Health Status, Quality of Life, Residential Stability, Substance Use, and Health Care Utilization among Adults Applying to a Supportive Housing Program
Supportive housing, defined as subsidized housing in conjunction with site-based social services, may help improve the health and residential stability of highly disadvantaged individuals. This study examined changes in health status, quality of life, substance use, health care utilization, and resi...
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| Veröffentlicht in: | Journal of urban health 2011-12, Vol.88 (6), p.1076-1090 |
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| creator | Hwang, Stephen W. Gogosis, Evie Chambers, Catharine Dunn, James R. Hoch, Jeffrey S. Aubry, Tim |
| description | Supportive housing, defined as subsidized housing in conjunction with site-based social services, may help improve the health and residential stability of highly disadvantaged individuals. This study examined changes in health status, quality of life, substance use, health care utilization, and residential stability among 112 homeless and vulnerably housed individuals who applied to a supportive housing program in Toronto, Canada, from December 2005 to June 2007. Follow-up interviews were conducted every 6 months for 18 months. Comparisons were made between individuals who were accepted into the program (intervention) and those who were wait-listed (usual care) using repeated-measures analyses. Individuals who were accepted into the housing program experienced significantly greater improvements in satisfaction with living situation compared with individuals in the usual care group (time,
F
3,3,261
= 47.68,
p
|
| doi_str_mv | 10.1007/s11524-011-9592-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3232412</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2528791051</sourcerecordid><originalsourceid>FETCH-LOGICAL-c468t-9affdaf3768ac4ed03a82a296b2f0901d25056e10f226118752290c87bb4b3d83</originalsourceid><addsrcrecordid>eNp1kU1v1DAQhi1ERUvhB3BBFucN-CNx7AvSalVYpJXoBz1bk8TeusrGwXYqLX-kf7eOdilw4OTxzDPvzOhF6B0lHykh9adIacXKglBaqEqxgr9AZ7QUsmBSqJc5JkoVvBTkFL2O8Z4QKsqavUKnjAouc_MZelwb6NMdvkmQprjAVxP0Lu2xt3jjrFngaxNdZ4bkoJ-hxs3lBb6ZmphgaA2-jZmCocNHpRWEnEyZ-wXJ-QHDzg9bvOymPkW8HMd-7_I_eQxZZRx9SO7B4LWf4py_DH4bYPcGnVjoo3l7fM_R7ZeLH6t1sfn-9dtquSnafGcqFFjbgeW1kNCWpiMcJAOmRMMsUYR2rCKVMJRYxgSlsq4YU6SVddOUDe8kP0efD7rj1OxM1-ZLA_R6DG4HYa89OP1vZXB3eusfNGeclZRlgQ9HgeB_TiYmfe-nMOSdtSKyFqSsqgzRA9QGH2Mw9nkAJXq2Uh-s1NlKPVupee55__dmzx2_vcsAOwAxl4atCX8m_1_1CXHNq7A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>908760455</pqid></control><display><type>article</type><title>Health Status, Quality of Life, Residential Stability, Substance Use, and Health Care Utilization among Adults Applying to a Supportive Housing Program</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>Alma/SFX Local Collection</source><creator>Hwang, Stephen W. ; Gogosis, Evie ; Chambers, Catharine ; Dunn, James R. ; Hoch, Jeffrey S. ; Aubry, Tim</creator><creatorcontrib>Hwang, Stephen W. ; Gogosis, Evie ; Chambers, Catharine ; Dunn, James R. ; Hoch, Jeffrey S. ; Aubry, Tim</creatorcontrib><description>Supportive housing, defined as subsidized housing in conjunction with site-based social services, may help improve the health and residential stability of highly disadvantaged individuals. This study examined changes in health status, quality of life, substance use, health care utilization, and residential stability among 112 homeless and vulnerably housed individuals who applied to a supportive housing program in Toronto, Canada, from December 2005 to June 2007. Follow-up interviews were conducted every 6 months for 18 months. Comparisons were made between individuals who were accepted into the program (intervention) and those who were wait-listed (usual care) using repeated-measures analyses. Individuals who were accepted into the housing program experienced significantly greater improvements in satisfaction with living situation compared with individuals in the usual care group (time,
F
3,3,261
= 47.68,
p
< 0.01; group × time,
F
3,3,261
= 14.60,
p
< 0.01). There were no significant differences in other quality of life measures, health status, health care utilization, or substance use between the two groups over time. Significant improvement in residential stability occurred over time, independent of assigned housing group (time,
F
3,3,261
= 9.96,
p
< 0.01; group × time,
F
3,3,261
= 1.74,
p
