BMJ 1994;309:195 (16 July)

Letters

Schizophrenia among residents of hostels for homeless people

EDITOR, - Jim Connelly and Rhys Williams suggest that our finding of a lower prevalence of schizophrenia among homeless people resident in hostels in 1992 than in 1966 is explained by selection bias.1,2 As we explained in our paper, the aim of sampling in 1992, as in 1966, was to produce a representative sample of people living in hostels for the homeless in Edinburgh. The provision of hostels has changed over the past three decades, with a considerable reduction in the number of places in direct access hostels.3 We thought it possible that the prevalence of schizophrenia would differ according to the type of hostel, and we therefore classified hostels into two types according to whether they were most like or least like the hostels in 1966. Connelly and Williams seem to assume not only that it was invalid for us to include some hostels in our survey but also . . . [Full text of this article]


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