Health status, quality of life, residential stability, substance use, and health care utilization among adults applying to a supportive housing program
Open accessAbstract
Supportive housing, defined as subsidized housing in conjunction with site-based social services, may help improve the health and residential stability of highly disadvantaged individuals. This study examined changes in health status, quality of life, substance use, health care utilization, and residential stability among 112 homeless and vulnerably housed individuals who applied to a supportive housing program in Toronto, Canada, from December 2005 to June 2007. Follow-up interviews were conducted every 6 months for 18 months. Comparisons were made between individuals who were accepted into the program (intervention) and those who were wait-listed (usual care) using repeated-measures analyses. Individuals who were accepted into the housing program experienced significantly greater improvements in satisfaction with living situation compared with individuals in the usual care group (time, F(3,3,261) = 47.68, p < 0.01; group × time, F(3,3,261) = 14.60, p < 0.01). There were no significant differences in other quality of life measures, health status, health care utilization, or substance use between the two groups over time. Significant improvement in residential stability occurred over time, independent of assigned housing group (time, F(3,3,261) = 9.96, p < 0.01; group × time, F(3,3,261) = 1.74, p = 0.17). The ability to examine the effects of supportive housing on homeless individuals was limited by the small number of participants who were literally homeless at baseline and by the large number of participants who gained stable housing during the study period regardless of their assigned housing status. Nonetheless, this study shows that highly disadvantaged individuals with a high prevalence of poor physical and mental health and substance use can achieve stable housing.
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- Authors
- Hwang, S. W., Gogosis, E., Chambers, C., Dunn, J. R., Hoch, J. S., & Aubry, T.
- Affiliations
- St. Michael's Hospital (CA)
- University of Ottawa (CA)
- Corresponding author
- Hwang, Stephen W.
- Venue
- Journal of Urban Health
- Published
- 2011-06-03
- Volume
- 88
- Issue
- 6
- Pages
- 1076-1090
- ISSN
- 0028-7091 (ISSN-L)
- 1099-3460
- 1468-2869
- PMC
- PMC3232412
- OpenAlex
- W2032315396
- Cited by
- 144
- References
- 35
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 8 · 2022: 5 · 2021: 52 · 2020: 13 · 2019: 5 · 2018: 9 · 2017: 10 · 2016: 6 · 2015: 3 · 2014: 2 · 2013: 4 · 2012: 3
- FWCI
- 11.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Urban Health (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ontario Ministry of Health and Long-Term Care
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Social Sciences › Urban Studies › Urban and Rural Development Challenges
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Keywords
- supported housing, homelessness, residential stability, quality of life, health status, substance use, health care utilization, subsidized housing, mental health, physical health
- MeSH terms
- Adolescent, Adult, Alcoholism, Canada, Educational Status, Female, Health Services, Health Status, Ill-Housed Persons, Humans, Male, Mental Health, Middle Aged, Prospective Studies, Public Housing, Quality of Life, Social Work, Substance-Related Disorders, Racial Groups, Young Adult
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