Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Setting and Data Collection
2.2. Conceptual Framework, Variables and Instruments
2.3. Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
- Gaetz, S.; Ward, A.; Kimura, L. Youth homelessness and housing stability: What outcomes should we be looking for? Healthc Manag. Forum 2019, 32, 73–77. [Google Scholar] [CrossRef]
- Aubry, T.; Klodawsky, F.; Coulombe, D. Comparing the housing trajectories of different classes within a diverse homeless population. Am. J. Community Psychol. 2012, 49, 142–155. [Google Scholar] [CrossRef]
- Wooden, M.D.; Bevitt, A.; Chigavazira, A.; Greer, N.; Johnson, G., 3rd; Killackey, E.; Moschion, J.; Scutella, R.; Tseng, Y.-P.; Watson, N. Introducing ‘Journeys Home’. Aust. Econ. Rev. 2012, 45, 368–378. [Google Scholar] [CrossRef]
- Kerman, N.; Sylvestre, J.; Aubry, T.; Distasio, J. The effects of housing stability on service use among homeless adults with mental illness in a randomized controlled trial of housing first. BMC Health Serv. Res. 2018, 18, 190. [Google Scholar] [CrossRef] [Green Version]
- Boland, L.; Slade, A.; Yarwood, R.; Bannigan, K. Determinants of Tenancy Sustainment Following Homelessness: A Systematic Review. Am. J. Public Health 2018, 108, e1–e8. [Google Scholar] [CrossRef] [PubMed]
- Baxter, A.J.; Tweed, E.J.; Katikireddi, S.V.; Thomson, H. Effects of Housing First approaches on health and well-being of adults who are homeless or at risk of homelessness: Systematic review and meta-analysis of randomised controlled trials. J. Epidemiol. Community Health 2019, 73, 379–387. [Google Scholar] [CrossRef] [PubMed]
- Aubry, T.; Duhoux, A.; Klodawsky, F.; Ecker, J.; Hay, E. A Longitudinal Study of Predictors of Housing Stability, Housing Quality, and Mental Health Functioning among Single Homeless Individuals Staying in Emergency Shelters. Am. J. Community Psychol. 2016, 58, 123–135. [Google Scholar] [CrossRef]
- Spicer, B.; Smith, D.I.; Conroy, E.; Flatau, P.R.; Burns, L. Mental illness and housing outcomes among a sample of homeless men in an Australian urban centre. Aust. N. Z. J. Psychiatry 2015, 49, 471–480. [Google Scholar] [CrossRef]
- Crane, M.; Warnes, A.M.; Coward, S. Preparing Homeless People for Independent Living and Its Influence on Resettlement Outcomes. Eur. J. Homelessness 2012, 6, 17–45. [Google Scholar]
- Bassuk, E.L.; DeCandia, C.J.; Tsertsvadze, A.; Richard, M.K. The effectiveness of housing interventions and housing and service interventions on ending family homelessness: A systematic review. Am. J. Orthopsychiatry 2014, 84, 457–474. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kuhn, R.; Culhane, D.P. Applying cluster analysis to test a typology of homelessness by pattern of shelter utilization: Results from the analysis of administrative data. Am. J. Community Psychol. 1998, 26, 207–232. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Byrne, T.; Montgomery, A.E.; Fargo, J.D. Unsheltered Homelessness Among Veterans: Correlates and Profiles. Community Ment. Health J. 2016, 52, 148–157. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Goldstein, G.; Luther, J.F.; Jacoby, A.M.; Haas, G.L.; Gordon, A.J. A taxonomy of medical comorbidity for veterans who are homeless. J. Health Care Poor Underserved 2008, 19, 991–1005. [Google Scholar] [CrossRef] [PubMed]
