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

2019Journal article Open access
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dc.contributor.authorTaylor, Owen
dc.contributor.authorLoubiere, Sandrine
dc.contributor.authorTinland, Aurelie
dc.contributor.authorMoniz, Maria João Vargas
dc.contributor.authorSpinnewijn, Freek
dc.contributor.authorManning, Rachel
dc.contributor.authorGaboardi, Marta
dc.contributor.authorWolf, Judith R L M
dc.contributor.authorBokszczanin, Ana
dc.contributor.authorBernad, Roberto
dc.contributor.authorKällmen, Håkan
dc.contributor.authorToro, Paul
dc.contributor.authorOrnelas, José H.
dc.contributor.authorAuquier, Pascal
dc.date.accessioned2020-03-25T17:27:32Z
dc.date.available2020-03-25T17:27:32Z
dc.date.issued2019
dc.description.abstractObjectives 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.pt_PT
dc.description.sponsorshipEuropean Commissionpt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBritish Medical Journal, 9(11), 1-13 Doi: 10.1136/bmjopen-2019-033237pt_PT
dc.identifier.doi10.1136/bmjopen-2019-033237pt_PT
dc.identifier.issn09598146
dc.identifier.urihttp://hdl.handle.net/10400.12/7486
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMJ Publishing Grouppt_PT
dc.relationH2020-SC6- REVINEQUAL- 2016/GA726997pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.titleLifetime, 5-year and past-year prevalence of homelessness in Europe: a cross-national survey in eight European nationspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited Kingdompt_PT
oaire.citation.endPage13pt_PT
oaire.citation.issue11pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleBritish Medical Journalpt_PT
oaire.citation.volume9pt_PT
person.familyNameTaylor
person.familyNameloubiere
person.familyNameTinland
person.familyNameVargas-Moniz
person.familyNamemanning
person.familyNameGaboardi
person.familyNameBernad
person.familyNameKällmén
person.familyNameOrnelas
person.givenNameOwen
person.givenNamesandrine
person.givenNameAurelie
person.givenNameMaria
person.givenNamerachel
person.givenNameMarta
person.givenNameRoberto
person.givenNameHåkan
person.givenNameJosé
person.identifier.ciencia-id7D1A-ED64-7218
person.identifier.ciencia-idE01A-C48E-88FD
person.identifier.orcid0000-0003-1625-987X
person.identifier.orcid0000-0001-6715-1223
person.identifier.orcid0000-0002-8168-930X
person.identifier.orcid0000-0002-4875-9118
person.identifier.orcid0000-0003-2254-1484
person.identifier.orcid0000-0003-2263-1359
person.identifier.orcid0000-0002-6878-1419
person.identifier.orcid0000-0001-9288-3864
person.identifier.orcid0000-0002-8972-7518
person.identifier.ridC-1812-2018
person.identifier.scopus-author-id56009640900
person.identifier.scopus-author-id57194678982
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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