[Mental Disorder and Self-Rated Health Among Homeless People in Zurich - First Epidemiological Data from Switzerland].
ObjectiveThis study aims to assess psychiatric morbidity and self-rated health (SRH) of homeless people in Zurich, Switzerland.MethodsCross-sectional study of N = 338 homeless people, assessement of psychiatric disorders (ICD-10), level of functioning (GAF, HoNOS), self-rated health. Comparison of SRH among homeless people with a sample of Zurich (N = 956) and Swiss (N = 21 579) population.Results96 % of the homeless people had at least one psychiatric disorder, most of them drug- (60.9 %) or alcohol-dependence (41.5 %). Homeless people had a far lower SRH than the Zurich population. Higher impairment in HoNOS was associated with lower levels of SRH. Low SRH was associated with help care seeking (OR = 1.9, p < 0.001) and medication (OR = 1.5, p = 0.006).ConclusionsThe prevalence of psychiatric disorders is far higher among homeless people compared to the general population in Zurich. Implications for providing help at the intersection of social and health care are discussed.
Städtische Gesundheitsdienste, Psychiatrisch-Psychologische Poliklinik, Stadt Zürich, Schweiz.
David
D
Briner
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich, Schweiz.
Matthias
M
Jäger
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich, Schweiz.
Wolfram
W
Kawohl
Städtische Gesundheitsdienste, Psychiatrisch-Psychologische Poliklinik, Stadt Zürich, Schweiz.
Gabriela
G
Baumgartner-Nietlisbach
D000203:Activities of Daily Living / Q000145:classification / Q000523:psychology; D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006703:Ill-Housed Persons / Q000523:psychology* / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data; D011619:Psychotropic Drugs / Q000627:therapeutic use; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D013557:Switzerland
D011619:Psychotropic Drugs