Health & Social Care in the Community最新文献

{"title":"Subjective Cognitive Decline Among Middle-Aged and Older Adults in Hong Kong: A Cross-Sectional Study","authors":"Jed Montayre,&nbsp;Ka Man Carman Leung,&nbsp;Kay Kuo","doi":"10.1155/hsc/9987266","DOIUrl":"https://doi.org/10.1155/hsc/9987266","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Subjective cognitive decline (SCD) is a self-reported perception of cognitive deterioration in individuals who are cognitively normal. Cognitive functions keep steady during adulthood up until around age 40; thereafter, individuals are more likely to experience cognitive decline. SCD is viewed as a possible early sign of Alzheimer’s disease and other forms of dementia. Early detection and intervention addressing SCD could delay the onset of mild cognitive impairment and dementia. Several tools have been developed and evaluated for the phenomenon of SCD in different countries; however, limited research findings can be found in Hong Kong.</p>\u0000 <p><b>Objective:</b> To investigate the prevalence of SCD among middle-aged and older adults in Hong Kong and identify the related factors contributing to its occurrence.</p>\u0000 <p><b>Methods:</b> A cross-sectional survey was undertaken from December 2023 to January 2024 to 200 individuals living in Hong Kong aged 50 years or older. The respondents filled out a questionnaire that collected demographic information, including gender, age, education level and health status. They also completed the Subjective Cognitive Decline Questionnaire-21. Descriptive analysis, logistic analysis and factor analysis were conducted in this study.</p>\u0000 <p><b>Results:</b> A total of 200 samples were collected, of which 122 were classified as having SCD, leading to a prevalence rate of 61% that exceeds that of neighbouring countries. SCD was correlated with the self-rated health score. The Cronbach’s alpha was 0.905. The findings demonstrated significant differences in response to patterns between the two scoring groups for all questions. The results of the factor analysis confirmed the reliability of the four-factor structure, reinforcing the strength of the scale.</p>\u0000 <p><b>Conclusion:</b> The study analysed the prevalence of SCD among middle-aged and older adults in Hong Kong as well as explored the relationship between various factors and SCD. The initial insights gained from the questionnaire will inform the future development of more comprehensive and effective solutions to address cognitive decline in older adults in Hong Kong.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9987266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Demand for Peer Mentorship Among Refugees and Migrants: Insights From a Qualitative Focus Group Study","authors":"Lars Thrysøe,&nbsp;Lisa Duus,&nbsp;Dorthe Susanne Nielsen","doi":"10.1155/hsc/7118794","DOIUrl":"https://doi.org/10.1155/hsc/7118794","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> This qualitative study aimed to explore the tasks, competencies, and qualifications necessary for an upcoming peer mentor program to support patients with refugee and migrant backgrounds in navigating the healthcare system and their daily lives. The study aimed to uncover the expectations of social workers and healthcare professionals regarding peer mentors and the program.</p>\u0000 <p><b>Methods:</b> The study used focus group interviews and individual interviews with healthcare professionals and social workers. Data were analyzed using a hermeneutic phenomenological approach and Malterud’s text condensation. In the study, we consider individuals with refugee, migrant, and asylum seeker backgrounds equally.</p>\u0000 <p><b>Results:</b> Two main themes emerged: “Patients at risk of being lost in transition” and “Expectations and role of Peer Mentors.” The first theme highlighted the challenges that migrants face in navigating the healthcare and social sectors due to language barriers and complex systems. The second theme emphasized the importance of peer mentors as cultural bridge builders, supporting patients’ understanding of Danish society and the healthcare system and addressing their unique needs.</p>\u0000 <p><b>Conclusions and Implications for Practice:</b> The study emphasizes the vulnerability of migrants and the potential benefits of a peer mentor program. The findings highlight the need for a well-designed program that provides training and support to peer mentors, facilitates sector collaboration, and addresses the complex challenges faced by migrants.