Measuring Indigenous homelessness: Findings from Our Health Counts Toronto.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2024-11-01 Epub Date: 2024-11-12 DOI:10.17269/s41997-024-00974-7

Stephanie McConkey, Julia Iannace, Marcie Snyder, Cheryllee Bourgeois, Janet Smylie

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引用次数: 0

Abstract

Objectives: Our Health Counts (OHC) Toronto, an Indigenous population database which addresses gaps in urban health information, was used to measure Thistle's (2017) 12 dimensions of Indigenous homelessness. Using this framework, we examine the sociodemographic characteristics of First Nations, Inuit, and Metis (FNIM) adults living in Toronto, the 12 dimensions as experienced by this population, and the distinctions between FNIM adults who were and those who were not experiencing physical homelessness.

Methods: Respondent-driven sampling (RDS)-II proportions and 95% confidence intervals were produced from the database (n = 915 FNIM adults) to describe key sociodemographic characteristics of the population and to estimate the proportion and number of dimensions of Indigenous homelessness experienced by FNIM adults. Results were compared between those who were and those who were not living physically homeless.

Results: This study shows that 27.3% of FNIM adults in Toronto were living physically homeless. The proportion of homelessness was significantly higher among males, adults aged 26 to 54, and unemployed individuals. Using the OHC database, 7 of the 12 dimensions were measurable. Almost all FNIM adults had experienced one or more of the 7 measurable dimensions. The most common were cultural disintegration and loss, mental disruption and balance, contemporary geographic separation, and relocation and mobility. These dimensions were significantly more common among FNIM adults experiencing physical homelessness.

Conclusion: Results show that FNIM adults living physically homeless are more likely to experience other dimensions of homelessness. Using existing data, 5 of the 12 dimensions were not measurable. This points to a critical need to develop new survey tools to fully understand the historical, environmental, social, political, spiritual, and emotional factors that influence pathways into homelessness among FNIM populations.

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衡量土著无家可归者：多伦多 "我们的健康计数 "调查结果。

目标：我们的健康计数（OHC）多伦多是一个原住民人口数据库，它解决了城市健康信息方面的差距，被用来衡量 Thistle（2017 年）提出的原住民无家可归问题的 12 个方面。利用这一框架，我们研究了居住在多伦多的原住民、因纽特人和梅蒂斯人（FNIM）成年人的社会人口特征、这一人群所经历的 12 个维度，以及有身体无家可归经历的原住民、因纽特人和梅蒂斯人成年人与没有身体无家可归经历的原住民、因纽特人和梅蒂斯人成年人之间的区别：从数据库（n = 915 名 FNIM 成年人）中得出受访者驱动抽样（RDS）-II 比例和 95% 置信区间，以描述人口的主要社会人口特征，并估计 FNIM 成年人经历的土著无家可归问题的比例和维度数量。研究结果在无家可归者和非无家可归者之间进行了比较：研究结果表明，多伦多 27.3% 的原住民和土著成年人无家可归。男性、26 至 54 岁的成年人和失业者无家可归的比例明显更高。通过使用 OHC 数据库，12 个维度中有 7 个是可以测量的。几乎所有 FNIM 的成年人都经历过 7 个可测量维度中的一个或多个维度。最常见的是文化解体和丧失、精神混乱和平衡、当代地理分离以及搬迁和流动。这些方面在无家可归的新移民中更为常见：结果显示，无家可归的新移民成年人更有可能经历其他方面的无家可归问题。利用现有数据，12 个维度中有 5 个无法测量。这表明，亟需开发新的调查工具，以充分了解影响新移民无家可归途径的历史、环境、社会、政治、精神和情感因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.