Dutch homeless people 2.5 years after shelter admission: What are predictors of housing stability and housing satisfaction?

Barbara Van Straaten, Jorien Van der Laan, Gerda Rodenburg, Sandra N. Boersma, Judith R. L. M. Wolf, Dike Van de Mheen

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Housing stability is an important focus in research on homeless people. Although definitions of stable housing differ across studies, the perspective of homeless people themselves is generally not included. Therefore, this study explored the inclusion of satisfaction with the participant's current housing status as part of the definition of housing stability and also examined predictors of housing stability with and without the inclusion of homeless person's perspective. Of the initial cohort consisting of 513 homeless participants who were included at baseline in 2011, 324 (63.2%) were also interviewed at 2.5-year follow-up. To determine independent predictors of housing stability, we fitted multivariate logistic regression models using stepwise backward regression. At 2.5-year follow-up, 222 participants (68.5%) were stably housed and 163 participants (51.1%) were stably housed and satisfied with their housing status. Having been arrested (OR = 0.36, 95% CI: 0.20-0.63), a high level of somatisation (physical manifestations of psychological distress) (OR = 0.52, 95% CI: 0.30-0.91) and having unmet care needs (OR = 0.77, 95% CI: 0.60-0.99) were negative predictors of housing stability. Having been arrested (OR = 0.43, 95% CI: 0.25-0.75), high debts (OR = 0.45, 95% CI: 0.24-0.84) and a high level of somatisation (OR = 0.49, 95% CI: 0.28-0.84) were negative predictors of stable housing when satisfaction with the housing status was included. Because inclusion of a subjective component revealed a subgroup of stably housed but not satisfied participants and changed the significant predictors, this seems a relevant addition to the customary definition of housing stability. Participants with characteristics negatively associated with housing stability should receive more extensive and individually tailored support services to facilitate achievement of housing stability.

Original languageEnglish
Pages (from-to)710-722
JournalHealth & Social Care in the Community
Volume25
Issue number2
DOIs
Publication statusPublished - 2017

Keywords

  • cohort studies
  • homelessness
  • housing
  • user satisfaction
  • vulnerable populations
  • CRITICAL TIME INTERVENTION
  • MENTAL-ILLNESS
  • HEALTH-CARE
  • SOCIAL SUPPORT
  • SERVICES
  • OUTCOMES
  • POPULATION
  • TRIAL
  • INDIVIDUALS
  • DISORDERS

Cite this

Van Straaten, Barbara ; Van der Laan, Jorien ; Rodenburg, Gerda ; Boersma, Sandra N. ; Wolf, Judith R. L. M. ; Van de Mheen, Dike. / Dutch homeless people 2.5 years after shelter admission : What are predictors of housing stability and housing satisfaction?. In: Health & Social Care in the Community . 2017 ; Vol. 25, No. 2. pp. 710-722.
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title = "Dutch homeless people 2.5 years after shelter admission: What are predictors of housing stability and housing satisfaction?",
abstract = "Housing stability is an important focus in research on homeless people. Although definitions of stable housing differ across studies, the perspective of homeless people themselves is generally not included. Therefore, this study explored the inclusion of satisfaction with the participant's current housing status as part of the definition of housing stability and also examined predictors of housing stability with and without the inclusion of homeless person's perspective. Of the initial cohort consisting of 513 homeless participants who were included at baseline in 2011, 324 (63.2{\%}) were also interviewed at 2.5-year follow-up. To determine independent predictors of housing stability, we fitted multivariate logistic regression models using stepwise backward regression. At 2.5-year follow-up, 222 participants (68.5{\%}) were stably housed and 163 participants (51.1{\%}) were stably housed and satisfied with their housing status. Having been arrested (OR = 0.36, 95{\%} CI: 0.20-0.63), a high level of somatisation (physical manifestations of psychological distress) (OR = 0.52, 95{\%} CI: 0.30-0.91) and having unmet care needs (OR = 0.77, 95{\%} CI: 0.60-0.99) were negative predictors of housing stability. Having been arrested (OR = 0.43, 95{\%} CI: 0.25-0.75), high debts (OR = 0.45, 95{\%} CI: 0.24-0.84) and a high level of somatisation (OR = 0.49, 95{\%} CI: 0.28-0.84) were negative predictors of stable housing when satisfaction with the housing status was included. Because inclusion of a subjective component revealed a subgroup of stably housed but not satisfied participants and changed the significant predictors, this seems a relevant addition to the customary definition of housing stability. Participants with characteristics negatively associated with housing stability should receive more extensive and individually tailored support services to facilitate achievement of housing stability.",
keywords = "cohort studies, homelessness, housing, user satisfaction, vulnerable populations, CRITICAL TIME INTERVENTION, MENTAL-ILLNESS, HEALTH-CARE, SOCIAL SUPPORT, SERVICES, OUTCOMES, POPULATION, TRIAL, INDIVIDUALS, DISORDERS",
author = "{Van Straaten}, Barbara and {Van der Laan}, Jorien and Gerda Rodenburg and Boersma, {Sandra N.} and Wolf, {Judith R. L. M.} and {Van de Mheen}, Dike",
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Dutch homeless people 2.5 years after shelter admission : What are predictors of housing stability and housing satisfaction? / Van Straaten, Barbara; Van der Laan, Jorien; Rodenburg, Gerda; Boersma, Sandra N.; Wolf, Judith R. L. M.; Van de Mheen, Dike.

