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Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations

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Resumo:Objectives To examine the lifetime, 5-year and past-year prevalence of homelessness among European citizens in eight European nations. Design A nationally representative telephone survey using trained bilingual interviewers and computer-assisted telephone interview software. Setting The study was conducted in France, Ireland, Italy, the Netherlands, Poland, Portugal, Spain and Sweden. Participants European adult citizens, selected from opt-in panels from March to December 2017. Total desired sample size was 5600, with 700 per country. Expected response rates of approximately 30% led to initial sample sizes of 2500 per country. Main outcome measures History of homelessness was assessed for lifetime, past 5 years and past year. Sociodemographic data were collected to assess correlates of homelessness prevalence using generalised linear models for clustered and weighted samples. Results Response rates ranged from 30.4% to 33.5% (n=5631). Homelessness prevalence was 4.96% for lifetime (95% CI 4.39% to 5.59%), 1.92% in the past 5 years (95% CI 1.57% to 2.33%) and 0.71% for the past year (95% CI 0.51% to 0.98%) and varied significantly between countries (pairwise comparison difference test, p<0.0001). Time spent homeless ranged between less than a week (21%) and more than a year (18%), with high contrasts between countries (p<0.0001). Male gender, age 45–54, lower secondary education, single status, unemployment and an urban environment were all independently strongly associated with lifetime homelessness (all OR >1.5). Conclusions The prevalence of homelessness among the surveyed nations is significantly higher than might be expected from point-in- time and homeless service use statistics. There was substantial variation in estimated prevalence across the eight nations. Coupled with the well-established health impacts of homelessness, medical professionals need to be aware of the increased health risks of those with experience of homelessness. These findings support policies aiming to improve health services for people exposed to homelessness.
Autores principais:Taylor, Owen
Outros Autores:Loubiere, Sandrine; Tinland, Aurelie; Moniz, Maria João Vargas; Spinnewijn, Freek; Manning, Rachel; Gaboardi, Marta; Wolf, Judith R L M; Bokszczanin, Ana; Bernad, Roberto; Källmen, Håkan; Toro, Paul; Ornelas, José H.; Auquier, Pascal
Ano:2019
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Ispa-Instituto Universitário
Idioma:inglês
Origem:Repositório do Ispa - Instituto Universitário
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author Taylor, Owen
author2 Loubiere, Sandrine
Tinland, Aurelie
Moniz, Maria João Vargas
Spinnewijn, Freek
Manning, Rachel
Gaboardi, Marta
Wolf, Judith R L M
Bokszczanin, Ana
Bernad, Roberto
Källmen, Håkan
Toro, Paul
Ornelas, José H.
Auquier, Pascal
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Taylor, Owen
Loubiere, Sandrine
Tinland, Aurelie
Moniz, Maria João Vargas
Spinnewijn, Freek
Manning, Rachel
Gaboardi, Marta
Wolf, Judith R L M
Bokszczanin, Ana
Bernad, Roberto
Källmen, Håkan
Toro, Paul
Ornelas, José H.