- Tyler, K.A.; Ray, C.M. A Latent Class Analysis of Lifetime Victimization Among Homeless Youth. J. Interpers. Violence 2019. [Google Scholar] [CrossRef] [PubMed]
- Altena, A.M.; Beijersbergen, M.D.; Vermunt, J.K.; Wolf, J. Subgroups of Dutch homeless young adults based on risk- and protective factors for quality of life: Results of a latent class analysis. Health Soc. Care Community 2018, 26, e587–e597. [Google Scholar] [CrossRef] [PubMed]
- Hodgson, K.J.; Shelton, K.H.; van den Bree, M.B. Psychopathology among young homeless people: Longitudinal mental health outcomes for different subgroups. Br. J. Clin. Psychol. 2015, 54, 307–325. [Google Scholar] [CrossRef] [PubMed]
- Munoz, M.; Panadero, S.; Santos, E.P.; Quiroga, M.A. Role of stressful life events in homelessness: An intragroup analysis. Am. J. Community Psychol. 2005, 35, 35–47. [Google Scholar] [CrossRef]
- Tsai, J.; Edens, E.L.; Rosenheck, R.A. A Typology of Childhood Problems among Chronically Homeless Adults and Its Association with Housing and Clinical Outcomes; part 1: Original Paper. J. Health Care Poor Underserved 2011, 22, 853–870. [Google Scholar] [CrossRef]
- Bonin, J.P.; Fournier, L.; Blais, R. A typology of mentally disordered users of resources for homeless people: Towards better planning of mental health services. Adm. Policy Ment. Health 2009, 36, 223–235. [Google Scholar] [CrossRef]
- Adair, C.E.; Streiner, D.L.; Barnhart, R.; Kopp, B.; Veldhuizen, S.; Patterson, M.; Aubry, T.; Lavoie, J.; Sareen, J.; LeBlanc, S.R.; et al. Outcome Trajectories among Homeless Individuals with Mental Disorders in a Multisite Randomised Controlled Trial of Housing First. Can. J. Psychiatry 2017, 62, 30–39. [Google Scholar] [CrossRef] [Green Version]
- Gentil, L.; Grenier, G.; Bamvita, J.-M.; Dorvil, H.; Fleury, M.-J. Profiles of Quality of Life in a Homeless Population; Groupe de Recherche Interdisciplinaire sur la Santé Mentale des Enfants et des Jeunes (GRISMEJ), Université de Moncton: Moncton, NB, Canada, 2018. [Google Scholar]
- Garey, L.; Reitzel, L.R.; Neisler, J.; Kendzor, D.E.; Zvolensky, M.J.; Neighbors, C.; Hernandez, D.C.; Businelle, M.S. Health-Related Quality of Life Among Homeless Smokers: Risk and Protective Factors of Latent Class Membership. Behav. Med. 2019, 45, 40–51. [Google Scholar] [CrossRef]
- Culhane, D.P.; Metraux, S.; Park, J.M.; Schretzman, M.; Valente, J. Testing a typology of family homelessness based on patterns of public shelter utilization in four U.S. jurisdictions: Implications for policy and program planning. Hous. Policy Debate 2007, 18, 1–28. [Google Scholar] [CrossRef]
- Lee, C.T.; Guzman, D.; Ponath, C.; Tieu, L.; Riley, E.; Kushel, M. Residential patterns in older homeless adults: Results of a cluster analysis. Soc. Sci. Med. 2016, 153, 131–140. [Google Scholar] [CrossRef] [Green Version]
