IDEAS home Printed from https://ideas.repec.org/a/spr/soinre/v135y2018i1d10.1007_s11205-016-1486-z.html
   My bibliography  Save this article

Changes in Social Exclusion Indicators and Psychological Distress Among Homeless People Over a 2.5-Year Period

Author

Listed:
  • Barbara Straaten

    (Erasmus Medical Centre
    IVO Addiction Research Institute)

  • Gerda Rodenburg

    (Erasmus Medical Centre
    IVO Addiction Research Institute)

  • Jorien Laan

    (Radboud University Medical Center
    Amsterdam University of Applied Sciences)

  • Sandra N. Boersma

    (Radboud University Medical Center)

  • Judith R. L. M. Wolf

    (Radboud University Medical Center)

  • Dike Mheen

    (Erasmus Medical Centre
    IVO Addiction Research Institute
    Maastricht University)

Abstract

Although homelessness is inherently associated with social exclusion, homeless individuals are rarely included in conventional studies on social exclusion. Use of longitudinal survey data from a cohort study on homeless people in four major Dutch cities (n = 378) allowed to examine: changes in indicators of social exclusion among homeless people over a 2.5-year period after reporting to the social relief system, and associations between changes in indicators of social exclusion and changes in psychological distress. Multinomial logistic regression analysis was applied to investigate the associations between changes in indicators of social exclusion and changes in psychological distress. Improvements were found in various indicators of social exclusion, whereas financial debts showed no significant improvement. Changes in unmet care needs, health insurance, social support from family and relatedness to others were related to changes in psychological distress. This study demonstrated improvements in various indicators of social exclusion among homeless people over a period of 2.5 years, and sheds light on the concept of social exclusion in relation to homelessness.

