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Longitudinal Associations between Perceived Quality of Living Spaces and Health-Related Quality of Life among Homeless and Vulnerably Housed Individuals Living in Three Canadian Cities

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  • Carly Magee

    (School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
    Human Early Learning Partnership, University of British Columbia, Vancouver, BC V6T 1Z3, Canada)

  • Monica Norena

    (Centre for Health Evaluation and Outcome Sciences, St. Paul’s Hospital, Vancouver, BC V6T 1Z3, Canada)

  • Anita M. Hubley

    (Department of Educational and Counselling Psychology, and Special Education, University of British Columbia, Vancouver, BC V6T 1Z4, Canada)

  • Anita Palepu

    (Centre for Health Evaluation and Outcome Sciences, St. Paul’s Hospital, Vancouver, BC V6T 1Z3, Canada
    Division of General Internal Medicine, Department of Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada)

  • Stephen W. Hwang

    (MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, ON M5B 1A6, Canada)

  • Rosane Nisenbaum

    (MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, ON M5B 1A6, Canada
    Applied Health Research Centre, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Toronto, ON M5B 1A6, Canada
    Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada)

  • Mohammad Ehsanul Karim

    (School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
    Centre for Health Evaluation and Outcome Sciences, St. Paul’s Hospital, Vancouver, BC V6T 1Z3, Canada)

  • Anne Gadermann

    (School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
    Human Early Learning Partnership, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
    Centre for Health Evaluation and Outcome Sciences, St. Paul’s Hospital, Vancouver, BC V6T 1Z3, Canada)

Abstract

The objective of this study was to examine longitudinal associations between perceived quality of living spaces and mental and physical health-related quality of life (HRQoL) among homeless and vulnerably housed individuals living in three Canadian cities. The Health and Housing in Transition (HHiT) study was a prospective cohort study conducted between 2009 and 2013 of N = 1190 individuals who were homeless and vulnerably housed at baseline. Perceived quality of living spaces (based on rated comfort, safety, spaciousness, privacy, friendliness and overall quality) and both mental and physical HRQoL were assessed at baseline and at four annual follow up points. Generalized estimating equation (GEE) analyses were used to examine associations between perceived quality of living spaces and both mental and physical HRQoL over the four-year study period, controlling for time-varying housing status, health and socio-demographic variables. The results showed that higher perceived quality of living spaces was positively associated with mental ( b = 0.42; 95% CI 0.38—0.47) and physical ( b = 0.11; 95% CI 0.07—0.15) HRQoL over the four-year study period. Findings indicate that policies aimed at increasing HRQoL in this population should prioritize improving their experienced quality of living spaces.

Suggested Citation

  • Carly Magee & Monica Norena & Anita M. Hubley & Anita Palepu & Stephen W. Hwang & Rosane Nisenbaum & Mohammad Ehsanul Karim & Anne Gadermann, 2019. "Longitudinal Associations between Perceived Quality of Living Spaces and Health-Related Quality of Life among Homeless and Vulnerably Housed Individuals Living in Three Canadian Cities," IJERPH, MDPI, vol. 16(23), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:23:p:4808-:d:292453
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    References listed on IDEAS

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    1. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    2. Thomson, H. & Thomas, S. & Sellstrom, E. & Petticrew, M., 2009. "The health impacts of housing improvement: a systematic review of intervention studies from 1887 to 2007," American Journal of Public Health, American Public Health Association, vol. 99, pages 681-692.
    3. Stephen Hwang & Tim Aubry & Anita Palepu & Susan Farrell & Rosane Nisenbaum & Anita Hubley & Fran Klodawsky & Evie Gogosis & Elizabeth Hay & Shannon Pidlubny & Tatiana Dowbor & Catharine Chambers, 2011. "The health and housing in transition study: a longitudinal study of the health of homeless and vulnerably housed adults in three Canadian cities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(6), pages 609-623, December.
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    1. Mzwandile Mabhala & Winifred Adaobi Esealuka & Amanda Nkolika Nwufo & Chinwe Enyinna & Chelsea Nonkosi Mabhala & Treasure Udechukwu & John Reid & Asmait Yohannes, 2021. "Homelessness Is Socially Created: Cluster Analysis of Social Determinants of Homelessness (SODH) in North West England in 2020," IJERPH, MDPI, vol. 18(6), pages 1-14, March.
    2. Kenneth Chatindiara & Lochner Marais & Jan Cloete, 2022. "Housing and Child Health in South Africa: The Value of Longitudinal Research," IJERPH, MDPI, vol. 19(5), pages 1-12, February.

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