{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:03:34Z","timestamp":1790233414516,"version":"4.1.0"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":31,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000265","name":"UK Medical Research Council","doi-asserted-by":"publisher","award":["MR\/P023444\/1"],"award-info":[{"award-number":["MR\/P023444\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"name":"US National Institute on Aging","award":["1R56AG052519-01"],"award-info":[{"award-number":["1R56AG052519-01"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]},{"name":"US National Institute on Aging","award":["1R01AG052519-01A1"],"award-info":[{"award-number":["1R01AG052519-01A1"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The association between homelessness and the type of homeless experience with all-cause and cause-specific mortality is uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Published studies were retrieved through a systematic search of MEDLINE, Embase PsycINFO, and Scopus from inception to December 2024. Unpublished data were identified from open-access data archives. We used random-effects meta-analysis to combine the effect estimates from published and unpublished data from 116 studies comprising 2\u200a563\u200a633 homeless people and 129\u200a292\u200a553 population controls. This review is registered at PROSPERO (CRD42023430984).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The risk of all-cause mortality was increased in people exposed to homelessness compared with those unexposed [relative risk (RR) 2.21, 95% confidence interval (CI) 1.91\u20132.57, P\u2009&amp;lt;\u2009.001, I2\u2009=\u200999.7], with risks similar in men (RR 4.04, 95% CI 2.87\u20135.21) and women (RR 3.58, 95% CI 2.35\u20134.82). Risks were higher in people who had slept rough (RR 7.63, 95% CI 3.29\u201311.97) than in those who had slept in homeless hostels\/shelters (RR 3.44, 95% CI 2.10\u20134.77) and also elevated for people staying in low-cost hotels (RR 5.18, 95% CI 1.14\u20139.23). Summary RR estimates were elevated for 33 of the 36 (92%) causes of death. The highest risk of death was apparent for psychoactive-substance-use disorder (RR 21.38, 95% CI 14.44\u201331.67), accidental injuries (RR 13.15, 95% CI 5.46\u201331.69), and drug overdose (RR 11.65, 95% CI 6.97\u201319.48). Around half of the studies (57%) were of high quality. No studies were found in low-income countries. There was no evidence of publication bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared with the general population, homeless people experience an increased risk of premature mortality. The most extreme inequalities were from deaths through psychoactive-substance-use disorder, accidents, and drug overdose. There are evidence-based treatments for psychoactive substance use and drug overdose, suggesting that some of these deaths are avoidable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ije\/dyag129","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:05:50Z","timestamp":1782921950000},"source":"Crossref","is-referenced-by-count":0,"title":["Mortality in people experiencing homelessness: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"55","author":[{"given":"James","family":"White","sequence":"first","affiliation":[{"name":"Centre for Trials Research, School of Medicine, Cardiff University , Cardiff,","place":["United Kingdom"]},{"name":"Centre for the Development, Evaluation, Complexity and Implementation in Public Health ImpRovement (DECIPHer), School of Social Sciences, Cardiff University , Cardiff,","place":["United 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