- Kort-Butler, L.A.; Tyler, K.A. A cluster analysis of service utilization and incarceration among homeless youth. Soc. Sci. Res. 2012, 41, 612–623. [Google Scholar] [CrossRef] [Green Version]
- Fazel, S.; Geddes, J.R.; Kushel, M. The health of homeless people in high-income countries: Descriptive epidemiology, health consequences, and clinical and policy recommendations. Lancet 2014, 384, 1529–1540. [Google Scholar] [CrossRef] [Green Version]
- Gentil, L.; Grenier, G.; Bamvita, J.M.; Fleury, M.J. Satisfaction with health and community services among homeless and formerly homeless individuals in Quebec, Canada. Health Soc. Care Community 2020, 28, 22–33. [Google Scholar] [CrossRef]
- Khandor, E.; Mason, K.; Chambers, C.; Rossiter, K.; Cowan, L.; Hwang, S.W. Access to primary health care among homeless adults in Toronto, Canada: Results from the Street Health survey. Open Med. 2011, 5, e94–e103. [Google Scholar]
- Dickson-Gomez, J.; Quinn, K.; Bendixen, A.; Johnson, A.; Nowicki, K.; Ko Ko, T.; Galletly, C. Identifying variability in permanent supportive housing: A comparative effectiveness approach to measuring health outcomes. Am. J. Orthopsychiatry 2017, 87, 414–424. [Google Scholar] [CrossRef]
- Pearson, C.; Montgomery, A.E.; Locke, G. Housing stability among homeless individuals with serious mental illness participating in Housing First programs. J. Community Psychol. 2009, 37, 404–417. [Google Scholar] [CrossRef]
- Tsemberis, S. Housing First: The Pathways Model to End Homelessness for People with Mental Illness and Addiction; Hazelden: Minessota, MN, USA, 2010. [Google Scholar]
- Stergiopoulos, V.; Hwang, S.W.; Gozdik, A.; Nisenbaum, R.; Latimer, E.; Rabouin, D.; Adair, C.E.; Bourque, J. Effect of scattered-site housing using rent supplements and intensive case management on housing stability among homeless adults with mental illness: A randomized trial. JAMA 2015, 13, 905–915. [Google Scholar] [CrossRef]
- Aubry, T.; Tsemberis, S.; Adair, C.E.; Veldhuizen, S.; Streiner, D.; Latimer, E.; Sareen, J.; Patterson, M.; McGarvey, K.; Kopp, B.; et al. One-year outcomes of a randomized controlled trial of housing first with ACT in five Canadian cities. Psychiatr. Serv. 2015, 66, 463–469. [Google Scholar] [CrossRef] [PubMed]
- Pescosolido, B.A.; Gardner, C.B.; Lubell, K.M. How people get into mental health services: Stories of choice, coercion and “muddling through” from “first-timers”. Soc. Sci. Med. 1998, 46, 275–286. [Google Scholar] [CrossRef]
- Gelberg, L.; Andersen, R.M.; Leake, B.D. The Behavioral Model for Vulnerable Populations: Application to medical care use and outcomes for homeless people. Health Serv. Res. 2000, 34, 1273–1302. [Google Scholar] [PubMed]
- Gabrielian, S.; Hamilton, A.B.; Alexandrino, A.; Hellemann, G.; Young, A.S. “They’re homeless in a home”: Retaining homeless-experienced consumers in supported housing. Psychol. Serv. 2017, 14, 154–166. [Google Scholar] [CrossRef] [PubMed]
- Stein, J.A.; Andersen, R.; Gelberg, L. Applying the Gelberg-Andersen behavioral model for vulnerable populations to health services utilization in homeless women. J. Health Psychol. 2007, 12, 791–804. [Google Scholar] [CrossRef] [PubMed]
