Journal of Social Distress and the Homeless最新文献_第4页

HIV Injection Risk Behaviors among HIV-Negative People Who Inject Drugs Experiencing Homelessness, 23 U.S. Cities. 美国 23 个城市无家可归的 HIV 阴性注射吸毒者的 HIV 注射风险行为。

IF 1.1

Journal of Social Distress and the Homeless Pub Date : 2020-03-06 DOI: 10.1080/10530789.2021.1892931

Ruthanne Marcus, Susan Cha, Catlainn Sionean, Dafna Kanny

{"title":"HIV Injection Risk Behaviors among HIV-Negative People Who Inject Drugs Experiencing Homelessness, 23 U.S. Cities.","authors":"Ruthanne Marcus, Susan Cha, Catlainn Sionean, Dafna Kanny","doi":"10.1080/10530789.2021.1892931","DOIUrl":"10.1080/10530789.2021.1892931","url":null,"abstract":"Despite recent declines in numbers of people who inject drugs (PWID) diagnosed with HIV, clusters of HIV among PWID are ongoing, especially among PWID experiencing homelessness. Using data from the National HIV Behavioral Surveillance in 2018, we evaluated the association between homelessness and injection risk and prevention behaviors among HIV-negative PWID who were recruited by respondent-driven sampling in 23 U.S. cities. Interviewers assessed sociodemographic characteristics, history of overdose, and behavioral risk and prevention factors for HIV. Adjusted prevalence ratios (aPR) and 95% CI were obtained using Poisson regression models. Of 10,614 HIV-negative PWID participants, 7275 (68.5%) reported experiencing homelessness. Homeless PWID were more likely than those who were not to be younger age, white, unemployed, without health insurance, in poverty, experiencing psychological distress, and incarcerated in the past 12 months. PWID experiencing homelessness were significantly more likely to report injection risk behaviors [share syringes/equipment (aPR = 1.26; 95% CI = 1.20-1.33), non-fatal opioid overdose (aPR = 1.64; 95% CI = 1.49-1.79)] and prevention behaviors [testing for HIV in past 12 months (aPR = 1.18; 95% CI = 1.12-1.24) and using syringe services programs (aPR = 1.09; 95% CI = 1.03-1.16)] than PWID not experiencing homelessness. Homelessness among PWID is associated with injection risk behaviors and non-fatal overdose.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"1 9","pages":""},"PeriodicalIF":1.1,"publicationDate":"2020-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8570172/pdf/nihms-1751911.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39597231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial Discrimination in the Life Course of Older Adults Experiencing Homelessness: Results from the HOPE HOME Study. 无家可归老年人生活过程中的种族歧视：HOPE HOME 研究的结果。

IF 1.1

Journal of Social Distress and the Homeless Pub Date : 2020-01-01 Epub Date: 2019-12-18 DOI: 10.1080/10530789.2019.1702248

Dereck W Paul, Kelly R Knight, Pamela Olsen, John Weeks, Irene H Yen, Margot B Kushel

{"title":"Racial Discrimination in the Life Course of Older Adults Experiencing Homelessness: Results from the HOPE HOME Study.","authors":"Dereck W Paul, Kelly R Knight, Pamela Olsen, John Weeks, Irene H Yen, Margot B Kushel","doi":"10.1080/10530789.2019.1702248","DOIUrl":"10.1080/10530789.2019.1702248","url":null,"abstract":"Over 2.5 million people experience homelessness yearly in the United States. Black persons are overrepresented by three-fold among those experiencing homelessness but little research has examined the relationship between race and homelessness. We aimed to understand the relationship between race and the experience of homelessness for older adults. We used grounded theory methodology to analyze in-depth qualitative interviews (n = 65) of persons experiencing homelessness. We recruited participants who were enrolled in two sub-studies of the Health Outcomes of People Experiencing Homelessness in Older Middle AgE (HOPE HOME) Study in Oakland California. We identified two major themes within interviews with Black participants (n=52) related to race: (1) participants experienced overt racial discrimination in early life and (2) structural racism precipitated and perpetuated adult homelessness. Further, we identified sub-themes of structural racism that contributed to participants becoming or staying homeless: criminal justice discrimination, employment discrimination, exposure to violence, premature death, and limited family wealth. We developed a theoretical model of how these elements of structural racism may increase susceptibility to homelessness. These relationships between racial discrimination and homelessness may serve as targets for policies aimed at preventing homelessness.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"29 2","pages":"184-193"},"PeriodicalIF":1.1,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7958187/pdf/nihms-1546437.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25485304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pet ownership and homelessness: a scoping review 宠物所有权和无家可归者:范围审查

