Determinants of health-related quality of life (HRQoL) among homeless individuals during the COVID-19 pandemic.

Publication date: Jul 11, 2023

Thus far, there is very limited knowledge regarding homeless individuals during the COVID-19 pandemic, particularly related to the health-related quality of life (HRQoL). Thus, our aim was to evaluate HRQoL and to clarify the determinants of HRQoL among homeless individuals during the COVID-19 pandemic in Germany. Data were taken from the national survey on psychiatric and somatic health of homeless individuals during the COVID-19 pandemic-NAPSHI (n = 616). The established EQ-5D-5L was used to quantify problems in five health dimensions, and its visual analogue scale (EQ-VAS) was used to record self-rated health status. Sociodemographic factors were included in regression analysis. Pain/discomfort was the most frequently reported problem (45. 3%), thereafter anxiety/depression (35. 9%), mobility (25. 4%), usual activities (18. 5%) and self-care (11. 4%). Average EQ-VAS score was 68. 97 (SD: 23. 83), and the mean EQ-5D-5L index was 0. 85 (SD: 0. 24). Regressions showed that higher age and having a health insurance were associated with several problem dimensions. Being married was associated with higher EQ-VAS scores. Overall, our study findings showed a quite high HRQoL among homeless individuals during the COVID-19 pandemic in Germany. Some important determinants of HRQoL were identified (e. g., age or marital status). Longitudinal studies are required to confirm our findings.

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Concepts Keywords
Germany COVID-19
Homeless EQ-5D
Married Homeless


Type Source Name
disease IDO quality
disease MESH COVID-19 pandemic
disease MESH marital status
drug DRUGBANK Coenzyme M
disease VO population
disease IDO contact tracing
disease MESH infections
disease VO vaccinated
disease MESH morbidity
disease IDO country
disease MESH death
disease VO USA
disease MESH adverse childhood experiences
drug DRUGBANK Proline
disease MESH chronic diseases
disease MESH cognitive impairments
drug DRUGBANK Gold
pathway REACTOME Translation
disease MESH Emerging Infectious Diseases

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