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The European Journal of Public Health Advance Access published online on September 14, 2005

The European Journal of Public Health, doi:10.1093/eurpub/cki036
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© The Author 2005. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.
Received March 30, 2004
Accepted August 9, 2004

Article

Prevalence of alcohol related brain damage among homeless hostel dwellers in Glasgow

Gail Gilchrist 1 and David S. Morrison 2*

1 Department of General Practice, University of Melbourne, Carlton, Victoria, Australia
2 Greater Glasgow NHS Board, Dalian House, Glasgow, UK

* To whom correspondence should be addressed.
David S. Morrison, E-mail: david.morrison{at}gghb.scot.nhs.uk


   Abstract

Background: Over half of Glasgow's 4000 homeless people drink hazardously but the prevalence of alcohol-related brain damage (ARBD) has not been described. Aims and Objectives: To determine the prevalence of ARBD among homeless hostel dwellers in Glasgow. Methods: A representative sample of homeless hostel dwellers was surveyed using validated survey instruments and clinical assessment. Results: From a sample of 266 hostel dwellers, 82% had cognitive impairment and 78% were drinking hazardously. The prevalence of ARBD among homeless hostel dwellers was 21%. Conclusions: ARBD has a high prevalence among homeless hostel dwellers and treatment is usually effective. There is a need to actively identify and treat this population to help them move out of homelessness.

Keywords: alcohol-related brain damage; homeless; Korsakoff's syndrome; Wernicke's disease.
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