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-07-03 DOI: 10.1080/10530789.2019.1650325

N. Kerman, Sophia Gran-Ruaz, M. Lem

{"title":"Pet ownership and homelessness: a scoping review","authors":"N. Kerman, Sophia Gran-Ruaz, M. Lem","doi":"10.1080/10530789.2019.1650325","DOIUrl":"https://doi.org/10.1080/10530789.2019.1650325","url":null,"abstract":"ABSTRACT Between 5 and 25% of people experiencing homelessness have pets. Pet ownership can have a range of impacts in the lives of people experiencing homelessness, which may mitigate or further complicate the many adversities they face. However, there is a need to better understand the benefits and challenges associated with pet ownership to determine how this group can be best supported. Accordingly, a scoping review was conducted using PubMed, PsycINFO, and Google Scholar to address the question: What are the effects of pet ownership on people experiencing homelessness? All of the 18 reviewed studies used either qualitative or cross-sectional research designs. Three domains have been principally examined in relation to pet ownership and homelessness: (1) psychological health and purpose; (2) social support and connection; and (3) access to housing, employment, and service use. Physical health, violence, and crime were less frequently studied. Although the findings offer further support that there are both benefits and liabilities to pet ownership for people experiencing homelessness, there is a critical need for more rigorous research, including longitudinal and intervention studies. Recommendations for developing more pet-friendly services and using a strengths-based approach that considers animal companionship when working with people experiencing housing instability are also discussed.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"28 1","pages":"106 - 114"},"PeriodicalIF":1.4,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1650325","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45695087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

A life course approach to understanding homelessness of shelter residents 了解收容所居民无家可归情况的生命历程方法

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-07-03 DOI: 10.1080/10530789.2019.1640410

Y. Paat, Jessica Morales, Ray Tullius, E. Moya, R. Alcántara

{"title":"A life course approach to understanding homelessness of shelter residents","authors":"Y. Paat, Jessica Morales, Ray Tullius, E. Moya, R. Alcántara","doi":"10.1080/10530789.2019.1640410","DOIUrl":"https://doi.org/10.1080/10530789.2019.1640410","url":null,"abstract":"ABSTRACT Using in-depth interviews of 40 residents from a homeless shelter in El Paso, Texas in the United States, this study examines the etiology, processes, and patterns of homelessness by assessing those confronting homeless spells at different time points and for varying reasons. Our study is guided by the research questions: How did residents of homeless shelters experience transitions and turning points of homelessness? What were the coping resources that homeless people drew on to overcome life adversities? Overall, we found that risk accumulation as a result of different traumatic events, such as death of a family member, marital or relationship breakdown, victimization, unemployment, substance addiction, poor mental health, or discrimination confronted in varied contexts, could serve as precursors or consequences that exacerbated the housing crisis over the course of a life. We recommend that efforts geared toward remediating, alleviating, or preventing homelessness be life course driven. It is only through compassion and empathy rather than criminalizing and stigmatizing that we can help stop the triggers and spread of the downward spiral of homelessness.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"28 1","pages":"176 - 185"},"PeriodicalIF":1.4,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1640410","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49613564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Rolling forward: addressing needs in the homeless community 推进：满足无家可归者社区的需求

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-07-03 DOI: 10.1080/10530789.2019.1646477

