Homelessness is the condition of …

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Homelessness

Homelessness is the condition of not having stable housing. Homelessness significantly impacts health behaviors and outcomes. It is associated with:

  • Worsening chronic medical conditions, such as cardiovascular disease
  • Increased rates of infectious disease[,]
  • Increased risk for traumatic brain injury[]
  • Increased poor mental health[]
  • Increased risk for developing a substance use disorder[]
  • Increased risk for experiencing violence, especially among women[]
  • Increases behavior problems, higher stress levels, and disrupted education[]
  • Higher levels of early mortality[]

There are several factors that drive homelessness in the first place. Some of the most common causes of homelessness include:[,]

  • Unemployment and underemployment[]
  • Declining wages, gaps in welfare policies , and poverty[]
  • Insufficient affordable housing stock and space in emergency shelters
  • Recent eviction
  • Interpersonal or domestic violence and limited financial or social support[]
  • Preexisting health conditions can lead to high healthcare costs. These costs can lead to bankruptcy or failure to pay for housing.
  • Previous mental health or substance abuse disorders. These can made worse by the stress of homelessness and interruptions in care[]
  • History of Incarceration
  • Youth who have been kicked out or age out of home or foster care. This is particularly an issue among LGBTQIA+ youth.

In your community, it is important to understand how many people are housing insecure. It is also important to understand how many people experience homelessness.

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[H116] Opioid Use Fueling HIV Transmission in an Urban Setting: An Outbreak of HIV Infection Among People Who Inject Drugs Massachusetts, https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2019.305366

[H117] American Journal of Public Health 110, 37_44. https://ajph.aphapublications.org/

[H118] Schanzer, B., Dominguez, B., Shrout P.E., Caton C.L.M. (2007). Homelessness, Health Status, and Health Care Use. American Journal of Public Health. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1805022/

[H119] Johnson, T.P., Freels, S.A., Parsons J.A., Vangeest J.B. (1997). Substance abuse and homelessness: social selection or social adaptation? Addiction, 92: 437-445. https://pubmed.ncbi.nlm.nih.gov/9177065/

[H120] Hwang, S. (2001). Homelessness and Health. Canadian Medical Association Journal, 164 (2): 229-233. https://www.cmaj.ca/content/164/2/229.full

[H121] Masten, A.S., Miliotis, D., Graham-Bermann, S.A., Ramirez, M., Neemann, J. (1993). Children in Homeless Families: Risks to Mental Health and Development. Journal of Consulting and Clinical Psychology, 61(2): 335-343. https://psycnet.apa.org/doiLanding?doi=10.1037%2F0022-006X.61.2.335

[H122] Drehobl, A., Ross, L. (2016). Lifting the High Energy Burden in America’s Largest Cities: How Energy Efficiency Can Improve Low Income and Underserved Communities. Energy Efficiency for All and American Council for an Energy Efficient Economy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713619/

[H128] Butler Family Fund, U.S. Department of Housing and Urban Development, U.S. Department of Labor, U.S. Interagency Council on Homelessness. (2015). Partnerships for Opening Doors. Partnership Summit. https://www.usich.gov/resources/uploads/asset_library/Partnerships_for_Opening_Doors.pdf

[H130] Burt M.R., Carpenter J., Hall S.G., Henderson K.A., Rog D.J., Hornik J.A., Denton A.V., Moran G.E. (2010). Strategies for Improving Homeless People’s Access to Mainstream Benefits and Services. U.S. Department of Housing and Urban Development. https://www.urban.org/sites/default/files/publication/28626/412089-Strategies-for-Improving-Homeless-People-s-Access-to-Mainstream-Benefits-and-Services.PDF

[H131] Domestic Violence and Homelessness: Statistics. (2016). U.S. Department of Health and Human Services Family & Youth Services Bureau. https://www.acf.hhs.gov/ofvps/fact-sheet/domestic-violence-and-homelessness-statistics-2016

[H132] Johnson G., Chamerlain C. (2008). Homelessness and Substance Abuse: Which Comes First? Australian Social Work, 61(4), 342-356. https://www.tandfonline.com/doi/abs/10.1080/03124070802428191?journalCode=rasw20