A recent systematic review published in the Lancet revealed that that homeless populations, individuals with substance use disorders, sex workers, and imprisoned individuals experience extreme health inequities across a wide range of health conditions. It concludes that “The extreme health inequity identified demands intensive cross-sectoral policy and service action to prevent exclusion and improve health outcomes in individuals who are already marginalised”.
Robert W Aldridge, Alistair Story, Stephen W Hwang, Merete Nordentoft, Serena A Luchenski, Greg Hartwell, Emily J Tweed, Dan Lewer, Srinivasa Vittal Katikireddi, Andrew C Hayward.
Morbidity and mortality in homeless individuals, prisoners, sex workers, and individuals with substance use disorders in high-income countries: a systematic review and meta-analysis
The Lancet. Published online November 11, 2017 http://dx.doi.org/10.1016/S0140-6736(17)31869-X
An evidence synthesis of health and social interventions for inclusion health target populations, including people with experiences of homelessness, drug use, imprisonment, and sex work has identified numerous interventions to improve physical and mental health, and substance use; however, it concludes that evidence is scarce for structural interventions, including housing, employment, and legal support that can prevent exclusion and promote recovery.
Serena Luchenski, Nick Maguire, Robert W Aldridge, Andrew Hayward, Alistair Story, Patrick Perri, James Withers, Sharon Clint, Suzanne Fitzpatrick, Nigel Hewett. What works in inclusion health: overview of effective interventions for marginalised and excluded populations.
The Lancet. Published online November 11, 2017