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/7118794","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interrelationships Between the Holistic Wellbeing Quadrants and Social Wellbeing of Older Persons in Ghana","authors":"Joseph Kojo Oduro","doi":"10.1155/hsc/5023600","DOIUrl":"https://doi.org/10.1155/hsc/5023600","url":null,"abstract":"<div>\u0000 <p>The global population is ageing at an unprecedented rate, with Africa experiencing the fastest growth in the number of older persons (aged 60 and above), followed by Latin America, the Caribbean and Asia. Like other developing nations, such as Zimbabwe, Namibia, India and Indonesia, Ghana is witnessing a rapid rise in its ageing population. It is crucial to understand and address the unique wellbeing needs of Ghanaian older persons. This study examined the interrelationships between emotional, physical, psychological and spiritual wellbeing and their collective influence on the social wellbeing of older persons in Ghana. Using data from the World Health Organization’s Study on Global Ageing and Adult Health (SAGE) Wave 2, a sample of 1927 individuals aged 60 and above was analysed through structural equation modelling (SEM). Results reveal that physical wellbeing (<i>β</i> = 0.57, <i>p</i> &lt; 0.001) strongly predicts social wellbeing, followed by spiritual (<i>β</i> = 0.25, <i>p</i> &lt; 0.001), emotional (<i>β</i> = 0.17, <i>p</i> &lt; 0.001) and psychological (<i>β</i> = 0.17, <i>p</i> &lt; 0.001) wellbeing. In addition, each wellbeing dimension interacts synergistically, enhancing overall social wellbeing (integration, acceptance, coherence, contribution and actualisation). Factors such as sex, marital status and perceived health significantly mediate these relationships, with older females and married individuals reporting higher social wellbeing. The findings highlight the need for multidimensional interventions to support healthy ageing, advocating for policies that enhance the interconnected wellbeing dimensions to foster social inclusion and quality of life for older persons in Ghana. Holistic care models should be adopted for multidimensional care approaches addressing emotional, physical, psychological and spiritual wellbeing to enhance social wellbeing of older persons.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5023600","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143846000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Household Resilience and Dietary Diversity on Child Malnutrition","authors":"Licong Xing,&nbsp;Shahla Akram,&nbsp;Mehboob Ul Hassan,&nbsp;Hamza Khurram,&nbsp;Hassan Shaheryar,&nbsp;Muhammad Farrukh Shahzad","doi":"10.1155/hsc/6553434","DOIUrl":"https://doi.org/10.1155/hsc/6553434","url":null,"abstract":"<div>\u0000 <p>This study examines the impact of household resilience and dietary diversity on child malnutrition in Pakistan using data from the Multiple Indicator Cluster Survey (MICS) 2017–2020. By analyzing the relationship between household resilience, minimum dietary diversity (MDD), and malnutrition indicators—stunting, underweight, and wasting—the findings reveal a significant association. Higher household resilience is linked to better dietary diversity and lower malnutrition rates, with resilient households showing reduced prevalence of stunting, underweight, and wasting among children. MDD emerges as a fundamental protective factor, with children consuming minimum diverse foods demonstrating improved nutritional outcomes. Particularly, regional disparities are evident, with provinces such as Sindh, Khyber Pakhtunkhwa, and Balochistan exhibiting higher malnutrition rates compared to Punjab. The study underscores the importance of enhancing household resilience and dietary diversity to combat malnutrition in Pakistan, advocating for targeted interventions to improve child health outcomes.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6553434","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Social Construction of Palliative Care for Individuals With Dementia: Implications for Social and Healthcare Assistants and Helpers Working in Nursing Homes and Home Care","authors":"Jahan Shabnam,&nbsp;Mette Raunkiaer","doi":"10.1155/hsc/3480655","DOIUrl":"https://doi.org/10.1155/hsc/3480655","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Social, organizational, and cultural factors often shape the concept of palliative care. These factors can significantly impact how frontline support workers in Denmark—specifically social and healthcare assistants and helpers—perceive and provide palliative care in nursing homes and home care settings for individuals with dementia. This study examines how these perceptions affect their practices when caring for individuals with dementia in nursing homes and home care.</p>\u0000 <p><b>Methods:</b> From September 2023 to December 2023, data were gathered from eight focus group interviews with 40 social and healthcare assistants and helpers across three municipalities. Transcribed interviews were analyzed in NVivo, employing an abductive approach that combined Braun and Clarke’s thematic analysis with Potter’s discourse analysis to explore how language constructs meaning within these categorizations.