Homelessness and health-related outcomes in the Republic of Ireland: a systematic review, meta-analysis and evidence map

Aim: To map existing research on homelessness and health in the Republic of Ireland, and to synthesize the evidence on housing-related disparities in health. Methods: Peer-reviewed articles and conference abstracts published in English between 2012–2022 were retrieved from 11 bibliographic databases if they contained empirical data on homelessness and health in Ireland, and – in a subsequent screening stage – at least one measure of health disparity between the homeless and general populations. Reviewers extracted relative risks (RR), 95% confidence intervals (CI), and calculated pooled RR of comparable health disparities using pairwise random-effects meta-analyses. Results: One hundred four articles contained empirical data on the health of homeless individuals residing in Ireland, addressing primarily substance use, addiction and mental health. Homelessness was associated with increased risk of illicit drug use (RR 7.33 [95% CI 4.2, 12.9]), reduced access to a general practitioner (GP) (RR 0.73 [CI 95% 0.71, 0.75]), frequent emergency department (ED) presentation (pooled RR 27.8 [95% CI 4.1, 189.8]), repeat presentation for self-harm (pooled RR 1.6 [95% CI 1.2, 2.0]) and premature departure from hospital (pooled RR 2.65 [95% CI 1.27, 5.53]). Conclusions: Homelessness in Ireland is associated with reduced access to primary care and overreliance on acute care. Chronic conditions amongst homeless individuals are understudied.Open Access funding provided by the IReL ConsortiumAhead of print to check citing and date details in 6

Proposing a Code of Ethics for Public Health Professionals in Europe

Context: Public health practitioners are involved in a wide array of contexts. Local and national government public health agencies; domestic and international nongovernmental organizations (NGOs); and academic institutions are just a few examples of the settings where public health practitioners work. Acting ethically and meeting ethical commitments in a practical and transdisciplinary endeavor as complicated as public health necessitates careful consideration. Ethical practice ensures that public health institutions work properly and that individual public health practitioners maintain their integrity. There is little debate about the importance of ethics in public health professional practice and, as a result, the necessity for a corresponding professional code of ethics.   Policy Options: Only an US-American code of public health ethics has been created so far. Since ethical considerations in public health are heavily dependent in contexts, the aim of this document is to initiate a discussion surrounding the establishment of a Code of Ethics for Public Health Professionals in Europe. Recommendations: Stimulate the discussion on a European code of public health ethics. Make a clear distinction between public health ethics and medical ethics. Recognize public health as a profession and not just a medical specialty. Recognize the need for a common code of ethics among public health professionals in Europe. Use Kotter's Model based on the Theory of Change as a roadmap when creating the European public health code of ethics. Treat the European code of ethics as a "living document". Encourage further research on a European code of ethics. &nbsp

Proposing a Code of Ethics for Public Health Professionals in Europe

Context: Public health practitioners are involved in a wide array of contexts. Local and national government public health agencies; domestic and international nongovernmental organizations (NGOs); and academic institutions are just a few examples of the settings where public health practitioners work. Acting ethically and meeting ethical commitments in a practical and transdisciplinary endeavor as complicated as public health necessitates careful consideration. Ethical practice ensures that public health institutions work properly and that individual public health practitioners maintain their integrity. There is little debate about the importance of ethics in public health professional practice and, as a result, the necessity for a corresponding professional code of ethics.     Policy Options: Only an US-American code of public health ethics has been created so far. Since ethical considerations in public health are heavily dependent in contexts, the aim of this document is to initiate a discussion surrounding the establishment of a Code of Ethics for Public Health Professionals in Europe.   Recommendations: Stimulate the discussion on a European code of public health ethics. Make a clear distinction between public health ethics and medical ethics. Recognize public health as a profession and not just a medical specialty. Recognize the need for a common code of ethics among public health professionals in Europe. Use Kotter's Model based on the Theory of Change as a roadmap when creating the European public health code of ethics. Treat the European code of ethics as a "living document". Encourage further research on a European code of ethics.   Acknowledgements: We thank Professor James C. Thomas for his guidance and support in developing this paper, as well as Professor Kasia Czabanowska for her help and for providing the opportunity to have explore this special project. We also thank all the interviewees for their time and contributions.   Contributions: All authors contributed equally to this work.   Conflict of interest: None declared   Source of funding: None declare

Additional file 1 of Remote training for strengthening capacity in sexual and reproductive health and rights research: a systematic review

Additional file 1. PRISMA 2020 Checklist