Auquier, Pascal
author_role author
contributor_name_str_mv Repositório do ISPA
country_str PT
creators_json_txt [{\"Person.name\":\"Taylor, Owen\",\"Person.identifier.orcid\":\"0000-0003-1625-987X\"},{\"Person.name\":\"Loubiere, Sandrine\",\"Person.identifier.orcid\":\"0000-0001-6715-1223\"},{\"Person.name\":\"Tinland, Aurelie\",\"Person.identifier.orcid\":\"0000-0002-8168-930X\"},{\"Person.name\":\"Moniz, Maria João Vargas\",\"Person.identifier.orcid\":\"0000-0002-4875-9118\"},{\"Person.name\":\"Spinnewijn, Freek\"},{\"Person.name\":\"Manning, Rachel\",\"Person.identifier.orcid\":\"0000-0003-2254-1484\"},{\"Person.name\":\"Gaboardi, Marta\",\"Person.identifier.orcid\":\"0000-0003-2263-1359\"},{\"Person.name\":\"Wolf, Judith R L M\"},{\"Person.name\":\"Bokszczanin, Ana\"},{\"Person.name\":\"Bernad, Roberto\",\"Person.identifier.orcid\":\"0000-0002-6878-1419\"},{\"Person.name\":\"Källmen, Håkan\",\"Person.identifier.orcid\":\"0000-0001-9288-3864\"},{\"Person.name\":\"Toro, Paul\"},{\"Person.name\":\"Ornelas, José H.\",\"Person.identifier.orcid\":\"0000-0002-8972-7518\"},{\"Person.name\":\"Auquier, Pascal\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório do ISPA
datacite.creators.creator.creatorName.fl_str_mv Taylor, Owen
Loubiere, Sandrine
Tinland, Aurelie
Moniz, Maria João Vargas
Spinnewijn, Freek
Manning, Rachel
Gaboardi, Marta
Wolf, Judith R L M
Bokszczanin, Ana
Bernad, Roberto
Källmen, Håkan
Toro, Paul
Ornelas, José H.
Auquier, Pascal
datacite.date.Accepted.fl_str_mv 2019-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2020-03-25T17:27:32Z
datacite.date.embargoed.fl_str_mv 2020-03-25T17:27:32Z
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datacite.titles.title.fl_str_mv Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations
dc.contributor.none.fl_str_mv Repositório do ISPA
dc.creator.none.fl_str_mv Taylor, Owen
Loubiere, Sandrine
Tinland, Aurelie
Moniz, Maria João Vargas
Spinnewijn, Freek
Manning, Rachel
Gaboardi, Marta
Wolf, Judith R L M
Bokszczanin, Ana
Bernad, Roberto
Källmen, Håkan
Toro, Paul
Ornelas, José H.
Auquier, Pascal
dc.date.Accepted.fl_str_mv 2019-01-01T00:00:00Z
dc.date.available.fl_str_mv 2020-03-25T17:27:32Z
dc.date.embargoed.fl_str_mv 2020-03-25T17:27:32Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10400.12/7486
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv BMJ Publishing Group
dc.rights.cclincense.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.title.fl_str_mv Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Objectives To examine the lifetime, 5-year and past-year prevalence of homelessness among European citizens in eight European nations. Design A nationally representative telephone survey using trained bilingual interviewers and computer-assisted telephone interview software. Setting The study was conducted in France, Ireland, Italy, the Netherlands, Poland, Portugal, Spain and Sweden. Participants European adult citizens, selected from opt-in panels from March to December 2017. Total desired sample size was 5600, with 700 per country. Expected response rates of approximately 30% led to initial sample sizes of 2500 per country. Main outcome measures History of homelessness was assessed for lifetime, past 5 years and past year. Sociodemographic data were collected to assess correlates of homelessness prevalence using generalised linear models for clustered and weighted samples. Results Response rates ranged from 30.4% to 33.5% (n=5631). Homelessness prevalence was 4.96% for lifetime (95% CI 4.39% to 5.59%), 1.92% in the past 5 years (95% CI 1.57% to 2.33%) and 0.71% for the past year (95% CI 0.51% to 0.98%) and varied significantly between countries (pairwise comparison difference test, p<0.0001). Time spent homeless ranged between less than a week (21%) and more than a year (18%), with high contrasts between countries (p<0.0001). Male gender, age 45–54, lower secondary education, single status, unemployment and an urban environment were all independently strongly associated with lifetime homelessness (all OR >1.5). Conclusions The prevalence of homelessness among the surveyed nations is significantly higher than might be expected from point-in- time and homeless service use statistics. There was substantial variation in estimated prevalence across the eight nations. Coupled with the well-established health impacts of homelessness, medical professionals need to be aware of the increased health risks of those with experience of homelessness. These findings support policies aiming to improve health services for people exposed to homelessness.
