The physical and mental health effects of housing homeless people: A systematic review

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Onapa, Hebaat
Sharpley, Christopher F
Bitsika, Vicki
McMillan, Mary E
MacLure, Katie
Smith, Lee
Agnew, Linda L
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2022
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Abstract

Housing is a significant determinant of health and is widely accepted as a key solution to address some of the health disparities that exist among the homeless. It is estimated that 150 million people worldwide are homeless, and approximately 1.8 billion lack adequate housing. However, understanding of how housing has a positive impact on the health of the homeless remains unclear and underdeveloped. This systematic review investigates intervention studies that report on the physical and mental health effects of housing homeless persons. A search of PubMed, PsycINFO, EBSCOHost-Academic Search Complete and the Cochrane Library was conducted for peer-reviewed articles published in English from 1999 to 2020 that had a combination of at least one housing intervention and health outcome, with a homeless sample. Three previous reviews and 24 studies were included for analysis. Most of the studies (n = 20) encompassed permanent supportive housing interventions that emphasised placing homeless people with mental illness directly into affordable housing with access to support services. The primary health outcomes reported were general physical and mental health, well-being, and quality of life. Despite inconsistent findings and significant issues identified in the reviewed literature, housing (in the short term) improves some aspects of health in homeless populations with human immunodeficiency virus, anxiety and depression.

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Health & Social Care in the Community

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30

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2

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© 2022 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: The physical and mental health effects of housing homeless people: A systematic review, Health & Social Care in the Community, 30 (2), pp. 448-468, which has been published in final form at https://doi.org/10.1111/hsc.13486. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.

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Sociology

Psychology

Social psychology

Political economy and social change

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Onapa, H; Sharpley, CF; Bitsika, V; McMillan, ME; MacLure, K; Smith, L; Agnew, LL, The physical and mental health effects of housing homeless people: A systematic review, Health & Social Care in the Community, 2022, 30 (2), pp. 448-468

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