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

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dc.contributor.author Taylor, Owen
dc.contributor.author Loubière, Sandrine
dc.contributor.author Tinland, Aurelie
dc.contributor.author Vargas-Moniz, Maria J.
dc.contributor.author Spinnewijn, Freek
dc.contributor.author Manning, Rachel Marie
dc.contributor.author Gaboardi, Marta
dc.contributor.author Wolf, Judith R.
dc.contributor.author Bokszczanin, Anna
dc.contributor.author Bernad, Roberto
dc.contributor.author Kallmen, Hakan
dc.contributor.author Toro, Paul
dc.contributor.author Ornelas, José
dc.contributor.author Auquier, Pascal
dc.contributor.author HOME-EU Consortium
dc.date.accessioned 2020-02-13T12:40:37Z
dc.date.available 2020-02-13T12:40:37Z
dc.date.issued 2019
dc.identifier.uri http://hdl.handle.net/10344/8519
dc.description peer-reviewed en_US
dc.description.abstract Objectives 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 en_US
dc.language.iso eng en_US
dc.publisher BMJ Publishing Group en_US
dc.relation GA726997 en_US
dc.relation.ispartofseries BMJ Open;9, e033237
dc.subject homelessness en_US
dc.subject european adult citizens en_US
dc.subject Sociodemographic data en_US
dc.title Lifetime, 5-year and past-year prevalence of homelessness in europe: a cross-national survey in eight european nations en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1136/bmjopen-2019-033237
dc.contributor.sponsor ERC en_US
dc.relation.projectid 2016/ GA726997 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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