</p>\u0000 <p><b>Findings:</b> Thematic analysis identified three themes: (1) the meaning and context of palliative care, (2) institutional factors influencing palliative care practice, and (3) emotional and relational aspects of palliative care. Findings indicate that many social and healthcare assistants and helpers primarily associate palliative care with end-of-life care rather than recognizing its relevance throughout the dementia trajectory (Theme 1). This narrow understanding limits their engagement in early-stage palliative approaches, such as symptom management, emotional support, and advanced care planning. Institutional constraints, such as time pressure and unclear guidelines (Theme 2), further restrict opportunities to integrate palliative care into dementia care proactively. Additionally, the emotional and relational challenges of caregiving (Theme 3) contribute to uncertainties in initiating palliative care discussions at earlier stages of dementia. As a result, this study highlights a prevalent misconception among social and healthcare assistants and helpers, who often view palliative care as limited to end-of-life care, leading to missed opportunities for holistic, proactive dementia care.</p>\u0000 <p><b>Conclusion:</b> By broadening the understanding of palliative care to include ongoing symptom management, emotional support, and advance care planning while addressing the emotional and relational aspects of providing care, healthcare assistants and helpers can better meet the comprehensive needs of individuals with dementia.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/3480655","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143831460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balancing Compassion and Self-Care: Insights From Palliative Care Professionals and Volunteers","authors":"M. Elena Cuartero-Castañer,&nbsp;José Francisco Campos-Vidal,&nbsp;Paula Hidalgo-Andrade,&nbsp;Katty Lozano-Montesdeoca,&nbsp;Patricia Bonilla Sierra","doi":"10.1155/hsc/5874963","DOIUrl":"https://doi.org/10.1155/hsc/5874963","url":null,"abstract":"<div>\u0000 <p>Working in palliative care is both an exhausting and an enriching experience. Self-care is vital because it protects against the risk of developing burnout and predicts higher quality of life levels. Self-care is a shared responsibility between the individuals and their contexts. This qualitative study aimed to understand the self-care practices of Ecuadorian palliative care teams and design a self-care self-planning tool for local volunteers, students, and professionals. A total of 71 individuals participated in 10 focus groups in four cities in Ecuador. Data were analyzed through thematic analysis. The results provide a comprehensive overview of the self-care strategies employed by palliative care professionals, volunteers, and students who have concluded internships within the field. These strategies could serve as mechanisms to manage complex situations and promote healthy and satisfactory scenarios. Results indicate a low self-care practice in the personal and professional realms. With that in mind, the results were divided into two main themes. For personal self-care, participants referred to the importance of spirituality and biological, psychological, and social aspects of self-care. On the other hand, for self-care at work, people emphasized the importance of support, professional development, making time for self-analysis, and managing workload. Developing practical approaches requires a holistic perspective that considers contexts, overcomes barriers, and promotes practices that support professionals’ physical, mental, emotional, and spiritual well-being. Using the insight from the results, we provide a tool to facilitate personalized self-care planning.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/5874963","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143831208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transnational Caregiving: Experiences of Visible Minority Carer-Employees","authors":"Reemal Shahbaz,&nbsp;Allison Williams,&nbsp;Bharati Sethi,&nbsp;Olive Wahoush","doi":"10.1155/hsc/4282271","DOIUrl":"https://doi.org/10.1155/hsc/4282271","url":null,"abstract":"<div>\u0000 <p>In Canada, approximately 35% of individuals in the workforce are carer employees (CEs). Workplaces lack support programs and initiatives resulting in CEs taking absences from work and opting for early retirement. These circumstances additionally decrease productivity and economic growth, and cause strains on the psychological, physical, and financial well-being of CEs. Many newcomers to Canada are providing care to those across transnational boundaries while being employed. These immigrants are known as transnational CEs (TCEs). The research questions this secondary analysis aims to answer are “<i>What are the experiences of visible minority TCEs before and after the Covid-19 pandemic in London, Ontario, and what are the implications of these experiences for policymakers and employers?