- Statistics Canada. Canadian Community Health Survey (CCHS); Statistics Canada: Ottawa, ON, Canada, 2002. [Google Scholar]
- Sheehan, D.V.; Lecrubier, Y.; Sheehan, K.H.; Amorim, P.; Janavs, J.; Weiller, E.; Hergueta, T.; Baker, R.; Dunbar, G.C. The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J. Clin. Psychiatry 1998, 59 (Suppl. 20), 22–33. [Google Scholar]
- Moran, P.; Leese, M.; Lee, T.; Walters, P.; Thornicroft, G.; Mann, A. Standardised Assessment of Personality—Abbreviated Scale (SAPAS): Preliminary validation of a brief screen for personality disorder. Br. J. Psychiatry 2003, 183, 228–232. [Google Scholar] [CrossRef]
- Bohn, M.J.; Babor, T.F.; Kranzler, H.R. The Alcohol Use Disorders Identification Test (AUDIT): Validation of a screening instrument for use in medical settings. J. Stud. Alcohol 1995, 56, 423–432. [Google Scholar] [CrossRef]
- Skinner, H.A. The drug abuse screening test. Addict. Behav. 1982, 7, 363–371. [Google Scholar] [CrossRef]
- Ustun, T.B.; Chatterji, S.; Kostanjsek, N.; Rehm, J.; Kennedy, C.; Epping-Jordan, J.; Saxena, S.; von Korff, M.; Pull, C.; Project, W.N.J. Developing the World Health Organization Disability Assessment Schedule 2.0. Bull. World Health Organ. 2010, 88, 815–823. [Google Scholar] [CrossRef]
- Caron, J.; Mercier, C.; Tempier, R. Validation of Satisfaction with Life Domains Scale in Quebec. Sante Ment. Que. 1997, 22, 195–217. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Gravel, R.; Beland, Y. The Canadian Community Health Survey: Mental health and well-being. Can. J. Psychiatry 2005, 50, 573–579. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Byrne, T.; Culhane, D.P. Testing Alternative Definitions of Chronic Homelessness. Psychiatr. Serv. 2015, 66, 996–999. [Google Scholar] [CrossRef] [PubMed]
- Enders, C.K. Using the expectation maximization algorithm to estimate coefficient alpha for scales with item-level missing data. Psychol. Methods 2003, 8, 322–337. [Google Scholar] [CrossRef]
- Ali, B.B.; Massmoudi, Y. K-means Clustering Based on Gower Similarity Coefficient: A Comparative Study. In Proceedings of the 5th International Conference on Modeling, Simulation and Applied Optimization (ICMSAO), Hammamet, Tunisia, 28–30 April 2013. [Google Scholar]
- Tsai, J.; Rosenheck, R.A. Homeless and nonhomeless VA service users likely eligible for Medicaid expansion. J. Rehabil. Res. Dev. 2014, 51, 675–684. [Google Scholar] [CrossRef]
- Van Straaten, B.; Van der Laan, J.; Rodenburg, G.; Boersma, S.N.; Wolf, J.R.; Van de Mheen, D. Dutch homeless people 2.5 years after shelter admission: What are predictors of housing stability and housing satisfaction? Health Soc. Care Community 2017, 25, 710–722. [Google Scholar] [CrossRef]
- Buist-Bouwman, M.A.; De Graaf, R.; Vollebergh, W.A.; Alonso, J.; Bruffaerts, R.; Ormel, J.; ESEMeD/MHEDEA 2000 Investigators. Functional disability of mental disorders and comparison with physical disorders: A study among the general population of six European countries. Acta Psychiatr. Scand. 2006, 113, 492–500. [Google Scholar] [CrossRef]
