close

A A A
Menu

Homeless People May Suffer Conditions of Old Age Decades Early

For Immediate Release
March 1, 2016

Contact: Todd Kluss
This email address is being protected from spambots. You need JavaScript enabled to view it.
(202) 587-2839

Homeless people in their 50s have more geriatric conditions than those living in homes who are decades older, according to researchers at the University of California, San Francisco (UCSF) who are following 350 people who are homeless and aged 50 and older in Oakland. Their findings have been published online in The Gerontologist.

Although the people in the study had a median age of 58, they had more trouble bathing, dressing, and eating than 80 year olds who had housing. They had a harder time using transportation, taking their medications, managing money, applying for benefits, arranging a job interview and finding a lawyer. They had higher rates of cognitive and visual impairment and urinary incontinence. And they were more likely to fall and to be depressed.

“Usually, we think of geriatric conditions as affecting much older adults in their 70s, 80s, and 90s,” said Rebecca Brown, MD, MPH, an assistant professor of medicine in UCSF’s Division of Geriatrics and first author of the paper. “We found these conditions were very common in homeless adults with an average age of just 58. We studied a very vulnerable population. Our systems need to be responsive to the challenges that these older adults have.”

About 40 percent of homeless adults reported difficulty with one or more activities of daily living, while a third reported having fallen in the past six months. About a quarter had cognitive impairment, 45 percent had vision impairment, and 48 percent had urinary incontinence.

The researchers said their findings point to the need to develop new ways of helping homeless people, who are increasingly older. Half of single homeless adults are now 50 or older, compared to 11 percent in 1990.

“The traditional way of providing services for homeless people may need to be adapted for the aging population, who may need assistance with activities like using the toilet and are at high risk of falling,” said Margot Kushel, MD, a professor of medicine at UCSF and senior author of the paper.

She said a better alternative for chronically homeless older adults would be to adapt permanent supportive housing to meet the needs of the aging homeless population. This would include accommodations, such as having personal care attendants, as well as grab bars in the bathroom. Even short-term solutions, like homeless shelters, will need to adapt for the needs of the aging population.

“We need to figure this out, otherwise many homeless people will be placed in nursing homes, for lack of an alternative, even though they would be better off living in less restrictive — and less expensive — environments,” Kushel said.

The study is among the first to look at a broad cross section of the homeless population. Rather than just recruiting subjects from shelters, the researchers also canvassed recycling centers, food lines and homeless encampments to better represent the population.

Three-quarters of the people in the study were male and 80 percent were African American. Nearly half experienced their first episode of adult homelessness at age 50 or older. The majority of participants, 56 percent, reported poor or fair health status, and chronic medical conditions like high blood pressure were common. Nearly three quarters had a history of mental health problems, two thirds smoked tobacco, and more than half had lifelong problems with alcohol or drug use.

The researchers did not find any difference in geriatric conditions between homeless people who camped on the streets, cycled between shelters and hotels, stayed part time with family and friends, or had recently lost their rental housing.

The study was funded by the National Institute on Aging, the National Center for Advancing Translational Sciences through the UCSF Clinical and Translational Science Institute, and a Medical Student in Aging Research Program award from the American Federation for Aging Research.

Other authors of the article, titled “Geriatric Conditions in a Population-Based Sample of Older Homeless Adults,” include Kaveh Hemati of the Stony Brook University School of Medicine, and Elise Riley, Christopher Lee, Claudia Ponath, Lina Tieu, and David Guzman of UCSF.

###

The Gerontologist is a peer-reviewed publication of The Gerontological Society of America (GSA), the nation's oldest and largest interdisciplinary organization devoted to research, education, and practice in the field of aging. The principal mission of the Society — and its 5,500+ members — is to advance the study of aging and disseminate information among scientists, decision makers, and the general public. GSA’s structure also includes a policy institute, the National Academy on an Aging Society, and an educational branch, the Academy for Gerontology in Higher Education.

 

Share This Page!

Print Page