</i>”. A qualitative thematic analysis by Braun &amp; Clarke using the ATLAS.ti coding software was conducted to examine the dataset on South American, African, Pakistani, and Syrian descent TCEs. The philosophical orientation that underpins this study is constructivism and the theoretical framework that informs the findings is the intersectionality theory. Data analysis generated from the 29 participants in the study revealed three main themes: (1) the variations in gender-based transnational care, (2) cultural expectations of caregiving, and (3) recommendations to policymakers and employers. The results of the study suggest that male TCEs are more likely to provide financial caregiving, whereas female TCEs do more physical and emotional caring. Furthermore, culture influences caregiving as there are higher expectations from the only or eldest child in the family and those who live abroad. The findings also illustrate that there is a lack of caregiver-friendly workplace policies (CFWPs) in the workplaces (e.g., family responsibility leave) and TCEs lack knowledge about CFWPs. They recommended financial relief, employer support, and extended vacation/family leave to help them balance work and transnational caregiving. Study implications include employer engagement to promote and sustain visible minority TCEs’ health and well-being and educating TCEs and employers on the importance of CFWPs.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/4282271","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143831209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Social Prescribing Interventions in Addressing Health Inequalities in the United Kingdom: A Narrative Review","authors":"Christiana Melam,&nbsp;Judith Dyson,&nbsp;Kate Thomson","doi":"10.1155/hsc/6613809","DOIUrl":"https://doi.org/10.1155/hsc/6613809","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Social prescribing (SP), developed in the United Kingdom through general practice, has seen varied implementation worldwide, influenced by cultural, healthcare and political contexts. Among the various efforts to reduce health inequalities among individuals and groups, social prescribing has been proposed as a key intervention. Despite growing interest, there is a need for a critical examination of social prescribing’s role in addressing health inequalities.</p>\u0000 <p><b>Aim:</b> This study aims to review the experiences of SP service users and service providers concerning the impact of SP on health inequalities in the United Kingdom. By synthesising existing evidence, it seeks to contribute to ongoing discussions and inform future research and policy directions.</p>\u0000 <p><b>Methods:</b> A systematic search and narrative synthesis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases searched included Web of Science, CINAHL, Medline, PsycArticles and PsycINFO, using keywords related to SP and inequalities.</p>\u0000 <p><b>Results:</b> A total of 441 records were identified, with 20 papers meeting the inclusion criteria selected for analysis. The findings highlighted the positive role of SP in addressing the sociopsychological needs of patients and managing long-term conditions. Barriers included resource constraints, training limitations and accessibility challenges, particularly during the COVID-19 pandemic. Facilitators emphasised the importance of the link worker/service user relationship, collaboration and integration.</p>\u0000 <p><b>Conclusion:</b> SP is important in addressing health inequalities, particularly by targeting sociopsychological factors and managing long-term conditions. However, the complexity of these inequalities requires more tailored models and research. None of the studies examined SP within NHS National Health Inequalities framework such as Core20PLUS5. Future research should explore how SP interventions align with and contribute to national efforts to reduce health inequalities. Overcoming barriers such as resource limitations, training gaps and accessibility challenges, while strengthening link-worker relationships, is essential. Multisectoral collaboration and integrating SP into clinical practices are key to enhancing its impact.