{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T01:10:40Z","timestamp":1759972240023,"version":"build-2065373602"},"reference-count":44,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["alz-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alzheimer's &amp;amp; Dementia"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>INTRODUCTION<\/jats:title><jats:p>People experiencing homelessness are disproportionately affected by dementia, yet little is known about their dementia care and mortality rates after a diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Homeless (<jats:italic>n<\/jats:italic>\u00a0=\u00a0559) and housed (<jats:italic>n\u00a0<\/jats:italic>=\u00a02002) individuals newly diagnosed with dementia were matched on age, sex, diagnosis date, and health region within the province of Ontario, Canada. Dementia care, long\u2010term care admissions, health service use, and mortality rates within 1 year of diagnosis were compared between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Homeless individuals were more often admitted to long\u2010term care and less often received cholinesterase inhibitors. They also had higher rates of unscheduled emergency department visits, hospital bed days without acute care needs, and mortality compared to housed individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>DISCUSSION<\/jats:title><jats:p>Individuals experiencing homelessness have higher use of hospital\u2010based services and elevated mortality. They are also more frequently admitted to long\u2010term care, reinforcing the importance of developing integrated care models that combine health care, social services, and housing support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Highlights<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Homeless individuals diagnosed with dementia face higher mortality and care gaps.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Most are not placed in long\u2010term care within a year of diagnosis.<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>Tailored care models linking health care, housing, and social services are needed.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1002\/alz.70571","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T08:52:01Z","timestamp":1755075121000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dementia care and mortality in people experiencing homelessness: A matched cohort study"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1219-6763","authenticated-orcid":false,"given":"Salimah Z.","family":"Shariff","sequence":"first","affiliation":[{"name":"ICES Western, London Health Sciences Centre Research Institute London Health Sciences Centre  London Ontario Canada"},{"name":"Arthur Labatt Family School of Nursing Western University  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6989-7926","authenticated-orcid":false,"given":"Melody","family":"Lam","sequence":"additional","affiliation":[{"name":"ICES Western, London Health Sciences Centre Research Institute London Health Sciences Centre  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3732-719X","authenticated-orcid":false,"given":"Monidipa","family":"Dasgupta","sequence":"additional","affiliation":[{"name":"Lawson Research Institute St. Joseph's Health Care London  London Ontario Canada"},{"name":"Division of Geriatric Medicine, Department of Medicine Schulich School of Medicine and Dentistry, Western University  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6936-3932","authenticated-orcid":false,"given":"Cheryl","family":"Forchuk","sequence":"additional","affiliation":[{"name":"Arthur Labatt Family School of Nursing Western University  London Ontario Canada"},{"name":"Lawson Research Institute St. Joseph's Health Care London  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0300-9954","authenticated-orcid":false,"given":"Richard G.","family":"Booth","sequence":"additional","affiliation":[{"name":"ICES Western, London Health Sciences Centre Research Institute London Health Sciences Centre  London Ontario Canada"},{"name":"Arthur Labatt Family School of Nursing Western University  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(24)01296\u20100"},{"volume-title":"Journey Through the Diagnosis of Dementia","year":"2021","author":"Gauthier S","key":"e_1_2_9_3_1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/14713012231206292"},{"key":"e_1_2_9_5_1","article-title":"Homelessness and dementia: an unspoken and complicated epidemic in America","author":"Babulal G","year":"2022","journal-title":"Sage Perspectives"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/07334648221109747"},{"key":"e_1_2_9_7_1","unstructured":"Statistics Canada.Homelessness: how does it happen?2023. 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