Exploring opportunities for healthy aging among older persons with a history of homelessness in Toronto, Canada

Waldbrook, Natalie

doi:10.1016/j.socscimed.2015.01.015

Cited by 24 publications

(33 citation statements)

References 52 publications

(104 reference statements)

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“…Unsheltered participants’ lack of social support may have led to difficulty finding a place to stay or reflect reluctance to stay in places that require frequent contact with others. These individuals may also lack institutional resources to prevent being unsheltered (Dunn & Hayes, 2000; Waldbrook, 2015). …”

Section: Discussionmentioning

confidence: 99%

“…Women may have stronger social networks (Bassuk, 1993; Tucker et al, 2009) or may be more willing to accept help, with a lower degree of stigma about relying on social ties (Griffiths et al, 2011). Women may prefer to avoid emergency shelters and unsheltered environments because of the associated real or perceived threat of sexual, and economic exploitation and environmental risks (Lazarus et al, 2011; Waldbrook, 2015). However, women’s reliance on their social networks may pose different risks such as increasing their risk of exposure to sexual and financial exploitation by partners, family, or friends (Kushel et al, 2003; Maher et al, 1996; Riley et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

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Residential patterns in older homeless adults: Results of a cluster analysis

Lee

Guzman

Ponath

et al. 2016

Social Science & Medicine

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Adults aged 50 and older make up half of individuals experiencing homelessness and have high rates of morbidity and mortality. They may have different life trajectories and reside in different environments than do younger homeless adults. Although the environmental risks associated with homelessness are substantial, the environments in which older homeless individuals live have not been well characterized. We classified living environments and identified associated factors in a sample of older homeless adults. From July 2013 to June 2014, we recruited a community-based sample of 350 homeless men and women aged fifty and older in Oakland, California. We administered structured interviews including assessments of health, history of homelessness, social support, and life course. Participants used a recall procedure to describe where they stayed in the prior six months. We performed cluster analysis to classify residential venues and used multinomial logistic regression to identify individual factors prior to the onset of homelessness as well as the duration of unstable housing associated with living in them. We generated four residential groups describing those who were unsheltered (n=162), cohabited unstably with friends and family (n=57), resided in multiple institutional settings (shelters, jails, transitional housing) (n=88), or lived primarily in rental housing (recently homeless) (n=43). Compared to those who were unsheltered, having social support when last stably housed was significantly associated with cohabiting and institution use. Cohabiters and renters were significantly more likely to be women and have experienced a shorter duration of homelessness. Cohabiters were significantly more likely than unsheltered participants to have experienced abuse prior to losing stable housing. Pre-homeless social support appears to protect against street homelessness while low levels of social support may increase the risk for becoming homeless immediately after losing rental housing. Our findings may enable targeted interventions for those with different manifestations of homelessness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Residential patterns in older homeless adults: Results of a cluster analysis

Lee

Guzman

Ponath

et al. 2016

Social Science & Medicine

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“…There has been considerable criticism of successful ageing, mainly because it does not explicitly or adequately address issues of structural disadvantage and social context (Martinson & Berridge, 2015;Stephens, 2017). Research has evidenced how factors, such as childhood conditions, income inequality, and homelessness, can negatively affect people's opportunities for successful ageing (Brandt, Deindl, & Hank, 2012;Waldbrook, 2015). As men and women age, they are more likely to experience problems carrying out activities of daily living (ADLs), such as taking a bath, doing house chores, or going out shopping, which may impact their ability to maintain functional independence, a commonly stated indicator of successful ageing.…”

Section: Introductionmentioning

confidence: 99%

Structural disadvantage and (un)successful ageing: gender differences in activities of daily living for older people in Chile

Rotarou

Sakellariou

2018

Critical Public Health

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Discourses on successful ageing have changed the way older age is viewed and the possibilities associated with it. However, such discourses do not always take into account differential capacities and resources that may shape disadvantage for women. The aim of this article is to examine gender differences in the experience of difficulties carrying out basic and instrumental activities of daily living (ADLs) in community-living people over the age of 65, using Chile as a case study. We also examine the effect of healthcare provider on performance of ADLs. We carried out logistic regressions on cross-sectional data from a sample of over 33,000 men and women, drawn from the 2015 National Socioeconomic Characterisation Survey, conducted by the Ministry of Social Development of the Government of Chile. We found significant gender differences in experiences of performing ADLs for older people in Chile, with women consistently reporting more problems than men. The affiliation with the public health provider was also associated with gender differences. The results of our study indicate that women in Chile experience structural disadvantage in their efforts to age successfully, reporting higher levels of functional limitations. We argue that it is important that gender-sensitive public health initiatives be developed, focusing on the prevention of functional disability.

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“…Similar challenges have been noted in the UK, related to coordinating health and social care budgets [49,50], characteristics of individuals who assume leadership roles [51], and sharing data freely between collaborators [53]. Homelessness is a prevalent issue in Canada, and studies have shown that combining health and social care has effective outcomes for physical and mental health [37,38], quality of life [39], life satisfaction [40], and the use of emergency health services [41].…”

Section: Discussionmentioning

confidence: 89%

“…Individual studies have shown that housing combined with supports has a positive effect on health [37], improves outcomes for individuals with serious mental illness [38], improves perceived quality of life [39], increases life satisfaction [40], lowers hospital emergency room visits for adults with mental disorders [41], and reduces the number of days individuals report experiencing alcohol problems [42]. Integrated care models, like Housing First, have been found to be of greatest efficacy when they target the most intensive users of services [38], and when they are supported by staff expertise, multi-service partnerships, and strong leadership [43].…”

Section: Homelessness Health and Integrated Care In Canadamentioning

confidence: 99%

Integrated Social Housing and Health Care for Homeless and Marginally-Housed Individuals: A Study of the Housing and Homelessness Steering Committee in Ontario, Canada

Buccieri

2016

Social Sciences

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Abstract:Homelessness is a complex social issue that requires a coordinated systems approach. In recent years, Canada has seen an emergence of integrated care, the joining of health care and social care, to address the needs of homeless persons. This article documents the findings of open-ended interviews with eleven members of the central east Ontario Housing and Homelessness Framework Steering Committee, comprised of service managers and the Local Health Integration Network. As the system planners for social housing and health care, respectively, members of the group work together to align system approaches for homeless persons. Research by this group identified three challenges of collaborating-their different histories and legislation, varied accountability structures, and differing roles and responsibilities within the central east region of Ontario. The study findings indicate that developing a joint document to guide the work was a process through which members began to work through these differences.

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Exploring opportunities for healthy aging among older persons with a history of homelessness in Toronto, Canada

Cited by 24 publications

References 52 publications

Residential patterns in older homeless adults: Results of a cluster analysis

Residential patterns in older homeless adults: Results of a cluster analysis

Structural disadvantage and (un)successful ageing: gender differences in activities of daily living for older people in Chile

Integrated Social Housing and Health Care for Homeless and Marginally-Housed Individuals: A Study of the Housing and Homelessness Steering Committee in Ontario, Canada

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