Bark, Pippa;
Ramasawmy, Mel;
Hayward, Andrew;
Luchenski, Serena;
Aldridge, Robert;
Burridge, Stan;
Banerjee, Amitava;
(2023)
Integrated approach to cardiovascular disease in people experiencing homelessness: a qualitative study.
Open Heart
, 10
(1)
, Article e002235. 10.1136/openhrt-2022-002235.
Preview |
PDF
e002235.full.pdf - Published Version Download (349kB) | Preview |
Abstract
BACKGROUND: Homelessness is associated with an increased risk of cardiovascular disease (CVD), beyond impact of socioeconomic status. CVD is preventable and treatable, though barriers to interventions exist for people experiencing homelessness. Those with lived experience of homelessness and health professionals with relevant expertise can help to understand and address these barriers. OBJECTIVES: To understand, and make recommendations to improve, CVD care in homeless populations through lived and professional expertise. METHOD: Four focus groups were conducted in March-July 2019. Three groups included people currently or previously experiencing homelessness, each attended by a cardiologist (AB), a health services researcher (PB) and an 'expert by experience' (SB) who coordinated participants. One group included multidisciplinary health and social care professionals in and around London to explore solutions. PARTICIPANTS: The three groups included 16 men and 9 women, aged 20-60 years, of whom 24 were homeless and currently living in hostels, and 1 rough sleeper. At least 14 discussed sleeping rough at some point. RESULTS: Participants were aware of CVD risks and relevance of healthy habits but identified barriers to prevention and health access, starting with disorientation affecting planning and self-care, lack of facilities for food, hygiene and exercise, and experiences of discrimination. CONCLUSIONS: CVD care for those experiencing homelessness should account for fundamental problems of the environment, be codesigned with service users and cover key principles: flexibility, public and staff education, integration of support and advocacy for health service rights.
| Type: | Article |
|---|---|
| Title: | Integrated approach to cardiovascular disease in people experiencing homelessness: a qualitative study |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1136/openhrt-2022-002235 |
| Publisher version: | https://doi.org/10.1136/openhrt-2022-002235 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | CORONARY ARTERY DISEASE, Health Services, RISK FACTORS, Male, Humans, Female, Cardiovascular Diseases, Ill-Housed Persons, Qualitative Research, Focus Groups, Exercise |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics > Clinical Epidemiology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10168600 |
Archive Staff Only
 |
View Item |