Suggested Citation

  • Barbara Straaten & Gerda Rodenburg & Jorien Laan & Sandra N. Boersma & Judith R. L. M. Wolf & Dike Mheen, 2018. "Changes in Social Exclusion Indicators and Psychological Distress Among Homeless People Over a 2.5-Year Period," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 135(1), pages 291-311, January.
    • Handle: RePEc:spr:soinre:v:135:y:2018:i:1:d:10.1007_s11205-016-1486-z
    DOI: 10.1007/s11205-016-1486-z
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s11205-016-1486-z
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s11205-016-1486-z?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Moniek Coumans & Hans Schmeets, 2015. "The Socially Excluded in the Netherlands: The Development of an Overall Index," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 122(3), pages 779-805, July.
    2. Caton, C.L.M. & Dominguez, B. & Schanzer, B. & Hasin, D.S. & Shrout, P.E. & Felix, A. & McQuistion, H. & Opler, L.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, American Public Health Association, vol. 95(10), pages 1753-1759.
    3. Tsemberis, S. & Kent, D. & Respress, C., 2012. "Chronically homeless persons With co-occuring disorders in Washington, DC," American Journal of Public Health, American Public Health Association, vol. 102(1), pages 13-16.
    4. Tsemberis, S. & Gulcur, L. & Nakae, M., 2004. "Housing First, Consumer Choice, and Harm Reduction for Homeless Individuals with a Dual Diagnosis," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 651-656.
    5. Thompson, Sanna J. & Pollio, David E. & Eyrich, Karin & Bradbury, Emily & North, Carol S., 2004. "Successfully exiting homelessness: experiences of formerly homeless mentally ill individuals," Evaluation and Program Planning, Elsevier, vol. 27(4), pages 423-431, November.
    6. J. Vrooman & Stella Hoff, 2013. "The Disadvantaged Among the Dutch: A Survey Approach to the Multidimensional Measurement of Social Exclusion," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 113(3), pages 1261-1287, September.
    7. Baggett, T.P. & O'Connell, J.J. & Singer, D.E. & Rigotti, N.A., 2010. "The unmet health care needs of homeless adults: A national study," American Journal of Public Health, American Public Health Association, vol. 100(7), pages 1326-1333.
    8. Schanzer, B. & Dominguez, B. & Shrout, P.E. & Caton, C.L.M., 2007. "Homelessness, health status, and health care use," American Journal of Public Health, American Public Health Association, vol. 97(3), pages 464-469.
    9. Clayton, Maya & Liñares-Zegarra, José & Wilson, John O.S., 2015. "Does debt affect health? Cross country evidence on the debt-health nexus," Social Science & Medicine, Elsevier, vol. 130(C), pages 51-58.
    10. Maya Albert & Thomas Becker & Paul Mccrone & Graham Thornicroft, 1998. "Social Networks and Mental Health Service Utilisation - a Literature Review," International Journal of Social Psychiatry, , vol. 44(4), pages 248-266, December.
    11. Santana, Paula, 2002. "Poverty, social exclusion and health in Portugal," Social Science & Medicine, Elsevier, vol. 55(1), pages 33-45, July.
    12. Tsakloglou, Panos & Papadopoulos, Fotis, 2001. "Indicators of social exclusion in euromod," EUROMOD Working Papers EM8/01, EUROMOD at the Institute for Social and Economic Research.
    13. Sherbourne, Cathy Donald & Stewart, Anita L., 1991. "The MOS social support survey," Social Science & Medicine, Elsevier, vol. 32(6), pages 705-714, January.
    14. Ambra Poggi, 2007. "Does persistence of social exclusion exist in Spain?," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 5(1), pages 53-72, April.
    15. Weinreb, L.F. & Buckner, J.C. & Williams, V. & Nicholson, J., 2006. "A comparison of the health and mental health status of homeless mothers in Worcester, Mass: 1993 and 2003," American Journal of Public Health, American Public Health Association, vol. 96(8), pages 1444-1448.
    16. Hawkins, Robert Leibson & Abrams, Courtney, 2007. "Disappearing acts: The social networks of formerly homeless individuals with co-occurring disorders," Social Science & Medicine, Elsevier, vol. 65(10), pages 2031-2042, November.
    17. Julie A. Lam & Robert Rosenheck, 1999. "Social Support and Service Use Among Homeless Persons With Serious Mental Illness," International Journal of Social Psychiatry, , vol. 45(1), pages 13-28, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Coline van Everdingen & Peter Bob Peerenboom & Koos van der Velden & Philippe Delespaul, 2023. "Vital Needs of Dutch Homeless Service Users: Responsiveness of Local Services in the Light of Health Equity," IJERPH, MDPI, vol. 20(3), pages 1-16, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jorien van der Laan & Barbara van Straaten & Sandra N. Boersma & Gerda Rodenburg & Dike van de Mheen & Judith R. L. M. Wolf, 2018. "Predicting homeless people’s perceived health after entering the social relief system in The Netherlands," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(2), pages 203-211, March.