- Lutz, J.; Fiske, A. Functional disability and suicidal behavior in middle-aged and older adults: A systematic critical review. J. Affect. Disord. 2018, 227, 260–271. [Google Scholar] [CrossRef]
- Batbaatar, E.; Dorjdagva, J.; Luvsannyam, A.; Savino, M.M.; Amenta, P. Determinants of patient satisfaction: A systematic review. Perspect. Public Health 2017, 137, 89–101. [Google Scholar] [CrossRef]
- Lin, W.C.; Bharel, M.; Zhang, J.; O’Connell, E.; Clark, R.E. Frequent Emergency Department Visits and Hospitalizations Among Homeless People With Medicaid: Implications for Medicaid Expansion. Am. J. Public Health 2015, 105 (Suppl. 5), S716–S722. [Google Scholar] [CrossRef]
- Tucker, J.S.; Kennedy, D.; Ryan, G.; Wenzel, S.L.; Golinelli, D.; Zazzali, J. Homeless Women’s Personal Networks: Implications for Understanding Risk Behavior. Hum. Organ. 2009, 68, 129–140. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Winetrobe, H.; Wenzel, S.; Rhoades, H.; Henwood, B.; Rice, E.; Harris, T. Differences in Health and Social Support between Homeless Men and Women Entering Permanent Supportive Housing. Women’s Health Issues 2017, 27, 286–293. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Caton, C.L.M.; Dominguez, B.; Schanzer, B.; Hasin, D.S.; Shrout, P.E.; Felix, A.; McQuistion, H.; Opler, L.A.; Hsu, E. Risk factors for long-term homelessness: Findings from a longitudinal study of first-time homeless single adults. Am. J. Public Health 2005, 95, 1753–1759. [Google Scholar] [CrossRef] [PubMed]
- Leaf, P.J.; Livingston, M.M.; Tischler, G.L.; Weissman, M.M.; Holzer, C.E., 3rd; Myers, J.K. Contact with health professionals for the treatment of psychiatric and emotional problems. Med. Care 1985, 23, 1322–1337. [Google Scholar] [CrossRef]
- Poremski, D.; Harris, D.W.; Kahan, D.; Pauly, D.; Leszcz, M.; O’Campo, P.; Wasylenki, D.; Stergiopoulos, V. Improving continuity of care for frequent users of emergency departments: Service user and provider perspectives. Gen. Hosp. Psychiatry 2016, 40, 55–59. [Google Scholar] [CrossRef]
- Fortin, M.; Bamvita, J.M.; Fleury, M.J. Patient satisfaction with mental health services based on Andersen’s Behavioral Model. Can. J. Psychiatry 2018, 63, 103–114. [Google Scholar] [CrossRef]
- Urben, S.; Gloor, A.; Baier, V.; Mantzouranis, G.; Graap, C.; Cherix-Parchet, M.; Henz, C.; Dutoit, F.; Faucherand, A.; Senent, E.; et al. Patients’ satisfaction with community treatment: A pilot cross-sectional survey adopting multiple perspectives. J. Psychiatr. Ment. Health Nurs. 2015, 22, 680–687. [Google Scholar] [CrossRef] [Green Version]
- Roy, E.; Robert, M.; Fournier, L.; Laverdiere, E.; Berbiche, D.; Boivin, J.F. Predictors of residential stability among homeless young adults: A cohort study. BMC Public Health 2016, 16, 131. [Google Scholar] [CrossRef] [Green Version]
- Walsh, C.; Hubley, A.M.; To, M.J.; Norena, M.; Gadermann, A.; Farrell, S.; Hwang, S.W.; Palepu, A. The effect of forensic events on health status and housing stability among homeless and vulnerably housed individuals: A cohort study. PLoS ONE 2019, 14, e0211704. [Google Scholar] [CrossRef]