Sara A. Brallier, S. Southworth, B. Ryan

{"title":"Rolling forward: addressing needs in the homeless community","authors":"Sara A. Brallier, S. Southworth, B. Ryan","doi":"10.1080/10530789.2019.1646477","DOIUrl":"https://doi.org/10.1080/10530789.2019.1646477","url":null,"abstract":"ABSTRACT The purpose of this pilot study was to use a bottom up, or grounded, approach to understand, from the perspective of the individuals living in the homeless community, what they feel would enable them to become housed and stay permanently housed. Organizations which serve homeless individuals often use a top down approach and implement programs without asking the homeless what they most need to find permanent housing. This project used intensive interviews to determine the needs of unhoused individuals in a mid-sized city with a tourist-centered economy in the south eastern United States. Working local homeless shelters, and various other intermediaries we collected data from 102 homeless individuals and 11 service providers. The major theme that emerged in our research is that the homeless individuals we interviewed were, for the most part, they were able to meet many of their basic needs, such as securing food, clothing, a place to bathe and wash their clothes, as well as obtain physical and mental care. However, they perceived lack of reliable and affordable transportation to be a significant barrier to obtaining and maintaining employment, making and keeping appointments, and maintaining their social support network.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"28 1","pages":"186 - 192"},"PeriodicalIF":1.4,"publicationDate":"2019-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1646477","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49359883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

A theory based evaluation of an intervention to promote positive health behaviors and reduce social isolation in people experiencing homelessness 基于理论的干预评估，以促进无家可归者的积极健康行为和减少社会孤立

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-05-30 DOI: 10.1080/10530789.2019.1623365

S. Malden, R. Jepson, Y. Laird, J. Mcateer

{"title":"A theory based evaluation of an intervention to promote positive health behaviors and reduce social isolation in people experiencing homelessness","authors":"S. Malden, R. Jepson, Y. Laird, J. Mcateer","doi":"10.1080/10530789.2019.1623365","DOIUrl":"https://doi.org/10.1080/10530789.2019.1623365","url":null,"abstract":"ABSTRACT Homelessness adversely affects an individual's ability to access healthcare, opportunities for social interaction and recreational activities such as physical activity. This study aimed to evaluate the impact of a community-based physical activity and peer support intervention on the health and wellbeing of homeless participants. This study employed semi-structured interviews to investigate the perceived impact of the Street Fit Scotland intervention on the health and wellbeing of 10 homeless adults. Interviews were audio recorded and transcribed verbatim. A thematic analysis was conducted. Participants reported that their health and wellbeing had improved since attending the intervention. This was attributed to improvements in self-esteem, social interaction and mental wellbeing. Participants generally felt that their physical activity had increased since attending Street Fit Scotland, and a number of individuals reported that they were making healthier choices with regards to health behaviors. A theory of change logic model was developed that demonstrated how each component of the intervention influences the observed and intended outcomes. Attendance of Street Fit Scotland had positive effects on participant's health and wellbeing, particularly concerning self-esteem, health behaviors, social interaction, and physical activity. More efforts should be made to evaluate small-scale interventions that are reaching vulnerable population groups.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"28 1","pages":"158 - 168"},"PeriodicalIF":1.4,"publicationDate":"2019-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1623365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41623056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

The homeless Coordinated Entry System: the VI-SPDAT and other predictors of establishing eligibility for services for single homeless adults 无家可归者协调进入系统：VI-SPDAT和确定单身无家可归成年人服务资格的其他预测因素

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-05-27 DOI: 10.1080/10530789.2019.1622858

Caroline Balagot, Hector Lemus, M. Hartrick, Tamera Kohler, S. Lindsay

{"title":"The homeless Coordinated Entry System: the VI-SPDAT and other predictors of establishing eligibility for services for single homeless adults","authors":"Caroline Balagot, Hector Lemus, M. Hartrick, Tamera Kohler, S. Lindsay","doi":"10.1080/10530789.2019.1622858","DOIUrl":"https://doi.org/10.1080/10530789.2019.1622858","url":null,"abstract":"ABSTRACT Despite the spectrum of available resources, homelessness is a persistent societal and public health challenge throughout the United States and in San Diego County. Beginning in January 2014, San Diego began the integration of a Coordinated Entry System into its homeless system-of-care. This historical prospective study examined the predictors of establishing eligibility for permanent housing resources among 15,042 single homeless adults enrolled in the Coordinated Entry System Multivariable logistic regression was conducted to assess the relationship between client vulnerability as measured by the triage tool VI-SPDAT and establishing client eligibility for permanent housing. Overall, being of moderate or high vulnerability was associated with establishing eligibility for a permanent housing resource. Veterans established eligibility faster and more frequently than others, regardless of their vulnerability score. However, the demand for services far outweighed the ability of the system to respond to those with moderate to high vulnerability. More housing navigators and fewer client “hand-offs” between housing professionals are recommended to increase the efficiency of the process. Additional research examining the second and third steps is also needed to more fully understand the factors that promote permanent housing solutions for those seeking services.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"28 1","pages":"149 - 157"},"PeriodicalIF":1.4,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1622858","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48031053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Prevalence of clinical autistic traits within a homeless population: barriers to accessing homeless services 无家可归人群中临床自闭症特征的患病率：获得无家可归者服务的障碍

