The revolving door to homelessness. The influence of health, alcohol consumption and stressful life events on the number of episodes of homelessness.
Abstract
Objectives.- To analyse the impact of different variables on repeated episodes of homelessness. Method.- The study was conducted based on data obtained from a representative sample of homeless people in Madrid (Spain) (n = 188). Results.- Suffering from a serious or chronic illness has an effect on the revolving door to homelessness, which is mediated by a highly negative subjective perception of the individual's own health, which is in turn mediated by suffering from a disability. Excessive alcohol consumption has an effect on the revolving door to homelessness, mediated by access to treatment for problems caused by alcohol consumption. Suffering from a serious or chronic illness correlates with having problems caused by excessive alcohol consumption. Experiencing multiple stressful life events has a direct effect on the revolving door to homelessness. Conclusions.- To prevent the revolving door to homelessness, it is necessary to remove the barriers that hinder access to normal health resources which are experienced by people suffering from social exclusion, while implementing ongoing support programmes for homeless people or those at risk of homelessness, which primarily deal with health issues.
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References
Aubry, T., Klodawsky, F., & Coulombe, D. (2012). Comparing the housing trajectories of different classes within a diverse homeless population. American Journal of Community Psychology, 49(1-2), 142-155. DOI: 10.1007/s10464-011-9444-z.
Caton, C.L., Dominguez, B., Schanzer, B., Hasin, D.S., Shrout, P.E., Felix, A.,… Hsu, E. (2005). Risk factors for long-term homelessness: Findings from a longitudinal study of first-time homeless single adults. American Journal of Public Health, 95, 1753-1759. DOI: 10.2105/AJPH.2005.063321.
Dworsky, A., Napolitano, L., & Courtney, M. (2013). Homelessness during the transition from foster care to adulthood. American Journal of Public Health, 103(S2), S318-S323. DOI: 10.2105/AJPH.2013.301455
Fazel, S., Khosla, V., Doll, H. y Geddes, J. (2008). The prevalence of mental disorders among homeless in western countries: Systemic review and meta-regression analysis. Plos Medicine, 5(12): e225. DOI: 10.1371/journal.pmed.0050225
Greenberg, G.A. & Rosenheck, R.A. (2009). Correlates of past homeless in the National Epidemiological Survey on Alcohol and Related Conditions. Administration and Policy in Mental Health and Mental Health Services Research, 37, 357-366. DOI: 10.1007/s10488-009-0243-x
Kim, T.W., Kertesz, S.G., Horton, N.J., Tibbetts, N., & Samet, J.H. (2006). Episodic homelessness and health care utilization in a prospective cohort of HIV-infected persons with alcohol problems. BMC Health Services Research, 6(1), 1. DOI: 10.1186/1472-6963-6-19.
Kuhn, R., & Culhane, D.P. (1998). Applying cluster analysis to test a typology of homelessness by pattern of shelter utilization: Results from the analysis of administrative data. American Journal of Community Psychology, 26(2), 207-232. DOI: 10.1023/A:1022176402357.
Muñoz, M., Panadero, S., Santos, E.P., & Quiroga, M.A. (2005). Role of stressful life events in homelessness: An intragroup analysis. American Journal of Community Psychology, 35(1-2), 35-47. DOI: 10.1007/s10464-005-1888-6.
Panadero, S. & Muñoz, M. (2014). Salud, calidad de vida y consumo de sustancias en función del tiempo en situación sin hogar. Anales de Psicología, 30(1), 70-77.
Panadero, S. & Vázquez, J.J. (2016). En las fronteras de la ciudadanía. Situación de las personas sin hogar y en riesgo de exclusión social en Madrid. Alcalá de Henares: Universidad de Alcalá.
Panadero, S., Vázquez, J.J. & Martín, R.M. (2017). Alcohol, poverty and social exclusion: Alcohol consumption among the homeless and those at risk of social exclusion in Madrid. Adicciones, 29(1), 33-36. DOI: 10.20882/adicciones.830.
Ringwalt, C.L., Greene, J.M., Robertson, M., & McPheeters, M. (1998). The prevalence of homelessness among adolescents in the United States. American Journal of Public Health, 88(9), 1325-1329. DOI: 10.2105/AJPH.88.9.1325.
Ropers, R.H., & Boyer, R. (1987). Perceived health status among the new urban homeless. Social Science & Medicine, 24(8), 669-678. DOI: 10.1016/0277-9536(87)90310-8.
Schanzer, B., Dominguez, B., Shrout, P.E., & Caton, C.L. (2007). Homelessness, health status, and health care use. American Journal of Public Health, 97(3), 464-469. DOI: 10.2105/AJPH.2005.076190.
U.S. Department of Housing and Urban Development (2015). Homeless Management Information System. Retrieved from https://www.hudexchange.info/hmis/.
Vázquez, J.J., Panadero, S., & Zúñiga, C. (2017a). Content and uniformity of stereotypes and meta-stereotypes of homeless people in Madrid (Spain). Journal of Community Psychology, 45(1), 128–137. DOI: 10.1002/jcop.21836.
Vázquez, J.J., Panadero, S., & Zúñiga, C. (2017b). Actors, observers, and causal attributions of homelessness: Differences in attribution for the causes of homelessness among domiciled and homeless people in Madrid, 87(1), 15-22. American Journal of Orthopsychiatry. DOI: dx.doi.org/10.1037/ort0000130.
Vázquez, J.J., Panadero, S. & Zúñiga, C. (2017c). Attributions about homelessness in homeless and domiciled people in Madrid, Spain: «Why are they homeless people?». American Journal of Orthopsychiatry. DOI:dx.doi.org/10.1037/ort0000246
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