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identifier.url.fl_str_mv http://hdl.handle.net/10400.12/7486
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instname_str Ispa-Instituto Universitário
language eng
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oai_identifier_str oai:repositorio.ispa.pt:10400.12/7486
organization_str_mv urn:organizationAcronym:ispa
person_str_mv Taylor, Owen
Taylor, Owen
http://orcid.org/0000-0003-1625-987X
0000-0003-1625-987X
Loubiere, Sandrine
Loubiere, Sandrine
http://orcid.org/0000-0001-6715-1223
0000-0001-6715-1223
Tinland, Aurelie
Tinland, Aurelie
http://orcid.org/0000-0002-8168-930X
0000-0002-8168-930X
Moniz, Maria João Vargas
Moniz, Maria João Vargas
https://www.ciencia-id.pt/7D1A-ED64-7218
7D1A-ED64-7218
http://orcid.org/0000-0002-4875-9118
0000-0002-4875-9118
Spinnewijn, Freek
Manning, Rachel
Manning, Rachel
http://orcid.org/0000-0003-2254-1484
0000-0003-2254-1484
Gaboardi, Marta
Gaboardi, Marta
http://orcid.org/0000-0003-2263-1359
0000-0003-2263-1359
Wolf, Judith R L M
Bokszczanin, Ana
Bernad, Roberto
Bernad, Roberto
http://orcid.org/0000-0002-6878-1419
0000-0002-6878-1419
Källmen, Håkan
Källmen, Håkan
http://orcid.org/0000-0001-9288-3864
0000-0001-9288-3864
Toro, Paul
Ornelas, José H.
Ornelas, José H.
https://www.ciencia-id.pt/E01A-C48E-88FD
E01A-C48E-88FD
http://orcid.org/0000-0002-8972-7518
0000-0002-8972-7518
Auquier, Pascal
publishDate 2019
publisher.none.fl_str_mv BMJ Publishing Group
reponame_str Repositório do Ispa - Instituto Universitário
repository_id_str urn:repositoryAcronym:ispa
service_str_mv urn:repositoryAcronym:ispa
spelling engBMJ Publishing Grouppt_PTObjectives To examine the lifetime, 5-year and past-year prevalence of homelessness among European citizens in eight European nations. Design A nationally representative telephone survey using trained bilingual interviewers and computer-assisted telephone interview software. Setting The study was conducted in France, Ireland, Italy, the Netherlands, Poland, Portugal, Spain and Sweden. Participants European adult citizens, selected from opt-in panels from March to December 2017. Total desired sample size was 5600, with 700 per country. Expected response rates of approximately 30% led to initial sample sizes of 2500 per country. Main outcome measures History of homelessness was assessed for lifetime, past 5 years and past year. Sociodemographic data were collected to assess correlates of homelessness prevalence using generalised linear models for clustered and weighted samples. Results Response rates ranged from 30.4% to 33.5% (n=5631). Homelessness prevalence was 4.96% for lifetime (95% CI 4.39% to 5.59%), 1.92% in the past 5 years (95% CI 1.57% to 2.33%) and 0.71% for the past year (95% CI 0.51% to 0.98%) and varied significantly between countries (pairwise comparison difference test, p<0.0001). Time spent homeless ranged between less than a week (21%) and more than a year (18%), with high contrasts between countries (p<0.0001). Male gender, age 45–54, lower secondary education, single status, unemployment and an urban environment were all independently strongly associated with lifetime homelessness (all OR >1.5). Conclusions The prevalence of homelessness among the surveyed nations is significantly higher than might be expected from point-in- time and homeless service use statistics. There was substantial variation in estimated prevalence across the eight nations. Coupled with the well-established health impacts of homelessness, medical professionals need to be aware of the increased