= 0.17). The ability to examine the effects of supportive housing on homeless individuals was limited by the small number of participants who were literally homeless at baseline and by the large number of participants who gained stable housing during the study period regardless of their assigned housing status. Nonetheless, this study shows that highly disadvantaged individuals with a high prevalence of poor physical and mental health and substance use can achieve stable housing.</description><identifier>ISSN: 1099-3460</identifier><identifier>EISSN: 1468-2869</identifier><identifier>DOI: 10.1007/s11524-011-9592-3</identifier><identifier>PMID: 21638115</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject><![CDATA[Adolescent ; Adult ; Alcoholism - epidemiology ; Canada ; Continental Population Groups ; Drug use ; Educational Status ; Epidemiology ; Female ; Health ; Health care ; Health Informatics ; Health Services - utilization ; Health Status ; Homeless people ; Homeless Persons - psychology ; Homeless Persons - statistics & numerical data ; Homelessness ; Housing ; Housing subsidies ; Humans ; Male ; Medicine ; Medicine & Public Health ; Mental Health - statistics & numerical data ; Middle Aged ; Prospective Studies ; Public Health ; Public Housing - statistics & numerical data ; Quality of Life ; Social services ; Social Work - organization & administration ; Social Work - statistics & numerical data ; Substance use ; Substance-Related Disorders - epidemiology ; Young Adult]]></subject><ispartof>Journal of urban health, 2011-12, Vol.88 (6), p.1076-1090</ispartof><rights>The New York Academy of Medicine 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c468t-9affdaf3768ac4ed03a82a296b2f0901d25056e10f226118752290c87bb4b3d83</citedby><cites>FETCH-LOGICAL-c468t-9affdaf3768ac4ed03a82a296b2f0901d25056e10f226118752290c87bb4b3d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11524-011-9592-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11524-011-9592-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21638115$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hwang, Stephen W.</creatorcontrib><creatorcontrib>Gogosis, Evie</creatorcontrib><creatorcontrib>Chambers, Catharine</creatorcontrib><creatorcontrib>Dunn, James R.</creatorcontrib><creatorcontrib>Hoch, Jeffrey S.</creatorcontrib><creatorcontrib>Aubry, Tim</creatorcontrib><title>Health Status, Quality of Life, Residential Stability, Substance Use, and Health Care Utilization among Adults Applying to a Supportive Housing Program</title><title>Journal of urban health</title><addtitle>J Urban Health</addtitle><addtitle>J Urban Health</addtitle><description>Supportive housing, defined as subsidized housing in conjunction with site-based social services, may help improve the health and residential stability of highly disadvantaged individuals. This study examined changes in health status, quality of life, substance use, health care utilization, and residential stability among 112 homeless and vulnerably housed individuals who applied to a supportive housing program in Toronto, Canada, from December 2005 to June 2007. Follow-up interviews were conducted every 6 months for 18 months. Comparisons were made between individuals who were accepted into the program (intervention) and those who were wait-listed (usual care) using repeated-measures analyses. Individuals who were accepted into the housing program experienced significantly greater improvements in satisfaction with living situation compared with individuals in the usual care group (time,
F
3,3,261
= 47.68,
p
< 0.01; group × time,
F
3,3,261
= 14.60,
p
< 0.01). There were no significant differences in other quality of life measures, health status, health care utilization, or substance use between the two groups over time. Significant improvement in residential stability occurred over time, independent of assigned housing group (time,
F
3,3,261
= 9.96,
p
< 0.01; group × time,
F
3,3,261
= 1.74,
p
= 0.17). The ability to examine the effects of supportive housing on homeless individuals was limited by the small number of participants who were literally homeless at baseline and by the large number of participants who gained stable housing during the study period regardless of their assigned housing status. Nonetheless, this study shows that highly disadvantaged individuals with a high prevalence of poor physical and mental health and substance use can achieve stable housing.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Alcoholism - epidemiology</subject><subject>Canada</subject><subject>Continental Population Groups</subject><subject>Drug use</subject><subject>Educational Status</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health</subject><subject>Health care</subject><subject>Health Informatics</subject><subject>Health Services - utilization</subject><subject>Health Status</subject><subject>Homeless people</subject><subject>Homeless Persons - psychology</subject><subject>Homeless Persons - statistics & numerical data</subject><subject>Homelessness</subject><subject>Housing</subject><subject>Housing subsidies</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental Health - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Public Health</subject><subject>Public Housing - statistics & numerical data</subject><subject>Quality of Life</subject><subject>Social services</subject><subject>Social Work - organization & administration</subject><subject>Social Work - statistics & numerical data</subject><subject>Substance use</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Young Adult</subject><issn>1099-3460</issn><issn>1468-2869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1v1DAQhi1ERUvhB3BBFucN-CNx7AvSalVYpJXoBz1bk8TeusrGwXYqLX-kf7eOdilw4OTxzDPvzOhF6B0lHykh9adIacXKglBaqEqxgr9AZ7QUsmBSqJc5JkoVvBTkFL2O8Z4QKsqavUKnjAouc_MZelwb6NMdvkmQprjAVxP0Lu2xt3jjrFngaxNdZ4bkoJ-hxs3lBb6ZmphgaA2-jZmCocNHpRWEnEyZ-wXJ-QHDzg9bvOymPkW8HMd-7_I_eQxZZRx9SO7B4LWf4py_DH4bYPcGnVjoo3l7fM_R7ZeLH6t1sfn-9dtquSnafGcqFFjbgeW1kNCWpiMcJAOmRMMsUYR2rCKVMJRYxgSlsq4YU6SVddOUDe8kP0efD7rj1OxM1-ZLA_R6DG4HYa89OP1vZXB3eusfNGeclZRlgQ9HgeB_TiYmfe-nMOSdtSKyFqSsqgzRA9QGH2Mw9nkAJXq2Uh-s1NlKPVupee55__dmzx2_vcsAOwAxl4atCX8m_1_1CXHNq7A</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Hwang, Stephen W.