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Sex-specific associations between homelessness and cerebrovascular disease among aging US veterans in the Veterans Affairs healthcare system.


ABSTRACT: Homelessness and chronic disease have been previously linked. We examined the bidirectional, sex-specific, relationship between homelessness and cerebrovascular disease among aging veterans seeking U.S. Department of Veterans Affairs (VA) healthcare services. A retrospective study was conducted among a cohort of 4,061,031 veterans (mean [± standard deviation] age: 68.7 [± 10.3] years; 94.6% men) followed between 2017 and 2021 and defined through linkage of VA Corporate Data Warehouse, Homeless Operations Management System, and Mortality Data Repository databases. Multivariable Cox regression models were constructed to bidirectionally examine associations between the first episode of homelessness and the first cerebrovascular disease event by sex. Multistate modeling was applied to examine

SUBMITTER: Beydoun HA 

PROVIDER: S-EPMC12638493 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature