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

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  • Lee, Christopher Thomas
  • Guzman, David
  • Ponath, Claudia
  • Tieu, Lina
  • Riley, Elise
  • Kushel, Margot

Abstract

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.

Suggested Citation

  • Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    • Handle: RePEc:eee:socmed:v:153:y:2016:i:c:p:131-140
    DOI: 10.1016/j.socscimed.2016.02.004
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    1. Fischer, P.J. & Shapiro, S. & Breakey, W.R. & Anthony, J.C. & Kramer, M., 1986. "Mental health and social characteristics of the homeless: A survey of mission users," American Journal of Public Health, American Public Health Association, vol. 76(5), pages 519-524.
    2. Lazarus, L. & Chettiar, J. & Deering, K. & Nabess, R. & Shannon, K., 2011. "Risky health environments: Women sex workers’ struggles to find safe, secure and non-exploitative housing in Canada’s poorest postal code," Social Science & Medicine, Elsevier, vol. 73(11), pages 1600-1607.
    3. Dunn, James R. & Hayes, Michael V., 2000. "Social inequality, population health, and housing: a study of two Vancouver neighborhoods," Social Science & Medicine, Elsevier, vol. 51(4), pages 563-587, August.
    4. Verbrugge, Lois M. & Jette, Alan M., 1994. "The disablement process," Social Science & Medicine, Elsevier, vol. 38(1), pages 1-14, January.
    5. Gielen, Andrea Carlson & O'Campo, Patricia J. & Faden, Ruth R. & Kass, Nancy E. & Xue, Xiaonan, 1994. "Interpersonal conflict and physical violence during the childbearing year," Social Science & Medicine, Elsevier, vol. 39(6), pages 781-787, September.
    6. Barrow, S.M. & Herman, D.B. & Córdova, P. & Struening, E.L., 1999. "Mortality among homeless shelter residents in New York City," American Journal of Public Health, American Public Health Association, vol. 89(4), pages 529-534.
    7. Waldbrook, Natalie, 2015. "Exploring opportunities for healthy aging among older persons with a history of homelessness in Toronto, Canada," Social Science & Medicine, Elsevier, vol. 128(C), pages 126-133.
    8. Michael Brusco & Hans-Friedrich Köhn, 2009. "Erratum to: Exemplar-Based Clustering via Simulated Annealing," Psychometrika, Springer;The Psychometric Society, vol. 74(4), pages 755-755, December.
    9. Kushel, M.B. & Perry, S. & Bangsberg, D. & Clark, R. & Moss, A.R., 2002. "Emergency department use among the homeless and marginally housed: Results from a community-based study," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 778-784.
    10. M. Audrey Burnam & Paul Koegel, 1988. "Methodology for Obtaining a Representative Sample of Homeless Persons," Evaluation Review, , vol. 12(2), pages 117-152, April.
    11. Samuel, Laura J. & Glass, Thomas A. & Thorpe, Roland J. & Szanton, Sarah L. & Roth, David L., 2015. "Household and neighborhood conditions partially account for associations between education and physical capacity in the National Health and Aging Trends Study," Social Science & Medicine, Elsevier, vol. 128(C), pages 67-75.
    12. Geoffrey DeVerteuil, 2003. "Homeless Mobility, Institutional Settings, and the New Poverty Management," Environment and Planning A, , vol. 35(2), pages 361-379, February.
    13. Michael Brusco & Hans-Friedrich Köhn, 2009. "Exemplar-Based Clustering via Simulated Annealing," Psychometrika, Springer;The Psychometric Society, vol. 74(3), pages 457-475, September.
    14. Kushel, M.B. & Hahn, J.A. & Evans, J.L. & Bangsberg, D.R. & Moss, A.R., 2005. "Revolving doors: Imprisonment among the homeless and marginally housed population," American Journal of Public Health, American Public Health Association, vol. 95(10), pages 1747-1752.
    15. Marah Curtis & Hope Corman & Kelly Noonan & Nancy Reichman, 2013. "Life Shocks and Homelessness," Demography, Springer;Population Association of America (PAA), vol. 50(6), pages 2227-2253, December.
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    2. Carly Magee & Monica Norena & Anita M. Hubley & Anita Palepu & Stephen W. Hwang & Rosane Nisenbaum & Mohammad Ehsanul Karim & Anne Gadermann, 2019. "Longitudinal Associations between Perceived Quality of Living Spaces and Health-Related Quality of Life among Homeless and Vulnerably Housed Individuals Living in Three Canadian Cities," IJERPH, MDPI, vol. 16(23), pages 1-12, November.

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