Determinants of health-related quality of life (HRQoL) among homeless individuals during the COVID-19 pandemic

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 COVI...

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Veröffentlicht in:Quality of life research 2023-11, Vol.32 (11), p.3075-3083
Hauptverfasser: 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
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Sprache:eng
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Zusammenfassung: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.
ISSN:0962-9343
1573-2649
DOI:10.1007/s11136-023-03455-5