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Predictors of residential stability among homeless young adults: a cohort study

BACKGROUND: Homelessness episodes have been shown to be associated with serious health outcomes among youth. This study was undertaken to estimate the probability of reaching residential stability over time and to identify predictors of residential stability among homeless young adults aged 18 to 25...

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Autores principales: Roy, Élise, Robert, Marie, Fournier, Louise, Laverdière, Émélie, Berbiche, Djamal, Boivin, Jean-François
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4746879/
https://www.ncbi.nlm.nih.gov/pubmed/26860995
http://dx.doi.org/10.1186/s12889-016-2802-x
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author Roy, Élise
Robert, Marie
Fournier, Louise
Laverdière, Émélie
Berbiche, Djamal
Boivin, Jean-François
author_facet Roy, Élise
Robert, Marie
Fournier, Louise
Laverdière, Émélie
Berbiche, Djamal
Boivin, Jean-François
author_sort Roy, Élise
collection PubMed
description BACKGROUND: Homelessness episodes have been shown to be associated with serious health outcomes among youth. This study was undertaken to estimate the probability of reaching residential stability over time and to identify predictors of residential stability among homeless young adults aged 18 to 25 years. METHODS: A prospective cohort study was carried out in Montréal, Canada, between April 5(th) 2006 and January 21(th) 2009. Interviews conducted every three months included questions on life conditions and social and mental health factors that are known to influence residential trajectories. Residential status was determined, starting on the first day after recruitment; each follow-up day was classified as a homeless day or a housed day. A period of 90 days was used to define residential stability; therefore the main study outcome was the occurrence of the first consecutive 90 housed days during the follow-up period. Kaplan-Meier and Cox proportional-hazards regression analyses were conducted. RESULTS: Of the 359 participants, 284 reached 90 days of residential stability over the study period, representing an annual probability of 80.5 %. In multivariate analysis, youth who had a high school degree, had a formal sector activity, and those who had sought psychological help were more likely to reach residential stability. Being a man, injecting substances, and having an informal sector activity were associated with a decreased probability to reach residential stability. CONCLUSION: Exposure to factors related to opportunities that promote social integration increases the chance of reaching residential stability. On the other hand, factors related to high level of street entrenchment seem to interfere with stabilization. Maximum efforts should be made to prevent chronic homelessness among youth, targeting not only individual impairments but also hinging on services adapted to foster social connections among the youth.
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spelling pubmed-47468792016-02-10 Predictors of residential stability among homeless young adults: a cohort study Roy, Élise Robert, Marie Fournier, Louise Laverdière, Émélie Berbiche, Djamal Boivin, Jean-François BMC Public Health Research Article BACKGROUND: Homelessness episodes have been shown to be associated with serious health outcomes among youth. This study was undertaken to estimate the probability of reaching residential stability over time and to identify predictors of residential stability among homeless young adults aged 18 to 25 years. METHODS: A prospective cohort study was carried out in Montréal, Canada, between April 5(th) 2006 and January 21(th) 2009. Interviews conducted every three months included questions on life conditions and social and mental health factors that are known to influence residential trajectories. Residential status was determined, starting on the first day after recruitment; each follow-up day was classified as a homeless day or a housed day. A period of 90 days was used to define residential stability; therefore the main study outcome was the occurrence of the first consecutive 90 housed days during the follow-up period. Kaplan-Meier and Cox proportional-hazards regression analyses were conducted. RESULTS: Of the 359 participants, 284 reached 90 days of residential stability over the study period, representing an annual probability of 80.5 %. In multivariate analysis, youth who had a high school degree, had a formal sector activity, and those who had sought psychological help were more likely to reach residential stability. Being a man, injecting substances, and having an informal sector activity were associated with a decreased probability to reach residential stability. CONCLUSION: Exposure to factors related to opportunities that promote social integration increases the chance of reaching residential stability. On the other hand, factors related to high level of street entrenchment seem to interfere with stabilization. Maximum efforts should be made to prevent chronic homelessness among youth, targeting not only individual impairments but also hinging on services adapted to foster social connections among the youth. BioMed Central 2016-02-09 /pmc/articles/PMC4746879/ /pubmed/26860995 http://dx.doi.org/10.1186/s12889-016-2802-x Text en © Roy et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Roy, Élise
Robert, Marie
Fournier, Louise
Laverdière, Émélie
Berbiche, Djamal
Boivin, Jean-François
Predictors of residential stability among homeless young adults: a cohort study
title Predictors of residential stability among homeless young adults: a cohort study
title_full Predictors of residential stability among homeless young adults: a cohort study
title_fullStr Predictors of residential stability among homeless young adults: a cohort study
title_full_unstemmed Predictors of residential stability among homeless young adults: a cohort study
title_short Predictors of residential stability among homeless young adults: a cohort study
title_sort predictors of residential stability among homeless young adults: a cohort study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4746879/
https://www.ncbi.nlm.nih.gov/pubmed/26860995
http://dx.doi.org/10.1186/s12889-016-2802-x
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