{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:17:22Z","timestamp":1765610242484,"version":"3.38.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T00:00:00Z","timestamp":1651622400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001921","name":"Public Health Research Programme","doi-asserted-by":"publisher","award":["Doctoral Research Fellowship DRF-2018-11-ST2-016"],"award-info":[{"award-number":["Doctoral Research Fellowship DRF-2018-11-ST2-016"]}],"id":[{"id":"10.13039\/501100001921","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001921","name":"Public Health Research Programme","doi-asserted-by":"publisher","award":["Pre-Doctoral Research Fellowship"],"award-info":[{"award-number":["Pre-Doctoral Research Fellowship"]}],"id":[{"id":"10.13039\/501100001921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perspect Public Health"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Many countries are seeking to eliminate tuberculosis (TB), but incidence remains high in socially excluded groups such as people experiencing homelessness. There is limited research into the effectiveness of residential respite services (RRS), which provide accomodation and social and clinical support for homeless people with active TB. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> We used a register of all cases of TB diagnosed in London between 1 January 2010 and 3 October 2019 to compare characteristics and outcomes of patients treated in an RRS with patients receiving standard care. The primary outcome was successful treatment completion. We used logistic regression to compare likelihood of completing treatment, and simulation to estimate the absolute change in treatment completion resulting from this service. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> A total of 78 homeless patients finished an episode of TB treatment at the RRS. Patients treated in the RRS were more likely than patients treated in standard care to have clinical and social risk factors including drug resistance, history of homelessness, drug or alcohol use, and need for directly observed therapy. After adjusting for these factors, patients treated in the RRS had 2.97 times the odds of completing treatment (95% CI = 1.44\u20136.96). Treatment ended in failure for 8\/78 patients treated in the RRS (10%, 95% CI = 5%\u201320%). We estimated that in the absence of the RRS, treatment would have ended in failure for 17\/78 patients (95% CI = 11\u201325). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> The residential respite service for homeless TB patients with complex social needs was associated with better treatment outcomes. <\/jats:p><\/jats:sec>","DOI":"10.1177\/17579139221093544","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T12:56:21Z","timestamp":1651668981000},"page":"89-96","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Outcomes of a residential respite service for homeless people with tuberculosis in London, UK: a cross-sectional study"],"prefix":"10.1177","volume":"143","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4643-3701","authenticated-orcid":false,"given":"L","family":"Crosby","sequence":"first","affiliation":[{"name":"Collaborative Centre for Inclusion Health, UCL, London, UK"},{"name":"Research Department of Primary Care and Population Health, UCL, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3698-7196","authenticated-orcid":false,"given":"D","family":"Lewer","sequence":"additional","affiliation":[{"name":"Collaborative Centre for Inclusion Health, University College London, London, UK"},{"name":"National Infections Service, Public Health England, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y","family":"Appleby","sequence":"additional","affiliation":[{"name":"Find & Treat, University College London Hospitals, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Anderson","sequence":"additional","affiliation":[{"name":"National Infections Service, Public Health England, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Hayward","sequence":"additional","affiliation":[{"name":"Collaborative Centre for Inclusion Health, UCL, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Story","sequence":"additional","affiliation":[{"name":"Collaborative Centre for Inclusion Health, UCL, London, UK"},{"name":"Find & Treat, University College London Hospitals, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,5,4]]},"reference":[{"key":"bibr1-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1177\/14661380022230732"},{"key":"bibr2-17579139221093544","unstructured":"WHO. Global tuberculosis report 2019. Geneva: WHO. Available online at: http:\/\/www.who.int\/tb\/publications\/global_report\/en\/ (accessed 25 November 2019)."},{"key":"bibr3-17579139221093544","doi-asserted-by":"publisher","DOI":"10.4084\/mjhid.2014.070"},{"key":"bibr4-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1186\/1755-7682-7-35"},{"key":"bibr5-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdv052"},{"key":"bibr6-17579139221093544","unstructured":"GOV.UK. Tuberculosis in England: annual report. Available online at: https:\/\/www.gov.uk\/government\/publications\/tuberculosis-in-england-annual-report (accessed 11 February 2020)."},{"key":"bibr7-17579139221093544","unstructured":"WHO. WHO End TB Strategy. Available online at: https:\/\/www.who.int\/tb\/post2015_strategy\/en\/ (accessed 17 December 2019)."},{"key":"bibr8-17579139221093544","doi-asserted-by":"publisher","DOI":"10.17265\/2159-5313\/2016.09.003"},{"key":"bibr9-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00214014"},{"volume-title":"Draft tuberculosis strategy for England, 2020\u201325","year":"2020","author":"Public Health England","key":"bibr10-17579139221093544"},{"issue":"1","key":"bibr11-17579139221093544","first-page":"17","volume":"13","author":"Nava-Aguilera E","year":"2009","journal-title":"Int J Tuberc Lung Dis"},{"key":"bibr12-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(16)30531-X"},{"key":"bibr13-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2006.065409"},{"key":"bibr14-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.151043.11"},{"key":"bibr15-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2019.05.001"},{"key":"bibr16-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218373"},{"issue":"4","key":"bibr17-17579139221093544","volume":"6","author":"Etkind S","year":"1991","journal-title":"Semin Respir Infect"},{"key":"bibr18-17579139221093544","unstructured":"National Institute for Health and Clinical Excellence. Guideline NG33: Tuberculosis. NICE, 2019. Available online at: https:\/\/www.nice.org.uk\/guidance\/ng33\/chapter\/recommendations#accommodation-during-treatment (accessed 12 June 2021)."},{"volume-title":"People with tuberculosis, no money, no recourse to public funds and no accommodation","year":"2019","author":"Public Health England","key":"bibr19-17579139221093544"},{"key":"bibr20-17579139221093544","volume":"312","author":"Tuberculosis and the alcoholic","year":"1978","journal-title":"Lancet"},{"key":"bibr21-17579139221093544","volume":"393","author":"Story A","year":"2019","journal-title":"Lancet Lond Engl"},{"key":"bibr22-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1177\/1010539519871779"},{"issue":"1","key":"bibr23-17579139221093544","volume":"115","author":"LoBue PA","year":"1999","journal-title":"Chest"},{"key":"bibr24-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.00749-2016"},{"key":"bibr25-17579139221093544","first-page":"20726","volume":"19","author":"De Vries G","year":"2014","journal-title":"Euro Surveill Bull Eur Sur Mal Transm Eur Commun Dis Bull"},{"key":"bibr26-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-016-3680-8"},{"key":"bibr27-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12474"},{"key":"bibr28-17579139221093544","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019282"}],"container-title":["Perspectives in Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17579139221093544","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17579139221093544","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17579139221093544","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T20:13:33Z","timestamp":1740860013000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17579139221093544"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,4]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1177\/17579139221093544"],"URL":"https:\/\/doi.org\/10.1177\/17579139221093544","relation":{},"ISSN":["1757-9139","1757-9147"],"issn-type":[{"type":"print","value":"1757-9139"},{"type":"electronic","value":"1757-9147"}],"subject":[],"published":{"date-parts":[[2022,5,4]]}}}