{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:21:13Z","timestamp":1791566473751,"version":"4.3.4"},"reference-count":46,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T00:00:00Z","timestamp":1560384000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Can. J. Aging"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>R\u00c9SUM\u00c9<\/jats:title><jats:p>Le pr\u00e9sent article vise \u00e0 \u00e9valuer les probl\u00e8mes de sant\u00e9 des Calgariens de plus de 50 ans en situation d\u2019itin\u00e9rance chronique, \u00e0 identifier les manques en mati\u00e8re de services pour cette population et \u00e0 cerner les pr\u00e9dicteurs de l\u2019itin\u00e9rance chronique, tels que les traumatismes durant l\u2019enfance, qui pourraient \u00eatre att\u00e9nu\u00e9s par des modifications touchant les politiques ou la prestation de services. Des personnes en situation d\u2019itin\u00e9rance, dont trois cents provenaient de refuges d\u2019urgence, ont \u00e9t\u00e9 recrut\u00e9es \u00e0 Calgary (Canada) \u00e0 hiver 2016. Les logiciels Excel et SPSS ont \u00e9t\u00e9 utilis\u00e9s pour l\u2019analyse des statistiques descriptives des participants qui ont \u00e9t\u00e9 s\u00e9par\u00e9s en deux groupes, soit les r\u00e9pondants de 50 ans et plus (<jats:italic>n<\/jats:italic> = 142) et ceux de moins de 50 ans (<jats:italic>n<\/jats:italic> = 158). Plus de la moiti\u00e9 des participants \u00e9taient en situation d\u2019itin\u00e9rance continue depuis plus de dix ans. Les personnes plus \u00e2g\u00e9es ont fait \u00e9tat de probl\u00e8mes de sant\u00e9 complexes et d\u2019obstacles importants pour l\u2019acc\u00e8s aux soins de sant\u00e9, associ\u00e9s notamment \u00e0 leurs probl\u00e8mes financiers, aux listes d\u2019attente et au fait de ne pas recevoir d\u2019aide malgr\u00e9 leurs demandes. Les r\u00e9pondants plus \u00e2g\u00e9s ont rapport\u00e9 des taux de traumatismes durant l\u2019enfance inf\u00e9rieurs \u00e0 ceux des r\u00e9pondants plus jeunes, bien que la moyenne de ces taux soit 2,5 fois sup\u00e9rieure \u00e0 celle de la population g\u00e9n\u00e9rale. La reconnaissance des effets crois\u00e9s et cumulatifs de l\u2019itin\u00e9rance de long terme et de l\u2019\u00e2ge pourrait guider la modification des politiques visant \u00e0 r\u00e9duire les cloisonnements entre les services publics. \u00c9tant donn\u00e9 que les personnes \u00e2g\u00e9es en situation d\u2019itin\u00e9rance sont plus \u00e0 risque de mourir pr\u00e9matur\u00e9ment, elles devraient \u00eatre prioris\u00e9es par les programmes d\u2019aide au logement. Des interventions adapt\u00e9es au contexte culturel et tenant compte des traumatismes seraient n\u00e9cessaires pour r\u00e9pondre aux besoins \u00e0 la fois vari\u00e9s et complexes de ce groupe vuln\u00e9rable.<\/jats:p>","DOI":"10.1017\/s0714980819000229","type":"journal-article","created":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T05:17:46Z","timestamp":1560403066000},"page":"42-51","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["A Portrait of Late Life Homelessness in Calgary, Alberta"],"prefix":"10.1017","volume":"39","author":[{"given":"Katrina","family":"Milaney","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasham","family":"Kamran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,6,13]]},"reference":[{"key":"S0714980819000229_ref24","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.16.2152"},{"key":"S0714980819000229_ref7","unstructured":"Calgary Homeless Foundation. (2014). Winter 2014 point-in-time count. Retrieved 11 March 2018 from http:\/\/calgaryhomeless.com\/content\/uploads\/Winter-2014-PIT-Count-Report.pdf"},{"key":"S0714980819000229_ref35","volume-title":"Old and homeless: Double jeopardy","author":"Rich","year":"1995"},{"key":"S0714980819000229_ref36","unstructured":"Serge L. , Eberle M. , Goldberg M. , Sullivan S. , & Dudding P. (2002). Pilot study: The child welfare system and homelessness among Canadian youth. Retrieved 11 March 2018 from http:\/\/www.homelesshub.ca\/sites\/default\/files\/Pilot_Study_The_Child_Welfare_System_and_Homelessness.pdf"},{"key":"S0714980819000229_ref33","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-011-9602-5"},{"key":"S0714980819000229_ref6","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301006"},{"key":"S0714980819000229_ref45","unstructured":"Turner A. (2015). 