Introduction: Homelessness among women of reproductive age is a global problem. Several unique gender-based issues affect homeless women's well-being, including reproductive health issues, their homelessness experiences, and a high rate of sexual violence. In this study, we aimed to describe women's experiences of street homelessness in their own terms and their suggestions to address their unmet needs.
Methods: This photovoice study draws on photos, focus group discussions, and semi-structured interviews. We conducted the study in collaboration with women in their reproductive years experiencing homelessness ( = 9). A total of 80 photos were taken, and 40 were chosen to be discussed in interviews and further focus group discussions. The participating women selected photographs, explained their significance, and codified them based on how they related to their lives. Data from these discussions were then analysed using a reflexive thematic approach.
Results: Four themes were developed from the data: (a) deprivation of basic needs; (b) experiencing dependency, shame, and seclusion while dealing with the burden of street life; (c) the vulnerability and neglect of children; and (d) being resilient to harsh conditions. In this study, women's street life was characterised by numerous unfavourable aspects, including unmet needs, human rights violations, social exclusions, substance use, and child protection issues. Participants provided suggestions for change and confirmed their belief that adequate housing represents one of the most urgent unmet basic needs of people experiencing homelessness. They also emphasised the critical need for employment opportunities, non-discriminatory provision of social support, treatment programs for substance misuse, and legal and social protection.
Conclusion: This study contributes to understanding how women experiencing homelessness describe and articulate their living circumstances and what they perceive needs to be addressed. Based on participants' proposal for change, comprehensive services are needed to address women's multifaceted issues. However, the mitigation strategies and long-term effects of women's homelessness require further research.
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http://dx.doi.org/10.3389/fpubh.2025.1488770 | DOI Listing |
HCA Healthc J Med
February 2025
Mountain Area Health Education Center, Asheville, North Carolina.
Description This article discusses how monthly extended-release buprenorphine can be used to improve the treatment of opioid use disorder (OUD). In particular, the use of monthly extended-release buprenorphine holds promise for patients who have recently been released from jail or prison and are battling OUD, those who are unstable and continue to use opioids illicitly, patients who are experiencing homelessness while also struggling with OUD, and those who are stable and want to be weaned off buprenorphine.
View Article and Find Full Text PDFCMAJ
March 2025
Department of Emergency Medicine, Faculty of Medicine (Li, Hohl) and School of Population and Public Health (Li, McGrail, Law), University of British Columbia, Vancouver, BC; Departments of Pediatrics, Faculty of Medicine & Dentistry (Rosychuk) and of Mathematical and Statistical Sciences, Faculty of Science (Rosychuk), University of Alberta, Edmonton, Alta.
Background: Whether people experiencing homelessness (PEH) have different COVID-19 outcomes than housed patients in Canada remains unclear. We sought to ascertain whether rates of in-hospital mortality, hospital admission, critical care admission, and mechanical ventilation differed between PEH and housed people with symptomatic SARS-CoV-2 infection.
Methods: We conducted a propensity score-matched cohort study to compare the outcomes of PEH and housed patients presenting to emergency departments for acute symptomatic COVID-19.
Gerontologist
March 2025
Social Justice in Mental Health Research Lab, Faculty of Health Sciences, Western University, London, Ontario, Canada.
Background And Objectives: Research has identified that the number of older adults experiencing homelessness in middle to high income countries is growing. Coincidingly, in recognition that individuals with housing precarity often have experiences of trauma, there have been increasing calls for trauma-and-violence-informed care in practice and research. We conducted this review to consolidate existing literature that explores experiences of trauma among older adults who have experienced homelessness.
View Article and Find Full Text PDFJ Subst Use Addict Treat
March 2025
APT Foundation Inc., New Haven, CT, USA; Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Child Study Center, Yale School of Medicine, New Haven, CT, USA.
Background: People experiencing homelessness (PEH) with opioid use disorder (OUD) are at high risk of overdose yet less likely to enroll and stay engaged in standard-of-care treatment for OUD, opioid agonist medication for OUD (MOUD), particularly methadone treatment. Engaging this group in treatment is a public health priority, yet little is known about the experiences of PEH enrolled in MOUD. We sought to understand the housing experiences and perspectives of PEH engaged in methadone treatment using mixed quantitative and qualitative methods.
View Article and Find Full Text PDFJ Subst Use Addict Treat
March 2025
Public Health, School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Ireland.
Background: Worsening health disparities amongst individuals experiencing co-occurring homelessness and addiction underline a need to examine potential pathways towards recovery. This study consists of a secondary analysis to identify barriers and enablers of addiction recovery amongst people experiencing homelessness (PEH) in Dublin, Ireland, and to propose a conceptual framework adapted from the Recovery Capital Assessment & Recovery Planning Tool (REC-CAP).
Methods: The analysis drew on two data sources collected between September 2022 and April 2023 as part of a qualitative, community health needs assessment: in-depth interviews with 19 providers working with PEH in Dublin, and ethnographic fieldwork conducted with 40 homeless clients attending a primary care and addiction services clinic in the city.
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