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Subjective Health-Related Quality of Life in Homeless and Vulnerably Housed Individuals and Its Relationship with Self-Reported Physical and Mental Health Status

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  • Anne Gadermann
  • Anita Hubley
  • Lara Russell
  • Anita Palepu

Abstract

Although the association between homelessness and objective indicators of poor health is well-established, little research has focused on the subjective health-related quality of life of homeless and vulnerably housed (HVH) individuals. This study examined the subjective health-related quality of life of HVH individuals, using the Multiple Discrepancies Theory (MDT) Scale for Health of the Quality of Life for Homeless and Hard-to-House Individuals (QoLHHI) Inventory, and its association with self-reported functional health status, as measured by the SF-12, and self-reported physical and mental health conditions in a sample of 100 HVH individuals recruited in Vancouver, Toronto and Ottawa. Our findings indicate that physical and mental health conditions are highly prevalent among HVH individuals and that the SF-12 Physical and Mental Component Summary scores are substantially lower compared to US population norms. The MDT Health items were not statistically significantly associated with physical or mental health conditions and only showed correlations of small to moderate magnitude with the SF-12 Component Summary Scales. These findings suggest that the QoLHHI MDT Scale for Health can provide information about HVH individuals’ subjective health experiences that is different from, and can serve as a valuable complement to, health status information for use in research and evaluation studies, as well as for policy purposes to make informed decisions based on subjective health-related quality of life data from HVH individuals. Copyright Springer Science+Business Media Dordrecht 2014

Suggested Citation

  • Anne Gadermann & Anita Hubley & Lara Russell & Anita Palepu, 2014. "Subjective Health-Related Quality of Life in Homeless and Vulnerably Housed Individuals and Its Relationship with Self-Reported Physical and Mental Health Status," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 116(2), pages 341-352, April.
    • Handle: RePEc:spr:soinre:v:116:y:2014:i:2:p:341-352
    DOI: 10.1007/s11205-013-0302-2
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    References listed on IDEAS

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    1. Alex Michalos, 2004. "Social Indicators Research and Health-Related Quality of Life Research," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 65(1), pages 27-72, January.
    2. Stephen Wright, 1985. "Health satisfaction: A detailed test of the multiple discrepancies theory model," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 17(3), pages 299-313, October.
    3. de Haes, Johanna C. J. M. & van Knippenberg, Ferdinand C. E., 1985. "The quality of life of cancer patients: A review of the literature," Social Science & Medicine, Elsevier, vol. 20(8), pages 809-817, January.
    4. Alex Michalos, 1985. "Multiple discrepancies theory (MDT)," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 16(4), pages 347-413, May.
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    Cited by:

    1. Hung Chak Ho & Anders Knudby & Wei Huang, 2015. "A Spatial Framework to Map Heat Health Risks at Multiple Scales," IJERPH, MDPI, vol. 12(12), pages 1-14, December.
    2. 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.
    3. Iria Noa de la Fuente-Roldán & Ana Isabel Corchado-Castillo & Ana Dorado-Barbé, 2023. "Mental Health and Homelessness in the Community of Madrid (Spain): The Impact of Discrimination and Violence," IJERPH, MDPI, vol. 20(3), pages 1-16, January.
    4. Kristy Buccieri, 2016. "Integrated Social Housing and Health Care for Homeless and Marginally-Housed Individuals: A Study of the Housing and Homelessness Steering Committee in Ontario, Canada," Social Sciences, MDPI, vol. 5(2), pages 1-17, March.

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