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This qualitative study examined the residential transitions of people with histories of residential instability and homelessness to understand factors contributing to the instability they experience. Interviews were conducted with 64 participants about their housing transitions, in the final year of a 4\u2010year, prospective cohort study in three Canadian cities (Ottawa, Toronto, and Vancouver). Findings showed that participants pointed to both distal and proximal factors as affecting residential transitions, including interpersonal conflict, safety concerns, substance use, poverty, pests, and health. Many reported disconnection from their housing and a lack of improvement from one housing situation to the next, demonstrating how even when housed, instability persisted. Our study highlights the complexity associated with participants' often unplanned and abrupt residential transitions. The complex and distal issues that affect housing transitions require structural changes, in addition to individual\u2010based interventions focused on the proximal problems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcop.22843","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T23:08:39Z","timestamp":1648076919000},"page":"3402-3420","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Cycles of instability: Proximal and distal influences on residential instability among people with histories of homelessness in three Canadian cities"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9384-1137","authenticated-orcid":false,"given":"Konrad","family":"Czechowski","sequence":"first","affiliation":[{"name":"Centre for Research on Educational and Community Services, Faculty of Social Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Sylvestre","sequence":"additional","affiliation":[{"name":"Centre for Research on Educational and Community Services, Faculty of Social Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evie","family":"Gogosis","sequence":"additional","affiliation":[{"name":"MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital Unity Health Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayda","family":"Agha","sequence":"additional","affiliation":[{"name":"Centre for Research on Educational and Community Services, Faculty of Social Sciences University of Ottawa  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Kerman","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexia","family":"Polillo","sequence":"additional","affiliation":[{"name":"Centre for Addiction and Mental Health Toronto Ontario Canada"},{"name":"Department of Psychiatry University of Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Palepu","sequence":"additional","affiliation":[{"name":"Centre for Health Evaluation and Outcome Sciences St. Paul's Hospital Vancouver British Columbia Canada"},{"name":"School of Population and Public Health University of British Columbia Vancouver British Columbia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen W.","family":"Hwang","sequence":"additional","affiliation":[{"name":"MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital Unity Health Toronto Toronto Ontario Canada"},{"name":"Department of Medicine, Division of General Internal Medicine University of Toronto Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-577"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(20)30055-4"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajcp.12067"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/02673037.2013.773585"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674371506001102"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcop.22423"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/02673037.2014.982517"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajcp.12140"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7202-6"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1440783311422458"},{"key":"e_1_2_9_12_1","volume-title":"Counting the homeless\u00a02006","author":"Chamberlain C.","year":"2008"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201900260"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthplace.2018.04.001"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2013.301312"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/hlw008"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781452230153"},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","unstructured":"Cox R. 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