - epidemiology
Mortality
Online Systematic Review
Population
Prevalence
Public health
Risk factors
Systematic review
Trends
United States - epidemiology
Vocabularies & taxonomies
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Summary:We estimated hypertension and diabetes prevalence among US homeless adults compared with the general population, and investigated prevalence trends. We systematically searched 5 databases for published studies (1980-2014) that included hypertension or diabetes prevalence for US homeless adults, pooled disease prevalence, and explored heterogeneity sources. We used the National Health Interview Survey for comparison. We included data from 97366 homeless adults. The pooled prevalence of self-reported hypertension was 27.0% (95% confidence interval=23.8%, 29.9%; n=43 studies) and of diabetes was 8.0% (95% confidence interval=6.8%, 9.2%; n=39 studies). We found no difference in hypertension or diabetes prevalence between the homeless and general population. Additional health care and housing resources are needed to meet the significant, growing burden of chronic disease in the homeless population.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2014.302330