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A systematic scoping review of environmental health conditions and hygiene behaviors in homeless shelters.
Int J Hyg Environ Health ; 222(3): 335-346, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30583994


There are well-established relationships between health and homelessness, and shelters can facilitate the transmission of diseases and contribute to their prevention. Adequate environmental health conditions and hygiene behaviors in homeless shelters are fundamental to the health of their clients, a marginalized population. We report the status of environmental health conditions and hygiene behaviors in homeless shelters and associated health outcomes; interventions to improve these conditions, behaviors, and outcomes; and obstacles to improvement.


PubMed, Web of Science, Scopus, and EBSCOhost were searched for peer-reviewed studies, and additional sources for grey literature. Studies were included if they reported primary data on one or more environmental health condition or hygiene behavior in homeless shelters.


Twenty-eight studies were included in the review. Insufficient ventilation systems, unhygienic bedding, and overcrowding were the most documented environmental health and hygiene deficiencies in homeless shelters, and tuberculosis infections and skin diseases were the most documented associated health outcomes among clients. Studies frequently recommended or described implementation of behavioral and administrative controls, ventilation system improvements, and ultraviolet germicidal irradiation fixtures.


Most studies addressed airborne transmission of tuberculosis and were conducted in high-income countries, revealing an imbalance in the literature. Insufficient resources and the transience of clients are barriers to improving hygiene behaviors and environmental conditions in homeless shelters. Further investment and research into ensuring adequate hygiene and environmental health in this setting can protect and promote the health and well-being of people experiencing homelessness.





Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Pessoas em Situação de Rua / Comportamentos Relacionados com a Saúde / Saúde Ambiental / Higiene Tipo de estudo: Broad_synthesis / Revisão sistemática Limite: Humanos Idioma: Inglês Revista: Int J Hyg Environ Health Assunto da revista: Saúde Ambiental / Saúde Pública Ano de publicação: 2019 Tipo de documento: Artigo País de afiliação: Estados Unidos