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Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study

Housing stability is a key outcome in studies evaluating housing services for the homeless population. Housing stability has typically been defined dichotomously and based on a fixed duration of maintenance in housing accommodations, which does not fully capture change in housing status among homele...

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Autores principales: Kaltsidis, Gesthika, Grenier, Guy, Cao, Zhirong, Fleury, Marie-Josée
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504688/
https://www.ncbi.nlm.nih.gov/pubmed/32867382
http://dx.doi.org/10.3390/ijerph17176254
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author Kaltsidis, Gesthika
Grenier, Guy
Cao, Zhirong
Fleury, Marie-Josée
author_facet Kaltsidis, Gesthika
Grenier, Guy
Cao, Zhirong
Fleury, Marie-Josée
author_sort Kaltsidis, Gesthika
collection PubMed
description Housing stability is a key outcome in studies evaluating housing services for the homeless population. Housing stability has typically been defined dichotomously and based on a fixed duration of maintenance in housing accommodations, which does not fully capture change in housing status among homeless individuals. Moreover, few typologies have examined housing trajectories across different housing types. Cluster analysis was used to develop a typology of housing status change for 270 currently or formerly homeless individuals in Quebec (Canada) residing in shelters and temporary and permanent housing. Participants were interviewed at baseline (T0) and 12 months later (T1). The Gelberg–Andersen Model was used to organize housing-related variables into predisposing, needs and enabling factors. Comparison analyses were conducted to assess group differences. Three groups (Groups 1, 3 and 4) had more favorable and two (Groups 2 and 5) less favorable, housing status at T1. Findings suggest that maintenance or improvement of housing status requires suitable types and frequencies of service use (enabling factors) that are well adapted to the nature and complexity of health problems (needs factors) among homeless individuals. Specific interventions, such as outreach programs and case management, should be prioritized for individuals at higher risk for returning to homelessness.
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spelling pubmed-75046882020-09-26 Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study Kaltsidis, Gesthika Grenier, Guy Cao, Zhirong Fleury, Marie-Josée Int J Environ Res Public Health Article Housing stability is a key outcome in studies evaluating housing services for the homeless population. Housing stability has typically been defined dichotomously and based on a fixed duration of maintenance in housing accommodations, which does not fully capture change in housing status among homeless individuals. Moreover, few typologies have examined housing trajectories across different housing types. Cluster analysis was used to develop a typology of housing status change for 270 currently or formerly homeless individuals in Quebec (Canada) residing in shelters and temporary and permanent housing. Participants were interviewed at baseline (T0) and 12 months later (T1). The Gelberg–Andersen Model was used to organize housing-related variables into predisposing, needs and enabling factors. Comparison analyses were conducted to assess group differences. Three groups (Groups 1, 3 and 4) had more favorable and two (Groups 2 and 5) less favorable, housing status at T1. Findings suggest that maintenance or improvement of housing status requires suitable types and frequencies of service use (enabling factors) that are well adapted to the nature and complexity of health problems (needs factors) among homeless individuals. Specific interventions, such as outreach programs and case management, should be prioritized for individuals at higher risk for returning to homelessness. MDPI 2020-08-27 2020-09 /pmc/articles/PMC7504688/ /pubmed/32867382 http://dx.doi.org/10.3390/ijerph17176254 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kaltsidis, Gesthika
Grenier, Guy
Cao, Zhirong
Fleury, Marie-Josée
Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study
title Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study
title_full Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study
title_fullStr Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study
title_full_unstemmed Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study
title_short Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study
title_sort change in housing status among homeless and formerly homeless individuals in quebec, canada: a profile study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504688/
https://www.ncbi.nlm.nih.gov/pubmed/32867382
http://dx.doi.org/10.3390/ijerph17176254
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