Content analysis of health concerns among housing first residents with a history of alcohol use disorder
Open accessAbstract
Previous research has utilized survey and administrative data to document health problems among Housing First (HF) residents; however, little is known about residents' personal perspectives on their health. The purpose of this study was to utilize conventional content analysis to analyze health-related concerns among HF residents with histories of alcohol use disorder. Between June and December 2013, we interviewed 44 adults who had histories of chronic homelessness and alcohol use disorder and were residing in single-site HF in Seattle, Washington. Responses centered on five primary topics: alcohol-related harm, perceived health vulnerability, concern for fellow residents' health, end of life, and health and safety promotion. HF residents experience complex alcohol-exacerbated health difficulties and existing health services may not meet the needs of those whose health is particularly compromised. Considering that HF facilitates aging in place, end-of-life care and grief counseling should be integrated into HF services.
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Housing First tenants with alcohol use problems identify illness and aging, health and safety promotion, the link between alcohol and health problems, and intentional and unintentional injury as prominent concerns.
“For example, Housing First tenants with alcohol use problems identify illness and aging, health and safety promotion, the link between alcohol and health problems, and intentional and unintentional injury as prominent concerns (Mackelprang et al., 2021).”
From Harm reduction outcomes and practices in Housing First: A mixed-methods systematic review (2021) · cites this paper as Mackelprang et al., 2021
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- Authors
- Mackelprang, J. L., Clifasefi, S. L., Grazioli, V. S., & Collins, S. E.
- Affiliations
- Swinburne University of Technology (AU)
- University of Washington (US)
- University of Lausanne (CH)
- Corresponding author
- Mackelprang, Jessica L.
- Venue
- Journal of Health Care for the Poor and Underserved
- Publisher
- Project MUSE
- Published
- 2021
- Volume
- 32
- Issue
- 1
- Pages
- 463-486
- ISSN
- 1049-2089 (ISSN-L)
- 1548-6869
- PMC
- PMC9940994
- OpenAlex
- W3134691443
- Cited by
- 11
- References
- 70
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 2 · 2022: 1 · 2021: 1
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Health Care for the Poor and Underserved (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- SERVAL (Université de Lausanne) (acceptedVersion, cc-by)
- IRIS (submittedVersion, cc-by)
- Project Muse (Johns Hopkins University) (submittedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R34AA022077, K01AA021147, R01AA026593)
- Topics
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- Housing First, alcoholism, chronic homelessness, health concerns, alcohol-related harm, end-of-life care, grief counseling, aging in place
- MeSH terms
- Adult, Aged, Alcoholism, Ill-Housed Persons, Housing, Humans, Social Problems, Independent Living
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