In: Health & Social Care in the Community , Vol. 25, No. 2, 2017, p. 710-722.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Dutch homeless people 2.5 years after shelter admission

T2 - What are predictors of housing stability and housing satisfaction?

AU - Van Straaten, Barbara

AU - Van der Laan, Jorien

AU - Rodenburg, Gerda

AU - Boersma, Sandra N.

AU - Wolf, Judith R. L. M.

AU - Van de Mheen, Dike

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AB - Housing stability is an important focus in research on homeless people. Although definitions of stable housing differ across studies, the perspective of homeless people themselves is generally not included. Therefore, this study explored the inclusion of satisfaction with the participant's current housing status as part of the definition of housing stability and also examined predictors of housing stability with and without the inclusion of homeless person's perspective. Of the initial cohort consisting of 513 homeless participants who were included at baseline in 2011, 324 (63.2%) were also interviewed at 2.5-year follow-up. To determine independent predictors of housing stability, we fitted multivariate logistic regression models using stepwise backward regression. At 2.5-year follow-up, 222 participants (68.5%) were stably housed and 163 participants (51.1%) were stably housed and satisfied with their housing status. Having been arrested (OR = 0.36, 95% CI: 0.20-0.63), a high level of somatisation (physical manifestations of psychological distress) (OR = 0.52, 95% CI: 0.30-0.91) and having unmet care needs (OR = 0.77, 95% CI: 0.60-0.99) were negative predictors of housing stability. Having been arrested (OR = 0.43, 95% CI: 0.25-0.75), high debts (OR = 0.45, 95% CI: 0.24-0.84) and a high level of somatisation (OR = 0.49, 95% CI: 0.28-0.84) were negative predictors of stable housing when satisfaction with the housing status was included. Because inclusion of a subjective component revealed a subgroup of stably housed but not satisfied participants and changed the significant predictors, this seems a relevant addition to the customary definition of housing stability. Participants with characteristics negatively associated with housing stability should receive more extensive and individually tailored support services to facilitate achievement of housing stability.

KW - cohort studies

KW - homelessness

KW - housing

KW - user satisfaction

KW - vulnerable populations

KW - CRITICAL TIME INTERVENTION

KW - MENTAL-ILLNESS

KW - HEALTH-CARE

KW - SOCIAL SUPPORT

KW - SERVICES

KW - OUTCOMES

KW - POPULATION

KW - TRIAL

KW - INDIVIDUALS

KW - DISORDERS

U2 - 10.1111/hsc.12361

DO - 10.1111/hsc.12361

M3 - Article

VL - 25

SP - 710

EP - 722

JO - Health & Social Care in the Community

JF - Health & Social Care in the Community

SN - 1365-2524

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ER -