Marcel Slockers

35 Health status of homeless people measured by mortality rates Mortality in the homeless population compared with the general Rotterdam population In the general Rotterdam population the RR for females vs. males, corrected for age, was 0.67 (95% CI 0.66–0.69), which is markedly different from the RR in the homeless population (1.12, 95% CI 0.77–1.61). Homeless men and women in Rotterdam had a 3.5 times higher mortality rate as compared to their peers in the city's general population (Table 3). The disparity in mortality between homeless and non-homeless people was greater for women (RR 5.56) than for men (RR 3.31) (p=0.002 for the interaction between gender and homelessness). The excess mortality varies by age (p<0.001 for the interaction between age and homelessness). The RR decreased from 7.67 for the age group 20–44 years to 1.63 for the age group 60+ years. Table 3. Rate ratios when comparing mortality rates in the homeless population with the general Rotterdam population. Rate Ratios (95% CI) p-value Within homeless population Age (corrected for sex) <0,001 <30 1 30-39 1,04 (0,56 – 1,94) 40-49 1,63 (0,91 – 2,94) 50-59 2,70 (1,49 – 4,90) 60-69 4,28 (2,26 – 8,12) 70+ 11,67 (6,07 – 24,45) Female sex (corrected for age) 1,12 (0,77; 1,61) Service use Only day 1 Convalescence care 1,73 (1,04; 2,88) Other (day and night, only night, sleeping rough) 0,93 0,72; 1,22) Homeless vs general population Total (corrected for age and sex) 3,49 (3,09-3,94) Gender corrected for age Men (corrected for age) 3,31 (2,91-3,77) Women (corrected for age) 5,56 (3,95-7,82) Age in years (corrected for sex) 20-44 7,67 (6,87-8,56) 45-59 3,70 (3,41-4,01) 60+ 1,63 (1,41-1,88)