The Elderly Homeless: A Study Comparing Older and Younger Homeless Persons, With Three Case Histories

Kellogg, F. Russell; Horn, Ansell

doi:10.1891/1521-0987.13.4.238

Cited by 5 publications

(5 citation statements)

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“…Consistent with results of previous studies among homeless people, we found that older age was associated with worse physical health (Abdul‐Hamid, ; Brown & Steinman, ; Garibaldi et al, ; Gelberg et al, ; Kellogg & Horn, ; Kimbler et al, ; Nakonezny & Ojeda, ; Tompsett et al, ) and that about 30 percent of both the older and younger homeless people had elevated levels of psychological distress (DeMallie et al, ; Garibaldi et al, ) and were screened positive for suspected intellectual disability (Hurstak et al, ; Spence, Stevens, & Parks, ). Among both older and younger homeless people in our study, levels of substance use were lower than generally reported in studies among homeless populations (DeMallie et al, ; Garibaldi et al, ; Landefeld et al, ; Nielsen et al, ; Tompsett et al, ).…”

Section: Discussionsupporting

confidence: 90%

“…Nevertheless, only few studies have specifically examined health‐related characteristics of older homeless people (Brown et al, ; Brown, Kiely, Bharel, & Mitchell, ; Landefeld et al, ) or investigated health differences between older and younger homeless people (Abdul‐Hamid, ; Brown, Kimes, Guzman, & Kushel, ; Brown & Steinman, ; DeMallie, North, & Smith, ; Garibaldi, Conde‐Martel, & O'Toole, ; Gelberg, Linn, & Mayer‐Oakes, ; Hategan, Tisi, Abdurrahman, & Bourgeois, ; Kellogg & Horn, ; Kimbler, DeWees, & Harris, ; Nakonezny & Ojeda, ; Tompsett, Fowler, & Toro, ). The studies that have made such age comparisons consistently reported poorer physical health among older than younger homeless adults, but yielded conflicting results with regard to mental and psychosocial health, substance use, healthcare service use and health‐related needs (Abdul‐Hamid, ; Brown et al, ; Brown & Steinman, ; DeMallie et al, ; Garibaldi et al, ; Gelberg et al, ; Hategan et al, ; Kellogg & Horn, ; Kimbler et al, ; Nakonezny & Ojeda, ; Tompsett et al, ). Moreover, none of these studies have been conducted outside Canada and the United States, where healthcare and social relief systems are different than in Europe.…”

Section: Introductionmentioning

confidence: 99%

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Self‐reported health, healthcare service use and health‐related needs: A comparison of older and younger homeless people

Dongen

Straaten

Wolf³

et al. 2019

Health Soc Care Community

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The number of older homeless people with a limited life expectancy is increasing. European studies on their health‐related characteristics are lacking. This study compared self‐reported health, healthcare service use and health‐related needs of older and younger homeless people in the Netherlands. It is part of a cohort study that followed 513 homeless people in the four major Dutch cities for a period of 2.5 years, starting from the moment they registered at the social relief system in 2011. Using cross‐sectional data from 378 participants who completed 2.5‐year follow‐up, we analysed differences in self‐reported health, healthcare service use, and health‐related needs between homeless adults aged ≥50 years (N = 97) and <50 years (N = 281) by means of logistic regression. Results show that statistically significantly more older than younger homeless people reported cardiovascular diseases (23.7% versus 10.3%), visual problems (26.8% versus 14.6%), limited social support from family (33.0% versus 19.6%) and friends or acquaintances (27.8% versus 14.6%), and medical hospital care use in the past year (50.5% versus 34.5%). Older homeless people statistically significantly less often reported cannabis (12.4% versus 45.2%) and excessive alcohol (16.5% versus 27.0%) use in the past month and dental (20.6% versus 46.6%) and mental (16.5% versus 25.6%) healthcare use in the past year. In both age groups, few people reported unmet health‐related needs. In conclusion, compared to younger homeless adults, older homeless adults report fewer substance use problems, but a similar number of dental and mental problems, and more physical and social problems. The multiple health problems experienced by both age groups are not always expressed as needs or addressed by healthcare services. Older homeless people seem to use more medical hospital care and less non‐acute, preventive healthcare than younger homeless people. This vulnerable group might benefit from shelter‐based or community outreach programmes that proactively provide multidisciplinary healthcare services.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Self‐reported health, healthcare service use and health‐related needs: A comparison of older and younger homeless people

Dongen

Straaten

Wolf³

et al. 2019

Health Soc Care Community

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“…People with mental health or addiction problems are more likely to become homeless (Bhui, Shanahan, & Harding, 2006 ). At the same time, people who lack stable housing face threats to their mental and physical health (Bhui et al, 2006 ;Power & Hunter, 2001 ;Schanzer, Dominguez, Shrout, & Caton, 2007 ), and older homeless people are considered to face greater physical and mental health disadvantages than younger groups (Dennis, McCallion, & Ferretti, 2012 ;Gonyea et al, 2010 ;Kellogg & Horn, 2012 ;Lipmann, 2009 ;Martins, 2008 ;Ploeg et al, 2008 ;Quine, Kendig, Russell, & Touchard, 2004 ). Garibaldi et al ( 2005 ) found that those over age 50 were 3.6 times more likely than younger homeless people to suffer from a chronic medical problem, while Kim, Ford, Howard, and Bradford ( 2010 ) noted that the likelihood of having mental health problems doubles for homeless people over the age of 42.…”