2014 Alberta point-in-time homeless count: Provincial report. Retrieved 11 March 2018 from http:\/\/media.wix.com\/ugd\/ff2744_82ee4dec83f24f60a821cee54bec8990.pdf"},{"key":"S0714980819000229_ref40","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14121535"},{"key":"S0714980819000229_ref21","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980815000616"},{"key":"S0714980819000229_ref32","unstructured":"McDonald L. , Donahue P. , Janes J. , & Cleghorn L. (2009). Understanding the health, housing and social inclusion of formerly homeless older adults. Retrieved 11 March 2018 from http:\/\/homelesshub.ca\/sites\/default\/files\/2.5%20McDonald%20et%20al.%20-%20Formerly%20Homeless%20Older%20Adults.pdf"},{"key":"S0714980819000229_ref37","unstructured":"Serge L. , & Gnaedinger N. (2003). Housing options for elderly or chronically ill shelter users. Retrieved 13 March 2018 from http:\/\/publications.gc.ca\/collections\/collection_2011\/schl-cmhc\/nh18-1\/NH18-1-14-2003-eng.pdf"},{"key":"S0714980819000229_ref29","doi-asserted-by":"publisher","DOI":"10.1080\/10852352.2012.707439"},{"key":"S0714980819000229_ref27","unstructured":"Kneebone R. , Bell M. , Jackson N. , & Jadidzadeh A. (2015). Who are the homeless? Numbers, trends and characteristics of those without homes in Calgary. Retrieved 5 March 2018 from https:\/\/www.policyschool.ca\/wp-content\/uploads\/2016\/03\/who-are-homeless-kneebone-bell-jackson-jadidzadeh.pdf"},{"key":"S0714980819000229_ref3","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2007.58.7.936"},{"key":"S0714980819000229_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S095925981400015X"},{"key":"S0714980819000229_ref41","unstructured":"Statistics Canada (2016). Census profile, 2016 Census: Calgary. Retrieved 2 November 2018 from http:\/\/www12.statcan.gc.ca\/census-recensement\/2016\/dp-pd\/prof\/details\/page.cfm?Lang=E&Geo1=ER&Code1=4830&Geo2=PR&Code2=48&Data=Count&SearchText=calgary&SearchType=Begins&SearchPR=01&B1=All&TABID=1"},{"key":"S0714980819000229_ref19","unstructured":"Gessler S. , Maes C. , & Skelton I. (2011). The Winnipeg street health report 2011. Retrieved 11 March 2018 from https:\/\/homelesshub.ca\/sites\/default\/files\/Wpg.St.Health.Report.2011.pdf"},{"key":"S0714980819000229_ref11","unstructured":"City of Toronto. (2013). 2013 street needs assessment. Retrieved 11 March 2018 from https:\/\/www.toronto.ca\/legdocs\/mmis\/2013\/cd\/bgrd\/backgroundfile-61365.pdf"},{"key":"S0714980819000229_ref44","unstructured":"Truth and Reconciliation Commission of Canada. (2015). Honouring the truth, reconciling for the future. Retrieved 2 November 2018 from https:\/\/nctr.ca\/assets\/reports\/Final%20Reports\/Executive_Summary_English_Web.pdf"},{"key":"S0714980819000229_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732312469464"},{"key":"S0714980819000229_ref20","unstructured":"Gonyea J. G. , & Bachman S. S. (2009). Ending elder homelessness: The importance of service-enriched housing. Retrieved 6 March 2018 from https:\/\/static1.squarespace.com\/static\/5345ab11e4b0f69e5c973033\/t\/5421be75e4b0a990b3440c3e\/1411497589705\/hearth_research09.pdf"},{"key":"S0714980819000229_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61132-6"},{"key":"S0714980819000229_ref34","unstructured":"Pannell J . (2005). Extra care housing models and older homeless people. Retrieved 13 March 2018 from https:\/\/www.housinglin.org.uk\/Topics\/type\/Extra-Care-housing-models-and-older-homeless-people\/"},{"key":"S0714980819000229_ref1","volume-title":"First people lost: Determining the fate of status First Nation mortality in Canada using administrative data","author":"Akee","year":"2018"},{"key":"S0714980819000229_ref4","unstructured":"British Columbia Non-Profit Housing Association (2017). 2017 homeless count in metro Vancouver: Final report. Prepared for the Metro Vancouver homelessness partnering strategy community entity. Retrieved 11 March 2018 from http:\/\/www.metrovancouver.org\/services\/regional-planning\/homelessness\/HomelessnessPublications\/2017MetroVancouverHomelessCount.pdf"},{"key":"S0714980819000229_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-011-1848-9"},{"key":"S0714980819000229_ref31","unstructured":"McDonald L. , Dergal J. , & Cleghorn L. (2004). Homeless older adults research project: Executive summary. Retrieved 11 March 2018 from http:\/\/www.homelesshub.ca\/sites\/default\/files\/Homeless_older_adults_research.pdf"},{"key":"S0714980819000229_ref8","unstructured":"Calgary Homeless Foundation. (2018). 