    2. Julia R. Woodhall-Melnik & James R. Dunn, 2016. "A systematic review of outcomes associated with participation in Housing First programs," Housing Studies, Taylor & Francis Journals, vol. 31(3), pages 287-304, April.
    3. Fleury, Marie-Josée & Grenier, Guy & Vallée, Catherine & Hurtubise, Roch & Lévesque, Paul-André, 2014. "The role of advocacy coalitions in a project implementation process: The example of the planning phase of the At Home/Chez Soi project dealing with homelessness in Montreal," Evaluation and Program Planning, Elsevier, vol. 45(C), pages 42-49.
    4. Lars Benjaminsen, 2016. "Homelessness in a Scandinavian welfare state: The risk of shelter use in the Danish adult population," Urban Studies, Urban Studies Journal Limited, vol. 53(10), pages 2041-2063, August.
    5. April Jackson & Bridget Callea & Nicholas Stampar & Abigail Sanders & Alberto De Los Rios & Jake Pierce, 2020. "Exploring Tiny Homes as an Affordable Housing Strategy to Ameliorate Homelessness: A Case Study of the Dwellings in Tallahassee, FL," IJERPH, MDPI, vol. 17(2), pages 1-22, January.
    6. Valérie Dauriac-Le Masson & Alain Mercuel & Marie Jeanne Guedj & Caroline Douay & Pierre Chauvin & Anne Laporte, 2020. "Mental Healthcare Utilization among Homeless People in the Greater Paris Area," IJERPH, MDPI, vol. 17(21), pages 1-13, November.
    7. Charles Walsh & Anita M Hubley & Matthew J To & Monica Norena & Anne Gadermann & Susan Farrell & Stephen W Hwang & Anita Palepu, 2019. "The effect of forensic events on health status and housing stability among homeless and vulnerably housed individuals: A cohort study," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-14, February.
    8. Sabine Chaupain-Guillot & Olivier Guillot, 2015. "Health system characteristics and unmet care needs in Europe: an analysis based on EU-SILC data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(7), pages 781-796, September.
    9. Patrick Hylton & Ben Kisby & Paul Goddard, 2018. "Young People’s Citizen Identities: A Q-Methodological Analysis of English Youth Perceptions of Citizenship in Britain," Societies, MDPI, vol. 8(4), pages 1-21, December.
    10. Ellen C Rowlands Snyder & Lisa M Boucher & Ahmed M Bayoumi & Alana Martin & Zack Marshall & Rob Boyd & Sean LeBlanc & Mark Tyndall & Claire E Kendall, 2021. "A cross-sectional study of factors associated with unstable housing among marginalized people who use drugs in Ottawa, Canada," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-11, July.
    11. Marilyn Stringer & Tali Averbuch & Pamela Mack Brooks & Loretta Sweet Jemmott, 2012. "Response to Homeless Childbearing Women’s Health Care Learning Needs," Clinical Nursing Research, , vol. 21(2), pages 195-212, May.
    12. Denise Catalano & Linda Holloway & Elias Mpofu, 2018. "Mental Health Interventions for Parent Carers of Children with Autistic Spectrum Disorder: Practice Guidelines from a Critical Interpretive Synthesis (CIS) Systematic Review," IJERPH, MDPI, vol. 15(2), pages 1-23, February.
    13. Micheal L. Shier & John R. Graham & Eriko Fukuda & Alina Turner, 2016. "Predictors of Living in Precarious Housing Among Immigrants Accessing Housing Support Services," Journal of International Migration and Integration, Springer, vol. 17(1), pages 173-192, February.
    14. Michala Lustigova & Dagmar Dzurova & Claudia Costa & Paula Santana, 2019. "Health Disparities in Czechia and Portugal at Country and Municipality Levels," IJERPH, MDPI, vol. 16(7), pages 1-16, March.
    15. Yerko Rojas, 2017. "Evictions and short-term all-cause mortality: a 3-year follow-up study of a middle-aged Swedish population," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(3), pages 343-351, April.
    16. Valéria Teresa Saraiva Lino & Nádia Cristina Pinheiro Rodrigues & Mônica Kramer de Noronha Andrade & Inês Nascimento de Carvalho Reis & Lucília Almeida Elias Lopes & Soraya Atie, 2019. "Association between visual problems, insufficient emotional support and urinary incontinence with disability in elderly people living in a poor district in Rio de Janeiro, Brazil: A six-year follow-up," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-12, May.
    17. Ambra Poggi & Xavier Ramos, 2007. "Empirical Modeling of Deprivation Contagion Among Social Exclusion Dimensions (Using MCMC Methods)," LABORatorio R. Revelli Working Papers Series 59, LABORatorio R. Revelli, Centre for Employment Studies.
    18. Anita Hubley & Lara Russell & Anita Palepu & Stephen Hwang, 2014. "Subjective Quality of Life Among Individuals who are Homeless: A Review of Current Knowledge," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 115(1), pages 509-524, January.
    19. White, Lynn & McQuillan, Julia & Greil, Arthur L. & Johnson, David R., 2006. "Infertility: Testing a helpseeking model," Social Science & Medicine, Elsevier, vol. 62(4), pages 1031-1041, February.
    20. Maite Blázquez & Santiago Budría, 2018. "The Effects of Over-indebtedness on Individual Health," Hacienda Pública Española / Review of Public Economics, IEF, vol. 227(4), pages 103-131, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:soinre:v:135:y:2018:i:1:d:10.1007_s11205-016-1486-z. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.