Urban-Rural Migration and Health and Quality of Life in Homeless People

Gray, Diane; Chau, Shirley; PhD, Tim R. Huerta; Frankish, Jim

doi:10.1179/105307811805365007

Cited by 23 publications

(26 citation statements)

References 21 publications

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“…Location-based mass screening has been previously employed in outbreaks [1–3, 12, 13] and was successfully used here to identify additional cases of active TB and LTBI and target individuals for preventative therapy. A study of homeless males in Vancouver and Kelowna found that the services most frequently used by those interviewed were shelter/housing services, meals, social services/disability, and the health clinic [15], therefore our screening focused on these locations. We were able to fully assess the majority of individuals identified as potentially exposed, indicating that location-based screening is an important tool in shelter-associated outbreaks, particularly in the small city setting.…”

Section: Discussionmentioning

confidence: 99%

A clonal outbreak of tuberculosis in a homeless population in the interior of British Columbia, Canada, 2008–2015

et al. 2015

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A tuberculosis (TB) case was reported May 2008 in Kelowna, British Columbia, leading to a multi-year outbreak in homeless persons. The epidemiological characteristics and social networks of cases are described. Outbreak-related cases were identified from epidemiological information in medical records and from genotyping of TB isolates. Social network information from case interviews were used to identify potential locations of TB transmission, where symptom screening and tuberculin skin testing was conducted. Fifty-two cases that were predominantly male (47/52), Canadian-born (44/50), and were homeless or associated with homeless individuals (42/52) were reported from May 2008 to May 2014. Many isolates (40/49) had partial resistance to isoniazid. Transmission primarily occurred at two homeless shelters, with potential further transmission at sites visited by the general population. TB outbreaks in homeless populations can occur in small, low-incidence cities. Social network information helped prioritize sites for TB screening, thereby improving detection of persons with TB disease or latent infection for treatment.

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Section: Discussionmentioning

confidence: 99%

A clonal outbreak of tuberculosis in a homeless population in the interior of British Columbia, Canada, 2008–2015

et al. 2015

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“…7 There are some additional issues, which are unique to people experiencing homelessness, to consider with regards to COVID-19. Homeless populations might be more transient and geographically mobile than individuals in the general population, 8 making it difficult to track and prevent transmission and to treat those who need care. COVID-19 was recently found to be transmittable via the oral-faecal route.…”

Section: Covid-19: a Potential Public Health Problem For Homeless Popmentioning

confidence: 99%

COVID-19: a potential public health problem for homeless populations

Tsai

Wilson

2020

The Lancet Public Health

590

513

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“…Accordingly, researchers detail the movements of various subpopulations and different regional configurations (Cloke et al 2003; Somers et al 2015). They describe the mobilities of dispossessed and racialized populations disproportionately experiencing homelessness in Canada (Peters and Robillard 2009; Gray et al 2011; Anderson and Collins 2014). As well, they expand the definition of homelessness from a focus on exclusion from stable and permanent housing (Canadian Observatory on Homelessness 2012) to the particular experiences of Indigenous homelessness isolated from their relations by settler colonialism (Thistle 2017).…”

Section: Homelessness and Mobilitymentioning

confidence: 99%

“…These longer‐distance moves are synonymously defined as migration. Canadian researchers examine rural‐urban migration; First Nations, Métis, and Inuit (FNMI) peoples' mobilities; and service‐induced migrations (Peters and Robillard 2009; Gray et al 2011; Christensen 2012; Somers et al 2015). However, the reasons why people experiencing homelessness move between places are not fully understood.…”

Section: Homelessness and Mobilitymentioning

confidence: 99%

Canadian homeless mobilities: Tracing the inter‐regional movements of At Home/Chez Soi participants

Kaufman

2020

Canadian Geographies / Géographies canadiennes

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People experiencing homelessness are simultaneously socially and physically mobile. Individuals move through periods of housing stability and houselessness and varying degrees of financial (in)stability, and between different geographic spaces. Research concerning homeless mobilities emphasizes moves within cities and reveals seven factors deserving attention: housing; labour markets; social, health, and justice services; personal health; the attributes of different places; interpersonal networks; and how mobility is socially differentiated. However, the extent to which these factors shape homelessness and inter‐regional mobilities is unclear. Addressing this gap, I explore 612 people's moves using data collected from five Canadian cities. By analyzing participants' inter‐regional moves over ten years, I identify ten themes of homeless inter‐regional mobility in Canada including: interpersonal networks, the attributes of different places, labour markets and personal finances, the use of movement for personal growth, health and social services, residential mobilities, legal and health institutions, substance abuse and dependence, personal security, and travel. I find that the structures, institutions, resources, and personal experiences that produce homelessness simultaneously push people between places. Amidst an increasing emphasis aimed at understanding homeless experiences in Canada, this paper provides an overview of the inter‐regional mobilities of people experiencing homelessness in Canada.

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Urban-Rural Migration and Health and Quality of Life in Homeless People

Cited by 23 publications

References 21 publications

A clonal outbreak of tuberculosis in a homeless population in the interior of British Columbia, Canada, 2008–2015

A clonal outbreak of tuberculosis in a homeless population in the interior of British Columbia, Canada, 2008–2015

COVID-19: a potential public health problem for homeless populations

Canadian homeless mobilities: Tracing the inter‐regional movements of At Home/Chez Soi participants

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