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Predicting homeless people’s perceived health after entering the social relief system in The Netherlands

Author

Listed:
  • Jorien van der Laan

    (Radboud University Medical Center, Impuls - Netherlands Center for Social Care Research
    Amsterdam University of Applied Sciences)

  • Barbara van Straaten

    (Erasmus Medical Centre
    IVO Addiction Research Institute)

  • Sandra N. Boersma

    (Radboud University Medical Center, Impuls - Netherlands Center for Social Care Research)

  • Gerda Rodenburg

    (Erasmus Medical Centre
    IVO Addiction Research Institute)

  • Dike van de Mheen

    (Erasmus Medical Centre
    IVO Addiction Research Institute
    Tilburg University, Scientific Centre for Care and Welfare (Tranzo))

  • Judith R. L. M. Wolf

    (Radboud University Medical Center, Impuls - Netherlands Center for Social Care Research)

Abstract

Objectives We explored whether changes in the perceived health of homeless people after entering the social relief system (SRS) in The Netherlands were predicted by housing, income, hours of work, social support, unmet care needs, arrests, physical and mental health, substance use, and experiences of autonomy, competence and relatedness, in addition to perceived health at baseline, demographics, suspected intellectual disability, the duration of homelessness and the company of children in the shelter facility. Methods A hierarchical regression analysis was used to explore the significant predictors of the perceived health of 344 homeless persons 18 months after entering the social relief system. Results A decrease in psychological distress and an increase in hours of (paid/voluntary) work as well as competence predicted a better perceived health. Conclusions Perceived health is not only influenced by objective circumstances related to work and mental health, but also self-determination, as shown by the influence of competence. Services should aim to reduce psychological distress of homeless people, support them in increasing their working hours and focus on strengthening their competence.

Suggested Citation

  • 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.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:2:d:10.1007_s00038-017-1026-x
    DOI: 10.1007/s00038-017-1026-x
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    References listed on IDEAS

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