- Hwang, S.W.; Chambers, C.; Chiu, S.; Katic, M.; Kiss, A.; Redelmeier, D.A.; Levinson, W. A comprehensive assessment of health care utilization among homeless adults under a system of universal health insurance. Am. J. Public Health. 2013, 103 (Suppl. 2), S294–S301. [Google Scholar] [CrossRef]
Variables | Min | Max | n/Mean | %/SD. |
---|---|---|---|---|
270 | 100.00 | |||
Sample size | ||||
Change in Housing Status | ||||
Deterioration | 42 | 15.56 | ||
Stable-TH | 54 | 20.00 | ||
Stable-PH | 96 | 35.56 | ||
Improvement | 78 | 28.89 | ||
Predisposing Factors | ||||
Age (mean/SD) | 19 | 76 | 49.52 | 11.23 |
18–39 years | 14 | 5.19 | ||
40–49 years | 103 | 38.15 | ||
50 and over | 153 | 56.67 | ||
Sex | ||||
Women | 114 | 42.22 | ||
Men | 156 | 57.78 | ||
Education | ||||
High school or less | 182 | 67.41 | ||
College or more | 88 | 32.59 | ||
Chronic homelessness | 141 | 52.22 | ||
Arrest | 44 | 16.3 | ||
Monthly income (CAD; mean/SD) | 0 | 8880 | 959.34 | 756.98 |
Needs Factors | ||||
Common MHD | 117 | 43.33 | ||
Severe MHD including personality disorders | 194 | 71.85 | ||
Substance use disorders | 101 | 37.41 | ||
Suicidal behaviors | 64 | 23.7 | ||
Number of chronic physical illnesses (mean/SD) | 0 | 5 | 0.60 | 0.98 |
Functional disability 1 (mean/SD) | 11 | 46 | 20.64 | 6.58 |
Enabling Factors | ||||
Having a family doctor | 153 | 56.67 | ||
Having a case manager | 136 | 50.37 | ||
Number of social supports (mean/SD) | 0 | 13 | 2.18 | 2.44 |
Quality of life 2 (mean/SD) | 35 | 100 | 71.05 | 9.76 |
Frequency of ambulatory public and community service use 3 (mean/SD) | 0 | 632 | 87.55 | 120.67 |
Hospitalizations (mean/SD) | 0 | 7 | 0.50 | 1.11 |
ED visits (mean/SD) | 0 | 100 | 1.98 | 8.38 |
Service satisfaction 4 (mean/SD) | 1 | 5 | 3.99 | 0.76 |
Strictness in residential code of living/conduct 5 (mean/SD) | 0 | 14 | 8.66 | 4.92 |
Variables | Group 1 | Group 2 | Group 3 | Group 4 | Group 5 | |||||
---|---|---|---|---|---|---|---|---|---|---|
n/Mean | %/SD | n/Mean | %/SD | n/Mean | %/SD | n/Mean | %/SD | n/Mean | %/SD | |
Group size | 68 | 25.19 | 54 | 20.00 | 47 | 17.41 | 61 | 22.59 | 40 | 14.81 |
Change in Housing Status | ||||||||||
Deterioration | 0 | 0.00 | 23 1,3,4 | 42.59 | 6 1,2,4,5 | 12.77 | 0 | 0.00 | 13 1,3,4 | 32.50 |
Stable-TH | 0 | 0.00 | 27 | 50.00 | 0 | 0.00 | 0 | 0.00 | 27 | 67.50 |
Stable-PH | 28 2,3,5 | 41.18 | 4 | 7.41 | 38 | 80.85 | 26 2,3,5 | 42.62 | 0 | 0.00 |
Improvement | 40 | 58.82 | 0 | 0.00 | 3 | 6.38 | 35 | 57.38 | 0 | 0.00 |
Predisposing Factors | ||||||||||
Age | ||||||||||
18–39 years | 0 | 0.00 | 0 | 0.00 | 0 | 0.00 | 9 | 14.75 | 5 | 12.50 |
40–49 years | 0 | 0.00 | 0 | 0.00 | 16 | 34.04 | 52 1,2,3 | 85.25 | 35 1,2,3 | 87.50 |
50 and over | 68 3,4,5 | 100 | 54 3,4,5 | 100 | 31 1,2,4,5 | 65.96 | 0 | 0.00 | 0 | 0.00 |
Female | 31 2,4 | 45.59 | 10 1,3,4 | 18.52 | 18 2,4 | 38.30 | 44 1,2,3,5 | 72.13 | 11 4 | 27.50 |
Education (college or more) | 22 | 32.35 | 18 | 33.33 | 12 | 25.53 | 22 | 36.07 | 14 | 35.00 |
Chronic homelessness | 33 | 48.53 | 32 | 59.26 | 26 | 55.32 | 29 | 47.54 | 21 | 52.50 |