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-04-29 DOI: 10.1080/10530789.2019.1607139

Niko Kargas, K. Harley, A. Roberts, Steve Sharman

{"title":"Prevalence of clinical autistic traits within a homeless population: barriers to accessing homeless services","authors":"Niko Kargas, K. Harley, A. Roberts, Steve Sharman","doi":"10.1080/10530789.2019.1607139","DOIUrl":"https://doi.org/10.1080/10530789.2019.1607139","url":null,"abstract":"ABSTRACT Recent research suggests a high prevalence rate of Autism Spectrum Conditions (ASC) amongst the homeless population. Although, it is well-documented that autistic people experienced many barriers to accessing health services, little is known about their challenges in accessing homeless services. Thus, the present study aimed to measure prevalence of high levels of autistic traits, and to identify barriers that prevent autistic people accessing homeless services. Participants recruited from homeless services (n = 65) completed the Autism Quotient-10 (AQ-10) alongside a questionnaire regarding perceived accessibility of homeless services. Results revealed that 18.5% of participants scored Above the Clinical Threshold of the AQ-10 (ACT-AQ). Moreover, the ACT-AQ group reported that encountering big groups in shared accommodation represent a significant barrier to engaging with homeless services. Further research is needed to identify the full degree of ASC representation and the factors that might prevent autistic homeless people accessing homeless services, and thus overcoming homelessness.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"28 1","pages":"90 - 95"},"PeriodicalIF":1.4,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1607139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45320838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Employment among unaccompanied women experiencing homelessness 无家可归的无人陪伴妇女的就业情况

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-03-27 DOI: 10.1080/10530789.2019.1598606

D. Groton, M. Radey

引用次数: 1

Transportation and homelessness: a systematic review 交通和无家可归:系统回顾

IF 1.4

Journal of Social Distress and the Homeless Pub Date : 2019-02-20 DOI: 10.1080/10530789.2019.1582202

Erin R Murphy

{"title":"Transportation and homelessness: a systematic review","authors":"Erin R Murphy","doi":"10.1080/10530789.2019.1582202","DOIUrl":"https://doi.org/10.1080/10530789.2019.1582202","url":null,"abstract":"ABSTRACT Transportation disadvantage can negatively impact access to employment and educational opportunities, healthcare, and social services. Cost of transportation, in particular, has been found to prevent individuals’ upward mobility out of homelessness. Given the vulnerability of persons of color and those living below the poverty line and the negative implications of transportation disadvantage, the author undertook the current study to assess the extent to which scholars are analyzing transportation and its impact on adults experiencing homelessness. An exhaustive search yielded 3102 potentially relevant studies. Thirteen of these studies met the inclusion criteria for further analyses. A priori inclusion criteria included studies: (1) published between 1997 and December 2017 in refereed academic journals; (2) published in English; (3) sampling a population of adults who self-identify as currently or formerly homeless; (4) conducted using empirical quantitative or mixed methods (excluding purely qualitative, theoretical and policy analyses), and; (5) which analyzed transportation as a primary variable of interest. Findings of this research demonstrate that transportation is a critical, although under-researched, variable in the lives of individuals experiencing homelessness. Homelessness service providers, therefore, should work to shift the conversation from transportation as a privilege to transportation equity for all.","PeriodicalId":45390,"journal":{"name":"Journal of Social Distress and the Homeless","volume":"28 1","pages":"105 - 96"},"PeriodicalIF":1.4,"publicationDate":"2019-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/10530789.2019.1582202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43334468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12