Determinants of health-related quality of life (HRQoL) among homeless individuals during the COVID-19 pandemic
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Published:2023-07-11
Issue:11
Volume:32
Page:3075-3083
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ISSN:0962-9343
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Container-title:Quality of Life Research
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language:en
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Short-container-title:Qual Life Res
Author:
Brennecke Anna,Heinrich Fabian,van Rüth Victoria,Dost Katharina,Graf Wiebke,Kowalski Veronika,Rauch Alessandra,Langenwalder Felicia,Püschel Klaus,Ondruschka Benjamin,König Hans-Helmut,Bertram Franziska,Hajek André
Abstract
Abstract
Objective
Thus far, there is very limited knowledge regarding homeless individuals during the COVID-19 pandemic, particularly related to the health-related quality of life (HRQoL). Thus, our aim was to evaluate HRQoL and to clarify the determinants of HRQoL among homeless individuals during the COVID-19 pandemic in Germany.
Methods
Data were taken from the national survey on psychiatric and somatic health of homeless individuals during the COVID-19 pandemic—NAPSHI (n = 616). The established EQ-5D-5L was used to quantify problems in five health dimensions, and its visual analogue scale (EQ-VAS) was used to record self-rated health status. Sociodemographic factors were included in regression analysis.
Results
Pain/discomfort was the most frequently reported problem (45.3%), thereafter anxiety/depression (35.9%), mobility (25.4%), usual activities (18.5%) and self-care (11.4%). Average EQ-VAS score was 68.97 (SD: 23.83), and the mean EQ-5D-5L index was 0.85 (SD: 0.24). Regressions showed that higher age and having a health insurance were associated with several problem dimensions. Being married was associated with higher EQ-VAS scores.
Conclusions
Overall, our study findings showed a quite high HRQoL among homeless individuals during the COVID-19 pandemic in Germany. Some important determinants of HRQoL were identified (e.g., age or marital status). Longitudinal studies are required to confirm our findings.
Funder
Volkswagen Foundation Universitätsklinikum Hamburg-Eppendorf (UKE)
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
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