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The homeless are a vulnerable population with limited access to health care and poor health outcomes. Boston Health Care for the Homeless Program (BHCHP) analyzed
The homeless are a vulnerable population with limited access to health care and poor health outcomes. Boston Health Care for the Homeless Program (BHCHP) analyzed deaths among homeless adults who were seen at their program from 1/1/2003 through 12/31/2008 (Baggett et al., 2014). A total of 1,302 deaths occurred during the observation period among the study population of 28,033 individuals. Mortality rates during 2003- 2008 were compared to an earlier mortality study of homeless adults seen by BHCHP during 1988-1993 (Hwang et al., 1997). In the earlier cohort, there were 605 deaths among 17,292 individuals. Below are some crude ca use-specific mortality rates from the two studies. Note these are true rates because there is person- time in the denominator. Crude Mortality Rates per 100,000 person-years 1988-1993 Study 2003-2008 Study N= 17,292 N=28,033 Crude mortality rate per 100,000 person-years Drug Overdose 80.7 242.1 Substance Use Disorder (SUD) 54.8 109.5 HIV/AIDS 280.0 84.0 Below are some crude mortality rates from the 2003-2008 study among 2544yearold men and women. Using the relative measure of association, compare the three ca use-specific mortality rates among men to that among women (i.e., use women as the referent group). Note these are true rates because there is person-time in the denominator. Show your work. State in words your interpretation of each of these measures. Crude Mortality Rates per 100,000 person-years 2544-Year-0ld Men 2544-Year-Old Women Crude mortality rate per 100,000 person-years Drug Overdose 80.7 242.1 Substance Use Disorder HIV/AIDS 84.0 109.5 a. Drug Overdose Rate Ratio for men compared to women: b. SUD Rate Ratio for men compared to women: c. HIV Rate Ratio for men com pa red to women
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