2018 point-in-time count. Retrieved 11 March 2018 from Calgaryhomeless.com"},{"key":"S0714980819000229_ref10","volume-title":"Adverse childhood experiences (ACEs)","year":"2008"},{"key":"S0714980819000229_ref13","unstructured":"CSH & Hearth, Inc. (2011). Ending homelessness among older adults and elders through permanent supportive housing. Retrieved 7 March 2018 from http:\/\/www.csh.org\/wp-content\/uploads\/2012\/01\/Report_EndingHomelessnessAmongOlderAdultsandSeniorsThroughSupportiveHousing_112.pdf"},{"key":"S0714980819000229_ref16","unstructured":"Gaetz S. (2014). Coming of age: Reimagining the response to youth homelessness in Canada. Retrieved 6 March 2018 from http:\/\/homelesshub.ca\/sites\/default\/files\/ComingOfAgeHH_0.pdf"},{"key":"S0714980819000229_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.0142.x"},{"key":"S0714980819000229_ref18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1990.tb01503.x"},{"key":"S0714980819000229_ref22","unstructured":"Hay D. , Varga-Toth J. , & Hines E. (2006). Frontline health care in Canada: Innovations in delivering services to vulnerable populations. Retrieved 2 March 2018 from http:\/\/ircp.info\/Portals\/11\/Downloads\/Policy\/CPRN%20Frontline%20Healthcare%20in%20Canda.pdf"},{"key":"S0714980819000229_ref25","first-page":"229","article-title":"Homelessness and health","volume":"164","author":"Hwang","year":"2001","journal-title":"Canadian Medical Association Journal"},{"key":"S0714980819000229_ref26","first-page":"1110","article-title":"Identification of cognitive impairment and mental illness in elderly homeless men: Before and after access to primary health care","volume":"55","author":"Joyce","year":"2009","journal-title":"Canadian Family Physician"},{"key":"S0714980819000229_ref28","doi-asserted-by":"publisher","DOI":"10.1080\/15299732.2014.991861"},{"key":"S0714980819000229_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2016.07.019"},{"key":"S0714980819000229_ref38","unstructured":"Shah C. P. , Claire R. , & Reeves A. (2013). Early death among members of Toronto\u2019s Aboriginal community: Walking in their shoes. Retrieved 13 March 2018 from https:\/\/www.toronto.ca\/legdocs\/mmis\/2013\/hl\/bgrd\/backgroundfile-64668.pdf"},{"key":"S0714980819000229_ref9","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-015-0361-3"},{"key":"S0714980819000229_ref39","first-page":"108","article-title":"Delivering primary care to homeless persons: A Policy analysis approach to evaluating the options","volume":"4","author":"Shortt","year":"2008","journal-title":"Healthcare Policy"},{"key":"S0714980819000229_ref42","doi-asserted-by":"publisher","DOI":"10.1177\/070674370304800603"},{"key":"S0714980819000229_ref43","unstructured":"Troy B. (2014). The impact of adverse childhood events on super-utilization in Camden. New Jersey: Master of Public Health Thesis and Capstone Presentations. Retrieved 5 March 2018 from: https:\/\/jdc.jefferson.edu\/mphcapstone_presentation\/127"},{"key":"S0714980819000229_ref46","doi-asserted-by":"publisher","DOI":"10.1080\/02763893.2015.1055024"},{"key":"S0714980819000229_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/BF03403700"},{"key":"S0714980819000229_ref23","unstructured":"HomelessHub. (n. d). Seniors. Retrieved 11 March 2018 from http:\/\/homelesshub.ca\/about-homelessness\/population-specific\/seniors"}],"container-title":["Canadian Journal on Aging \/ La Revue canadienne du vieillissement"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0714980819000229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,3]],"date-time":"2020-02-03T09:05:26Z","timestamp":1580720726000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0714980819000229\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,13]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["S0714980819000229"],"URL":"https:\/\/doi.org\/10.1017\/s0714980819000229","relation":{},"ISSN":["0714-9808","1710-1107"],"issn-type":[{"value":"0714-9808","type":"print"},{"value":"1710-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,13]]},"assertion":[{"value":"Copyright \u00a9 Canadian Association on Gerontology 2019\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}