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
References
Aug 1, 1995·American Journal of Public Health·C L CatonF Cournos
Jan 1, 1993·Epidemiologic Reviews·E SusserB Link
May 2, 2000·JAMA : the Journal of the American Medical Association·D F StroupS B Thacker
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
May 17, 2006·Journal of Health Care for the Poor and Underserved·Greg A GreenbergRobert A Rosenheck
Jun 15, 2007·The Journal of Primary Prevention·Gary Shaheen, John Rio
Dec 5, 2008·PLoS Medicine·Seena FazelJohn Geddes
Jun 17, 2011·Lancet·Sandra Feodor NielsenMerete Nordentoft
Jan 16, 2013·JAMA Internal Medicine·Travis P BaggettNancy A Rigotti
Aug 14, 2013·Women & Health·Thomas ByrneMelissa E Dichter
Nov 13, 2014·Lancet·Seena FazelMargot Kushel
Nov 13, 2014·Lancet·Stephen W Hwang, Tom Burns
Dec 21, 2014·The Australian and New Zealand Journal of Psychiatry·Bridget SpicerLucy Burns
Jan 18, 2015·Epidemiologic Reviews·Jack Tsai, Robert A Rosenheck
Mar 4, 2015·JAMA : the Journal of the American Medical Association·Vicky StergiopoulosUNKNOWN At Home/Chez Soi Investigators
Jan 2, 2016·Administration and Policy in Mental Health·Daniel PoremskiEric Latimer
Feb 16, 2016·Psychiatric Services : a Journal of the American Psychiatric Association·Daniel PoremskiEric Latimer
Apr 5, 2016·JAMA Pediatrics·Lonnie EmbletonPaula Braitstein
May 18, 2016·Health & Social Care in the Community·Barbara Van StraatenDike Van de Mheen
Sep 14, 2016·BMJ Open·Patricia O'CampoStephen W Hwang
Nov 11, 2017·Social Psychiatry and Psychiatric Epidemiology·Sandra Feodor NilssonMerete Nordentoft
Nov 16, 2017·Lancet·Robert W AldridgeAndrew C Hayward
Dec 19, 2017·The Lancet. Public Health·Sandra Feodor NilssonMerete Nordentoft
Jan 31, 2018·BMJ : British Medical Journal·Mark Fransham, Danny Dorling
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
Mar 13, 2021·Medical Care·Thomas ByrneDaniel P Miller
Sep 27, 2020·The Psychiatric Quarterly·Pierre LequinPhilippe Conus
Apr 9, 2021·BMC Pediatrics·Andrew J BarnesKatherine A Lingras
Apr 5, 2021·Journal of Affective Disorders·Jingsha XiangWenjie Dai
Apr 19, 2021·Social Psychiatry and Psychiatric Epidemiology·Cilia Mejia-LancherosStephen W Hwang
May 17, 2021·Current Opinion in Psychiatry·Stefanie SchreiterStefan Gutwinski
May 29, 2021·The International Journal on Drug Policy·Kristin E SchneiderCarl A Latkin
Jun 11, 2021·Journal of General Internal Medicine·Ilana Garcia-GrossmanMargot Kushel
May 26, 2021·CNS Spectrums·Ana Monteiro FernandesDiogo Telles-Correia
Jun 20, 2021·Journal of Community Psychology·Danielle ChiaramonteCris M Sullivan
Jul 17, 2021·Journal of Adolescence·Jessica A HeerdeJohn W Toumbourou
Jul 30, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Rebecca E GrattanTara A Niendam
Aug 20, 2021·Health & Social Care in the Community·Monique PhippsMichelle Cleary
Oct 6, 2021·Health Services Research·Kelly M DoranTod Mijanovich
Oct 12, 2021·Medical Care·Suja S Rajan, Jack Tsai