Dutch homeless people 2.5 years after shelter admission: what are predictors of housing stability and housing satisfaction?

Housing stability is an important focus in research on homeless people. Although definitions of stable housing differ across studies, the perspective of homeless people themselves is generally not included. Therefore, this study explored the inclusion of satisfaction with the participant's current h...

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Publicado en:Health & Social Care in the Community Vol. 25; no. 2; pp. 710 - 723
Autores principales: Van Straaten, Barbara, Van der Laan, Jorien, Rodenburg, Gerda, Boersma, Sandra N., Wolf, Judith R. L. M., Van de Mheen, Dike
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2017
      vid: 25
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/hsc.12361
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      tig:
        atl: Dutch homeless people 2.5 years after shelter admission: what are predictors of housing stability and housing satisfaction?
      aug:
        au:
          Van Straaten, Barbara
          Van der Laan, Jorien
          Rodenburg, Gerda
          Boersma, Sandra N.
          Wolf, Judith R. L. M.
          Van de Mheen, Dike
        affil: Erasmus Medical Centre, Rotterdam the Netherlands
      sug:
        subj:
          Homeless Persons
          Housing
          Personal Satisfaction
          Human
          Netherlands
          Structured Interview
          Multivariate Analysis
          Stress, Psychological
          Prospective Studies
          Adolescence
          Adult
          Crime
          Support, Psychosocial
          Health Status
          Substance Abuse
          Brief Symptom Inventory
          Scales
          Interview Guides
          Chi Square Test
          T-Tests
          Descriptive Statistics
          Univariate Statistics
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Male
          Female
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Housing stability is an important focus in research on homeless people. Although definitions of stable housing differ across studies, the perspective of homeless people themselves is generally not included. Therefore, this study explored the inclusion of satisfaction with the participant's current housing status as part of the definition of housing stability and also examined predictors of housing stability with and without the inclusion of homeless person's perspective. Of the initial cohort consisting of 513 homeless participants who were included at baseline in 2011, 324 (63.2%) were also interviewed at 2.5-year follow-up. To determine independent predictors of housing stability, we fitted multivariate logistic regression models using stepwise backward regression. At 2.5-year follow-up, 222 participants (68.5%) were stably housed and 163 participants (51.1%) were stably housed and satisfied with their housing status. Having been arrested (OR = 0.36, 95% CI: 0.20-0.63), a high level of somatisation (physical manifestations of psychological distress) (OR = 0.52, 95% CI: 0.30-0.91) and having unmet care needs (OR = 0.77, 95% CI: 0.60-0.99) were negative predictors of housing stability. Having been arrested (OR = 0.43, 95% CI: 0.25-0.75), high debts (OR = 0.45, 95% CI: 0.24-0.84) and a high level of somatisation (OR = 0.49, 95% CI: 0.28-0.84) were negative predictors of stable housing when satisfaction with the housing status was included. Because inclusion of a subjective component revealed a subgroup of stably housed but not satisfied participants and changed the significant predictors, this seems a relevant addition to the customary definition of housing stability. Participants with characteristics negatively associated with housing stability should receive more extensive and individually tailored support services to facilitate achievement of housing stability.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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