Experiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI:10.1353/hpu.2025.a951583

Jill S Roncarati, Meagan Cusack, Gala True, Julia Browne, Taylor Harris, Aerin deRussy, Jack Tsai, A Rani Elwy, Thomas H Byrne, Ann Elizabeth Montgomery

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引用次数: 0

Abstract

Objective: We conducted a scoping review of 45 peer-reviewed articles to characterize the intersection of housing instability and homelessness, care, and services in rural North America. We sought gaps in literature related to geographically based health disparities among people experiencing housing instability and identify practices that may promote better health outcomes. We offer practical implications for health care and service provision for people experiencing housing instability in rural areas.

Methods: We reviewed the literature and according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) standards.

Results: We identified 45 articles matching the inclusion criteria for full-text review. Emerging themes included subpopulations and demographics, physical and behavioral health, and services.

Conclusions: More information is needed on housing instability in rural settings such as housing instability among unsheltered individuals, Native Americans, and older persons. Solutions to end homelessness should consider tailoring resources and services to the rural context.

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经历住房不稳定在北美农村和获得卫生保健和支持服务：范围审查。

目的：我们对45篇同行评议的文章进行了范围审查，以表征北美农村住房不稳定与无家可归者、护理和服务的交集。我们在与经历住房不稳定的人群中基于地理的健康差异相关的文献中寻找空白，并确定可能促进更好健康结果的做法。我们为农村地区住房不稳定的人提供保健和服务提供了实际意义。方法：我们回顾了文献，并根据系统评价和元分析扩展范围评价（PRISMA-ScR）标准的首选报告项目。结果：我们确定了45篇符合全文综述纳入标准的文章。新出现的主题包括亚人口和人口统计、身体和行为健康以及服务。结论：需要更多关于农村地区住房不稳定的信息，如无家可归者、美洲原住民和老年人的住房不稳定。解决无家可归问题的办法应考虑根据农村情况调整资源和服务。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.