Individual-Level Predictors for Becoming Homeless and Exiting Homelessness: a Systematic Review and Meta-analysis

Journal of Urban Health : Bulletin of the New York Academy of Medicine
Sandra Feodor NilssonCarsten Hjorthøj

Abstract

Homelessness remains a societal problem. Compiled evidence of predictors for becoming homeless and exiting homelessness might be used to inform policy-makers and practitioners in their work to reduce homeless-related problems. We examined individual-level predictors for becoming homeless and exiting homelessness by searching PubMed, EMBASE, PsycINFO, and Web of Science up to January 2018. Becoming homeless and exiting homelessness were the outcomes. Observational studies with comparison groups from high-income countries were included. The Newcastle Ottawa Quality Assessment Scale was used for bias assessment. Random effects models were used to calculate pooled odds ratios (ORs) with 95% confidence intervals (CIs). We included 116 independent studies of risk factors for becoming homeless and 18 for exiting homelessness. We found evidence of adverse life events as risk factors for homelessness, e.g., physical abuse (OR 2.9, 95% CI 1.8-4.4) and foster care experiences (3.7, 1.9-7.3). History of incarceration (3.6, 1.3-10.4), suicide attempt (3.6, 2.1-6.3), and psychiatric problems, especially drug use problems (2.9, 1.5-5.1), were associated with increased risk of homelessness. The heterogeneity was substantial in most analyses (I...Continue Reading

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Citations

May 23, 2020·The International Journal of Social Psychiatry·Gareth HopkinAndrew Forrester
May 10, 2020·Archives of Women's Mental Health·Sara Rodriguez-MorenoJosé Juan Vázquez
Sep 11, 2020·Social Psychiatry and Psychiatric Epidemiology·Lia GentilMarie-Josée Fleury
Sep 15, 2020·Medical Care·Marina GaetaDeclan T Barry
Dec 22, 2020·Focus : Journal of Life Long Learning in Psychiatry·Laura J FochtmannSeung-Hee Hong
Apr 9, 2021·BMC Pediatrics·Andrew J BarnesKatherine A Lingras
Apr 5, 2021·Journal of Affective Disorders·Jingsha XiangWenjie Dai
Jun 11, 2021·Journal of General Internal Medicine·Ilana Garcia-GrossmanMargot Kushel
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Aug 20, 2021·Health & Social Care in the Community·Monique PhippsMichelle Cleary
Oct 6, 2021·Health Services Research·Kelly M DoranTod Mijanovich

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