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Homelessness and incarceration among psychiatric patients in Brazil

Overview of attention for article published in Ciência & Saúde Coletiva, November 2018
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Title
Homelessness and incarceration among psychiatric patients in Brazil
Published in
Ciência & Saúde Coletiva, November 2018
DOI 10.1590/1413-812320182311.12522016
Pubmed ID
Authors

Ana Paula Souto Melo, Eduardo de Paula Lima, Fabiana Cristina Ribeiro de Barros, Lidyane do Valle Camelo, Mark Drew Crosland Guimarães

Abstract

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.

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Mendeley readers

The data shown below were compiled from readership statistics for 57 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 57 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 13 23%
Student > Bachelor 7 12%
Student > Ph. D. Student 7 12%
Researcher 5 9%
Other 4 7%
Other 8 14%
Unknown 13 23%
Readers by discipline Count As %
Medicine and Dentistry 12 21%
Social Sciences 8 14%
Psychology 8 14%
Nursing and Health Professions 5 9%
Pharmacology, Toxicology and Pharmaceutical Science 2 4%
Other 6 11%
Unknown 16 28%