Arrest | 6 5 | 8.82 | 8 | 14.81 | 10 | 21.28 | 10 | 16.39 | 10 1 | 25.00 |
Monthly income (CAD; mean/SD) | 917.11 5 | 347.34 | 1257.64 5 | 1534.39 | 851.28 5 | 188.94 | 958.45 5 | 420.43 | 756.74 1,2,3,4 | 221.43 |
Needs Factors | ||||||||||
Common MHD | 26 3 | 38.24 | 21 | 38.89 | 27 1 | 57.45 | 25 | 40.98 | 18 | 45.00 |
Severe MHD including personality disorders | 41 3 | 60.29 | 39 | 72.22 | 39 1 | 82.98 | 46 | 75.41 | 29 | 72.5 |
Substance use disorders | 23 | 33.82 | 23 | 42.59 | 18 | 38.3 | 20 | 32.79 | 17 | 42.5 |
Suicidal behaviors | 7 3,4,5 | 10.29 | 10 3 | 18.52 | 18 1,2 | 38.3 | 19 1 | 31.15 | 10 1 | 25.00 |
Number of chronic physical illnesses (mean/SD) | 0.63 4 | 0.96 | 0.98 4,5 | 1.12 | 0.70 4 | 1.12 | 0.25 1,2,3 | 0.62 | 0.45 2 | 0.90 |
Median (IQR) | 0.00 | (0,1) | 1.00 | (0.2) | 0.00 | (0.1) | 0.00 | (0.0) | 0.00 | (0.1) |
Functional disability (mean/SD) | 18.85 3,4 | 4.45 | 20.46 | 7.45 | 22.77 1 | 7.98 | 21.06 1 | 6.04 | 20.77 | 6.82 |
Enabling Factors | ||||||||||
Having a family doctor | 42 | 61.76 | 37 5 | 68.52 | 26 | 55.32 | 30 | 49.18 | 18 2 | 45.00 |
Having a case manager | 33 | 48.53 | 25 | 46.3 | 30 | 63.83 | 30 | 49.18 | 18 | 45.00 |
Number of social supports (mean/SD) | 2.34 | 2.64 | 1.54 4 | 2.18 | 1.98 | 1.81 | 2.56 2 | 2.47 | 2.45 | 2.89 |
Quality of life (mean/SD) | 71.21 | 8.96 | 72.89 | 11.32 | 71.98 | 11.03 | 69.57 | 8.48 | 69.45 | 8.92 |
Frequency of ambulatory public and community service use (mean/SD) | 68.50 3 | 102.27 | 87.02 3 | 134.63 | 120.00 1,2,5 | 128.00 | 98.13 | 133.62 | 66.38 3 | 92.18 |
Median (IQR) | 29.00 | (5,63) | 19.00 | (5.98) | 66.00 | (23.205) | 43.00 | (8.150) | 34.00 | (10.81) |
Hospitalizations (mean/SD) | 0.54 | 1.25 | 0.28 4 | 0.71 | 0.36 | 0.85 | 0.66 2 | 1.12 | 0.63 | 1.46 |
Median (IQR) | 0 | (0,1) | 0 | (0.0) | 0 | (0.0) | 0 | (0.1) | 0 | (0.1) |
ED visits (mean/SD) | 2.53 | 10.74 | 0.76 3,4 | 1.66 | 1.40 2 | 2.19 | 3.28 2 | 12.97 | 1.38 | 3.54 |
Median (IQR) | 0 | (0,2) | 0 | (0.1) | 1 | (0.2) | 1 | (0.2) | 0 | (0.1) |
Service satisfaction score (mean/SD) | 4.13 3,4 | 0.63 | 4.18 3,4 | 0.75 | 3.80 1,2 | 0.93 | 3.88 1,2 | 0.66 | 3.92 | 0.82 |
Strictness in residential code of living/conduct (mean/SD) | 11.04 2,3 | 1.75 | 9.53 1,3,4,5 | 3.92 | 0.13 1,2,4,5 | 0.88 | 11.29 2,3 | 1.58 | 11.56 2,3 | 2.38 |
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Kaltsidis, G.; Grenier, G.; Cao, Z.; Fleury, M.-J. Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study. Int. J. Environ. Res. Public Health 2020, 17, 6254. https://doi.org/10.3390/ijerph17176254
Kaltsidis G, Grenier G, Cao Z, Fleury M-J. Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study. International Journal of Environmental Research and Public Health. 2020; 17(17):6254. https://doi.org/10.3390/ijerph17176254
Chicago/Turabian StyleKaltsidis, Gesthika, Guy Grenier, Zhirong Cao, and Marie-Josée Fleury. 2020. "Change in Housing Status among Homeless and Formerly Homeless Individuals in Quebec, Canada: A Profile Study" International Journal of Environmental Research and Public Health 17, no. 17: 6254. https://doi.org/10.3390/ijerph17176254