Section: Health Issuesmentioning

confidence: 99%

“…Specific health issues have also been documented for older people who are homeless. McDonald et al (2004) found that the most frequently reported ailments among older homeless people in Toronto were vision, arthritis, dental problems, and back problems, while Kellogg & Horn (2012) found that hypertension, cardiac disease, lung disease, diabetes, and arthritis are prevalent among older homeless people in the United States. There are also gender differences in health issues, with women reporting greater difficulties with arthritis and bladder control, and men more likely to have back and skin problems (McDonald et al, 2004).…”

Section: Gaps In Knowledge: Sub-populations In the Older Homeless Popmentioning

confidence: 99%

A Literature Review of Homelessness and Aging: Suggestions for a Policy and Practice-Relevant Research Agenda

et al. 2016

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RÉSUMÉLe sans-abrisme chez les personnes âgées est une préoccupation croissante à travers le Canada et devrait augmenter avec le changement démographique (Crane & Warnes, 2010 ; Culhane, Métraux, Byrne, Stino, et Bainbridge, 2013 ). Pourtant, les connaissances actuelles, les politiques et les pratiques concernant le sans-abrisme ont tendance largement de se concentrer sur des populations plus jeunes. De même, la recherche et les politiques sur le vieillissement en général négligent le sans-abrisme. Les réponses au problème de sans-abrisme chez les personnes âgées doivent répondre aux besoins complexes liés à la santé, la sécurité du revenu et le logement. Basé sur un examen exhaustif de la littérature, cet article présente les domaines de recherche afi n d'éclairer les politiques, les stratégies et les services pour les divers groupes des aînés sans-abri. Nous clarifi ons les intersections du vieillissement et du sans-abrisme; examinons les statistiques pertinentes, y compris la prévalence estimée; discutons des voies et des variations de l'expérience; et determinons les lacunes dans les connaissances. Nous concluons par un appel à un programme de recherche inclusive qui aidera à créér des politiques et des pratiques visant à réduire et fi nalement à éliminer le sans-abrisme chez les personnes âgées au Canada. ABSTRACTHomelessness among older people is a growing concern across Canada and is expected to rise with demographic change (Crane & Warnes, 2010 ;Culhane, Metraux, Byrne, Stino, & Bainbridge, 2013 ). Yet current knowledge, policies, and practices on homelessness largely focus on younger populations. Likewise, research and policies on aging typically overlook homelessness. Responses to homelessness among older people must address complex needs related to health, income security, and housing. Based on a comprehensive literature review, this article outlines the existing and needed research with regards to homelessness among older people. We clarify the intersections of aging and homelessness; review the relevant statistics, including estimated prevalence; discuss pathways and variations in experience; and identify gaps in knowledge. We conclude with a call for an inclusive research agenda that will help build policies and practices to reduce and ultimately to eliminate homelessness among older people in Canada. Based on a comprehensive literature review, this article sets the stage for a research agenda that will inform national and provincial strategies; policies in housing, health, and social care; and community services for Canada's older homeless population. After a brief comment on homelessness in Canada, we clarify the intersections of aging and homelessness and sketch out the existing knowledge that can be used to counter homelessness. Drawing on international and Canadian research, we review terminology, defi nitions, and distinctions in the literature; available statistics and the estimated prevalence of homelessness in Canada; pathways into homelessness in later life; and examples of heterogeneous ...

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“…Diverses recherches vont faire état des difficultés vécues dans le présent par les personnes âgées en situation d'itinérance (p. ex., Kellogg et Horn, 2012;Lee et Schreck, 2005). Quelques études nous renseignent un peu plus précisément sur la manière d'interpréter le présent chez celles-ci.…”

Section: Le Présentunclassified

« vieillir Dans La Rue » : Interprétations Du Temps Par Les Aînés en Situation D’itinérance

Bourgeois-Guérin

Grenier

Bourgeois-Guérin³

et al. 2020

rqpsy

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Lorsque les problématiques de l’itinérance se conjuguent au vieillissement, les difficultés peuvent être nombreuses et complexes. Cette combinaison de facteurs vient teinter l’interprétation du temps par les personnes âgées itinérantes. Cet article se fonde sur les résultats du volet qualitatif d’une recherche dans laquelle 40 entretiens semi-structurés furent réalisés auprès de personnes itinérantes âgées de 46 ans et plus. Les résultats démontrent les regrets, la désillusion et l’impuissance de celles-ci face au passé, leur centration sur le présent et que le regard qu’ils portent sur le futur est porteur de défis, parfois d’espoirs, mais uniquement lorsqu’envisagé hors de la rue.

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The Elderly Homeless: A Study Comparing Older and Younger Homeless Persons, With Three Case Histories

Cited by 5 publications

References 0 publications

Self‐reported health, healthcare service use and health‐related needs: A comparison of older and younger homeless people

Self‐reported health, healthcare service use and health‐related needs: A comparison of older and younger homeless people

A Literature Review of Homelessness and Aging: Suggestions for a Policy and Practice-Relevant Research Agenda

« vieillir Dans La Rue » : Interprétations Du Temps Par Les Aînés en Situation D’itinérance

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