health risks of those with experience of homelessness. These findings support policies aiming to improve health services for people exposed to homelessness.application/pdfpt_PTLifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nationsPersonalTaylor, OwenDSpacehttp://dspace.org/items/9a4f7f49-4388-440b-830f-6bad14057cb4DSpacehttp://dspace.org/items/9a4f7f49-4388-440b-830f-6bad14057cb4TaylorOwenORCIDhttp://orcid.org0000-0003-1625-987XPersonalLoubiere, SandrineDSpacehttp://dspace.org/items/2a5fce48-011f-4adc-aae4-31036a70262eDSpacehttp://dspace.org/items/2a5fce48-011f-4adc-aae4-31036a70262eloubieresandrineORCIDhttp://orcid.org0000-0001-6715-1223PersonalTinland, AurelieDSpacehttp://dspace.org/items/471d5cad-843f-4b3c-83e8-a9212ff6df89DSpacehttp://dspace.org/items/471d5cad-843f-4b3c-83e8-a9212ff6df89TinlandAurelieORCIDhttp://orcid.org0000-0002-8168-930XPersonalMoniz, Maria João VargasDSpacehttp://dspace.org/items/ff4cc1ca-a7be-4f3a-939d-51c3a45094fbDSpacehttp://dspace.org/items/ff4cc1ca-a7be-4f3a-939d-51c3a45094fbVargas-MonizMariaCiência IDhttps://www.ciencia-id.pt7D1A-ED64-7218ORCIDhttp://orcid.org0000-0002-4875-9118Researcher IDhttps://www.researcherid.comC-1812-2018Scopus Author IDhttps://www.scopus.com56009640900Spinnewijn, FreekPersonalManning, RachelDSpacehttp://dspace.org/items/925ae0ca-7c82-47b3-81ea-e54b4493c8aaDSpacehttp://dspace.org/items/925ae0ca-7c82-47b3-81ea-e54b4493c8aamanningrachelORCIDhttp://orcid.org0000-0003-2254-1484PersonalGaboardi, MartaDSpacehttp://dspace.org/items/2a710cae-4dbe-4443-bab0-e7b157b196c1DSpacehttp://dspace.org/items/2a710cae-4dbe-4443-bab0-e7b157b196c1GaboardiMartaORCIDhttp://orcid.org0000-0003-2263-1359Scopus Author IDhttps://www.scopus.com57194678982Wolf, Judith R L MBokszczanin, AnaPersonalBernad, RobertoDSpacehttp://dspace.org/items/ed77f672-45b3-4de2-a120-9344a9d02dbfDSpacehttp://dspace.org/items/ed77f672-45b3-4de2-a120-9344a9d02dbfBernadRobertoORCIDhttp://orcid.org0000-0002-6878-1419PersonalKällmen, HåkanDSpacehttp://dspace.org/items/c64ee62f-975a-460a-9a97-ac2601e54faeDSpacehttp://dspace.org/items/c64ee62f-975a-460a-9a97-ac2601e54faeKällménHåkanORCIDhttp://orcid.org0000-0001-9288-3864Toro, PaulPersonalOrnelas, José H.DSpacehttp://dspace.org/items/8ac69004-40e4-4835-8057-ef0cd90be446DSpacehttp://dspace.org/items/8ac69004-40e4-4835-8057-ef0cd90be446OrnelasJoséCiência IDhttps://www.ciencia-id.ptE01A-C48E-88FDORCIDhttp://orcid.org0000-0002-8972-7518Auquier, PascalHostingInstitutionOrganizationalRepositório do ISPAe-mailmailto:repositorio@ispa.ptrepositorio@ispa.ptISSNIsPartOf09598146DOIIsPartOf10.1136/bmjopen-2019-0332372020-03-25T17:27:32Z20192019-01-01T00:00:00ZHandlehttp://hdl.handle.net/10400.12/7486http://purl.org/coar/access_right/c_abf2open access355946 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal article2019http://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ispa.pt/bitstreams/d8731d8b-5b76-4d1d-9153-705f656f154c/downloadBritish Medical Journal911113United Kingdom
spellingShingle Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations
Taylor, Owen
status SINGLETON
title Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations
title_full Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations
title_fullStr Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations
title_full_unstemmed Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations
title_short Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations
title_sort Lifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nations
url http://hdl.handle.net/10400.12/7486
visible 1