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Homelessness and incarceration among psychiatric patients in Brazil.
Melo, Ana Paula Souto; Lima, Eduardo de Paula; Barros, Fabiana Cristina Ribeiro de; Camelo, Lidyane do Valle; Guimarães, Mark Drew Crosland.
Afiliação
  • Melo APS; Faculdade de Medicina, Universidade Federal de São João Del-Rei. Av. Sebastião Gonçalves Coelho 400/209A, Bairro Chanadour. 35501-296 Divinópolis MG Brasil. ana.paula.souto.melo@gmail.com.
  • Lima EP; Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.
  • Barros FCR; Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.
  • Camelo LDV; Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.
  • Guimarães MDC; Departamento de Medicina Preventiva e Social, Faculdade de Medicina, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil.
Cien Saude Colet ; 23(11): 3719-3733, 2018 Nov.
Article em En | MEDLINE | ID: mdl-30427444
Psychiatric patients are at increased risk of adverse life events, such as being incarcerated and homelessness in their life course. Using data from a cross-sectional multicenter study of 2,475 patients selected from 26 mental health services in Brazil, we examined the association of sociodemographic, clinical, behavioral, and adverse life characteristics with history of homelessness, incarceration or their co-occurrence during lifetime. Odds ratios were obtained by multinomial logistic regression models. The prevalence of homelessness, incarceration and co-occurrence of these two conditions were 8.6%, 16.4%, and 9.4%, respectively. Lower income, living in unstable condition, intellectual disability, and cigarette smoking were associated with homelessness. Being male, lower schooling, sex under effect of alcohol or drugs, and multiple sex partners were associated with incarceration. Psychiatric hospitalizations, substance use, and history of sexually transmitted diseases, and sexual, physical, or verbal violence were associated with co-occurrence of both conditions. Our findings suggest that incarceration and homelessness are very prevalent and correlated in psychiatric patients in Brazil. Many of the associated factors are potentially modifiable, and may act synergistically requiring integrated care.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prisioneiros / Pessoas Mal Alojadas / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Cien Saude Colet Ano de publicação: 2018 Tipo de documento: Article País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prisioneiros / Pessoas Mal Alojadas / Transtornos Mentais Tipo de estudo: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Cien Saude Colet Ano de publicação: 2018 Tipo de documento: Article País de publicação: Brasil