{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T06:03:11Z","timestamp":1780984991845,"version":"3.54.1"},"reference-count":0,"publisher":"Project MUSE","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["hpu"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p xml:lang=\"en\">Abstract: Introduction. The objective of this study was to examine liver-related mortality trends in a large cohort of homeless-experienced adults. Methods. We linked a cohort of 60,092 adults who received care at Boston Health Care for the Homeless Program (BHCHP) from 2003\u20132017 to death occurrence files. We evaluated temporal trends in age-standardized liver-related mortality and identified leading causes of liver-related death compared with the Massachusetts population, reporting standardized mortality rate ratios (SRRs). Results. Of the 7,130 deaths in the cohort, 652 (9.1%) were liver-related. Liver-related mortality decreased on average 3.5% annually, though remained significantly higher than the Massachusetts population. Leading causes of liver-related death were cirrhosis (n=157, SRR 3.2), liver cancer (n=148, SRR 2.4), alcohol-related liver disease (n=140, SRR 4.4), and viral hepatitis (n=99, SRR 7.2). Conclusion. Efforts to address alcohol use disorder and viral hepatitis in this population may reduce the substantial disparity seen in liver-related mortality in this population.<\/jats:p>","DOI":"10.1353\/hpu.2025.a975588","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T10:26:08Z","timestamp":1764757568000},"page":"1287-1299","source":"Crossref","is-referenced-by-count":1,"title":["Liver-related Mortality in Homeless-experienced Adults over a 16-year Period"],"prefix":"10.1353","volume":"36","author":[{"given":"Logan D.","family":"Adams","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten A.","family":"Dickins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marguerite E.","family":"Beiser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis P.","family":"Baggett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle R.","family":"Fine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"147","container-title":["Journal of Health Care for the Poor and Underserved"],"original-title":[],"language":"en","deposited":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T10:26:15Z","timestamp":1764757575000},"score":1,"resource":{"primary":{"URL":"https:\/\/muse.jhu.edu\/article\/975588"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,11]]}},"URL":"https:\/\/doi.org\/10.1353\/hpu.2025.a975588","relation":{},"ISSN":["1548-6869"],"issn-type":[{"value":"1548-6869","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]}}}