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/6613809","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Development of an Employment Anxiety Scale for Chinese College Graduates","authors":"Weidong Wang,&nbsp;Yisong Hu","doi":"10.1155/hsc/9964482","DOIUrl":"https://doi.org/10.1155/hsc/9964482","url":null,"abstract":"<div>\u0000 <p>This study aims to develop an employment anxiety scale for Chinese college graduates, providing a tool for subsequent research on employment anxiety in China. The exploratory factor analysis (EFA) identified two factors: “Cognitive Expectations” and “Somatic Symptoms.” The confirmatory factor analysis (CFA) results suggested that retaining 14 key items led to a good model fit, confirming the EFA results. The internal consistency reliability of the scale was 0.9254. Correlation analysis between the self-constructed scale and the State–Trait Anxiety Inventory indicated high validity of the self-constructed scale. Graduates’ anxiety scale scores varied by different sociodemographic characteristics. Female graduates, undergraduates, and graduates from regular colleges scored higher on the anxiety scale. The self-constructed employment anxiety scale for college graduates demonstrated good reliability and validity, making it a suitable tool for measuring employment anxiety among college graduates. Furthermore, it holds significant potential for informing targeted interventions by universities to address key aspects of employment anxiety and for evaluating the effectiveness of employment-related policies, ultimately supporting graduate well-being and improving outcomes in the transition to the workforce.</p>\u0000 </div>","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/9964482","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep Health in People Experiencing Homelessness: A Scoping Review","authors":"Shannon L. Edmed,&nbsp;Louis de Waal,&nbsp;Kalina R. Rossa,&nbsp;Cassandra L. Pattinson,&nbsp;Caroline Salom,&nbsp;Sylistah Gadam,&nbsp;Nadine Lorimer,&nbsp;Simon S. Smith","doi":"10.1155/hsc/8766803","DOIUrl":"https://doi.org/10.1155/hsc/8766803","url":null,"abstract":"&lt;div&gt;\u0000 &lt;p&gt;&lt;b&gt;Objectives:&lt;/b&gt; The objective of this scoping review was to explore the body of knowledge that exists on the topic of sleep in adults experiencing homelessness.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Background:&lt;/b&gt; Sleep is essential for health and wellbeing, and has an important role in cognition, decision making and life outcomes. The experience of homelessness increases exposure to risk factors that influence poor sleep health, including social and environmental exposures. People experiencing homelessness may not have the autonomy to mitigate these environmental and social impacts.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Methods:&lt;/b&gt; For this scoping review, we searched for English language peer-reviewed articles in PubMed, Web of Science, Scopus, Sociological Abstracts, Social Science Database, Australian Public Affairs Full Text and PsycINFO. Forward and backward searching of included articles was also conducted. The methodology for this scoping review was guided by the scoping review framework in the Joanna Briggs Institute Manual for Evidence Synthesis.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Eligibility Criteria:&lt;/b&gt; Studies were included if they examined the concept of any dimension of the sleep experience (including sleep-related daytime impairment) in adults 18 years and over experiencing homelessness in high income countries.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Sources of Evidence:&lt;/b&gt; This review considered research-oriented literature, including original research, reviews, meta-analyses, practice guidelines, qualitative studies, conference abstracts, and government and nongovernment research-oriented reports.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Charting Methods:&lt;/b&gt; Data were extracted on publication year, research design, geographical location, participant characteristics, measurement and key findings. Findings were narratively described or presented as frequencies. A thematic analysis was also completed for qualitative research studies.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Results:&lt;/b&gt; This review extracted data from 101 studies. Of these, 45 were quantitative, 43 were qualitative, 6 were mixed-methods, and 7 were narrative reviews. The majority of studies included a focus on populations from the United States (56 studies), followed by the United Kingdom (18 studies). Only 34% of the included studies explicitly focussed on sleep as a core objective of the research. In the thematic analysis, the most frequently identified barriers to sleep across studies were safety and security, weather exposure and lack of comfort.&lt;/p&gt;\u0000 &lt;p&gt;&lt;b&gt;Conclusions:&lt;/b&gt; This scoping review identified notable gaps in the literature, including a need for validated subjective and objective sleep measures for people experiencing homelessness, and a lack of research on sleep interventions in this population. Review findings can be used to stimulate and guide more targeted research, helping to identify appropriate intervention targets and approaches to improve sleep and related outcomes in this population.&lt;/p&gt;\u0000 ","PeriodicalId":48195,"journal":{"name":"Health & Social Care in the Community","volume":"2025 1","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/hsc/8766803","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}