{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T02:45:25Z","timestamp":1777430725272,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T00:00:00Z","timestamp":1684281600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asia Pac J Public Health"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>This study investigated inpatient surgical outcomes for people experiencing homelessness (PEH) in Australia. Retrospective administrative health data of emergency surgical admissions from a single center over five years, 2015 to 2020, was included. Independent associations between factors and outcomes were analyzed with binary logistic and log-linear regression. Of 11\u2009229 admissions, 2% were experiencing homelessness. People experiencing homelessness were on average younger (49 vs 56 years), more likely to be males than females (77% vs 61%), suffer mental illness (10% vs 2%), and substance use disorders (54% vs 10%). People experiencing homelessness were not more likely to suffer surgical complications. However, male sex, older age, mental illness, and substance use were risk factors for poor surgical outcomes. Homelessness predicted greater odds of discharge against medical advice (4.3 times) and longer length of stay (1.25 times). These results highlighted the need for health interventions simultaneously addressing physical, mental health, and substance use issues in the care of PEH.<\/jats:p>","DOI":"10.1177\/10105395231175563","type":"journal-article","created":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T02:48:46Z","timestamp":1684378126000},"page":"335-341","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The Impact of Homelessness, Substance Use, and Mental Illness on Surgical Inpatient Outcomes in Australia"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2658-8298","authenticated-orcid":false,"given":"Thomas Mostyn","family":"Warburton","sequence":"first","affiliation":[{"name":"Department of Surgery, St Vincent\u2019s Hospital Sydney, Darlinghurst, NSW, Australia"},{"name":"Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Levon Delaney","family":"Rush","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma Grace Ruthven","family":"Cullen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia"},{"name":"Department of Anaesthetics, St Vincent\u2019s Hospital Sydney, Darlinghurst, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan Harry","family":"Wiener","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Vincent\u2019s Hospital Sydney, Darlinghurst, NSW, Australia"},{"name":"Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan Thomas Kelvin","family":"McManus","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Vincent\u2019s Hospital Sydney, Darlinghurst, NSW, Australia"},{"name":"Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucienne","family":"Heath","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Vincent\u2019s Hospital Sydney, Darlinghurst, NSW, Australia"},{"name":"Faculty of Medicine & Health, University of New South Wales, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Surgery, St Vincent\u2019s Hospital Sydney, Darlinghurst, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,17]]},"reference":[{"key":"bibr1-10105395231175563","unstructured":"Australian Bureau of Statistics. Census of population and housing: estimating homelessness, 2016. Accessed August 10, 2021. https:\/\/www.abs.gov.au\/statistics\/people\/housing\/census-population-and-housing-estimating-homelessness\/latest-release"},{"key":"bibr2-10105395231175563","unstructured":"Pawson H, Parsell C, Liu E, Hartley C, Thompson S. Australian homelessness monitor 2020. Launch Housing. Accessed August 10, 2021. https:\/\/data.launchhousing.org.au\/app\/uploads\/2020\/10\/Australian-Homelessness-Monitor-2020.pdf"},{"key":"bibr3-10105395231175563","unstructured":"Department of Families, Housing, Community Services and Indigenous Affairs. The road home: a national approach to reducing homelessness. Published 2008. Accessed May 5, 2023. https:\/\/web.archive.org\/web\/20130504111654\/http:\/\/www.fahcsia.gov.au\/sites\/default\/files\/documents\/05_2012\/the_road_home.pdf"},{"key":"bibr4-10105395231175563","unstructured":"Australian Housing and Urban Research Institute. Homelessness surges in capital cities. Published 2019. Accessed September 12, 2021. https:\/\/www.ahuri.edu.au\/__data\/assets\/pdf_file\/0020\/41159\/AHURI-MEDIA-RELEASE-Homelessness-surges-in-capital-cities-30-May-2019.pdf"},{"key":"bibr5-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2524.2008.00793.x"},{"key":"bibr6-10105395231175563","unstructured":"Wood LJ, Vallesi S, Kragt D. 50 lives 50 homes: a housing first response to ending homelessness. First evaluation report no. 1. Published 2017. Accessed August 10, 2021. https:\/\/view.publitas.com\/ruah-community-services-1\/uwa-50-lives-50-homes-first-evaluation-report-june-2017\/page\/1"},{"key":"bibr7-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70177-9"},{"key":"bibr8-10105395231175563","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.01264"},{"key":"bibr9-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.13038"},{"key":"bibr10-10105395231175563","unstructured":"Carlisle P. Preventative Health Care Submission to Joint Select Committee Parliament of Tasmania. Bethlehem House Inc; 2013. Accessed August 10, 2021. https:\/\/www.parliament.tas.gov.au\/ctee\/Joint\/Submissions\/No.%2010%20-%20Bethlehem%20House%20-%20Patrick%20Carlisle.pdf"},{"key":"bibr11-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.6010"},{"key":"bibr12-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2020.01.013"},{"key":"bibr13-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/irz045"},{"key":"bibr14-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000915"},{"key":"bibr15-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2017.04.001"},{"key":"bibr16-10105395231175563","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-21-00651"},{"key":"bibr17-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2022.10.001"},{"key":"bibr18-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17675"},{"key":"bibr19-10105395231175563","volume-title":"The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM): Chronicle Part 1: A00\u2013T98, Z00\u2013Z99","author":"Independent Health and Aged Care Pricing Authority","year":"2023"},{"key":"bibr20-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14508"},{"key":"bibr21-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200405000-00010"},{"key":"bibr22-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1080\/j.1440-1614.2000.00715.x"},{"key":"bibr23-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.09.004"},{"key":"bibr24-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03056-x"},{"key":"bibr25-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.6009"},{"key":"bibr26-10105395231175563","doi-asserted-by":"publisher","DOI":"10.12927\/hcpol.2020.26294"},{"key":"bibr27-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2021.2023605"},{"key":"bibr28-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanwpc.2022.100544"},{"key":"bibr29-10105395231175563","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdab219"}],"container-title":["Asia Pacific Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10105395231175563","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10105395231175563","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10105395231175563","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:43:14Z","timestamp":1777376594000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/10105395231175563"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,17]]},"references-count":29,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1177\/10105395231175563"],"URL":"https:\/\/doi.org\/10.1177\/10105395231175563","relation":{},"ISSN":["1010-5395","1941-2479"],"issn-type":[{"value":"1010-5395","type":"print"},{"value":"1941-2479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,17]]}}}