</creator><creator>Gogosis, Evie</creator><creator>Chambers, Catharine</creator><creator>Dunn, James R.</creator><creator>Hoch, Jeffrey S.</creator><creator>Aubry, Tim</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>5PM</scope></search><sort><creationdate>20111201</creationdate><title>Health Status, Quality of Life, Residential Stability, Substance Use, and Health Care Utilization among Adults Applying to a Supportive Housing Program</title><author>Hwang, Stephen W. ; Gogosis, Evie ; Chambers, Catharine ; Dunn, James R. ; Hoch, Jeffrey S. ; Aubry, Tim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c468t-9affdaf3768ac4ed03a82a296b2f0901d25056e10f226118752290c87bb4b3d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Alcoholism - epidemiology</topic><topic>Canada</topic><topic>Continental Population Groups</topic><topic>Drug use</topic><topic>Educational Status</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Health</topic><topic>Health care</topic><topic>Health Informatics</topic><topic>Health Services - utilization</topic><topic>Health Status</topic><topic>Homeless people</topic><topic>Homeless Persons - psychology</topic><topic>Homeless Persons - statistics & numerical data</topic><topic>Homelessness</topic><topic>Housing</topic><topic>Housing subsidies</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental Health - statistics & numerical data</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Public Health</topic><topic>Public Housing - statistics & numerical data</topic><topic>Quality of Life</topic><topic>Social services</topic><topic>Social Work - organization & administration</topic><topic>Social Work - 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This study examined changes in health status, quality of life, substance use, health care utilization, and residential stability among 112 homeless and vulnerably housed individuals who applied to a supportive housing program in Toronto, Canada, from December 2005 to June 2007. Follow-up interviews were conducted every 6 months for 18 months. Comparisons were made between individuals who were accepted into the program (intervention) and those who were wait-listed (usual care) using repeated-measures analyses. Individuals who were accepted into the housing program experienced significantly greater improvements in satisfaction with living situation compared with individuals in the usual care group (time,
F
3,3,261
= 47.68,
p
< 0.01; group × time,
F
3,3,261
= 14.60,
p
< 0.01). There were no significant differences in other quality of life measures, health status, health care utilization, or substance use between the two groups over time. Significant improvement in residential stability occurred over time, independent of assigned housing group (time,
F
3,3,261
= 9.96,
p
< 0.01; group × time,
F
3,3,261
= 1.74,
p
= 0.17). The ability to examine the effects of supportive housing on homeless individuals was limited by the small number of participants who were literally homeless at baseline and by the large number of participants who gained stable housing during the study period regardless of their assigned housing status. Nonetheless, this study shows that highly disadvantaged individuals with a high prevalence of poor physical and mental health and substance use can achieve stable housing.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>21638115</pmid><doi>10.1007/s11524-011-9592-3</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1099-3460 |
| ispartof | Journal of urban health, 2011-12, Vol.88 (6), p.1076-1090 |
| issn | 1099-3460 1468-2869 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3232412 |
| source | MEDLINE; SpringerLink Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Alcoholism - epidemiology Canada Continental Population Groups Drug use Educational Status Epidemiology Female Health Health care Health Informatics Health Services - utilization Health Status Homeless people Homeless Persons - psychology Homeless Persons - statistics & numerical data Homelessness Housing Housing subsidies Humans Male Medicine Medicine & Public Health Mental Health - statistics & numerical data Middle Aged Prospective Studies Public Health Public Housing - statistics & numerical data Quality of Life Social services Social Work - organization & administration Social Work - statistics & numerical data Substance use Substance-Related Disorders - epidemiology Young Adult |
| title | Health Status, Quality of Life, Residential Stability, Substance Use, and Health Care Utilization among Adults Applying to a Supportive Housing Program |
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