{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T13:04:03Z","timestamp":1792415043634,"version":"4.4.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T00:00:00Z","timestamp":1572912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Homeless people experience poorer health and shorter life expectancies than the UK average, but their health needs and expectations have received little attention in research. This study aims to understand homeless people\u2019s health perceptions and experiences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Semi-structured interviews took place with 28 homeless people in Gloucestershire. The transcripts were thematically analysed drawing out key themes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Homelessness was often rooted in early trauma or an unstable family unit. Participants described poor support on leaving prison, termination of a cohabiting relationship or financial issues as factors precipitating homelessness. There was an expansive and positive understanding of health and its determinants. Mental health issues were common, often linked to traumatic life-events. Substance misuse issues were expressed as a mechanism to manage mental health issues. Participants were frustrated that this co-dependency was not recognized by support services. Participants\u2019 living situation curtailed their ability to make health-enhancing choices, which was compounded by issues accessing mainstream healthcare services.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Mental health in homeless people must be recognized in the context of substance misuse and early trauma. Dealing with housing and addiction are critical to enable prioritisation of healthy behaviours. Healthcare services should recognize the chaotic nature of homeless people and their competing issues.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pubmed\/fdz104","type":"journal-article","created":{"date-parts":[[2019,8,6]],"date-time":"2019-08-06T19:16:41Z","timestamp":1565119001000},"page":"287-294","source":"Crossref","is-referenced-by-count":32,"title":["Homeless people and health: a qualitative enquiry into their practices and perceptions"],"prefix":"10.1093","volume":"43","author":[{"given":"Dave","family":"Mc Conalogue","sequence":"first","affiliation":[{"name":"Public Health Team, Gloucestershire County Council, Gloucester GL1 2TG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicky","family":"Maunder","sequence":"additional","affiliation":[{"name":"Public Health Team, Gloucestershire County Council, Gloucester GL1 2TG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelika","family":"Areington","sequence":"additional","affiliation":[{"name":"Public Health Team, Gloucestershire County Council, Gloucester GL1 2TG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Martin","sequence":"additional","affiliation":[{"name":"Planning Performance and Change Team, Gloucestershire County Council, Gloucester GL1 2TG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikki","family":"Clarke","sequence":"additional","affiliation":[{"name":"Public Health Team, Gloucestershire County Council, Gloucester GL1 2TG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Scott","sequence":"additional","affiliation":[{"name":"Public Health Team, Gloucestershire County Council, Gloucester GL1 2TG, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"key":"2021060807491032100_ref1","volume-title":"Rough Sleeping Statistics Autumn 2018","author":"Minstry of Housing, Communities & Local Government","year":"2019"},{"key":"2021060807491032100_ref2","volume-title":"The Impact of Homelessness on Health \u2013 A Guide for Local Authorities","author":"Local Government Association","year":"2017"},{"key":"2021060807491032100_ref3","doi-asserted-by":"crossref","first-page":"k214","DOI":"10.1136\/bmj.k214","article-title":"Homelessness and public health","volume":"360","author":"Fransham","year":"2018","journal-title":"BMJ"},{"key":"2021060807491032100_ref4","volume-title":"Everybody in: How to end homelessness in Great Britain","author":"Crisis","year":"2018"},{"issue":"9953","key":"2021060807491032100_ref5","doi-asserted-by":"crossref","first-page":"1529","DOI":"10.1016\/S0140-6736(14)61132-6","article-title":"The health of homeless people in high-income countries: Descriptive epidemiology, health consequences, and clinical and policy recommendations","volume":"384","author":"Fazel","year":"2014","journal-title":"The Lancet"},{"key":"2021060807491032100_ref6","volume-title":"Homelessness Kills: An Analysis of the Mortality of Homeless People in Early Twenty-First Century England","author":"Thomas","year":"2012"},{"issue":"8","key":"2021060807491032100_ref7","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1258\/jrsm.2010.10k028","article-title":"Homelessness is a healthcare issue","volume":"103","author":"Hewett","year":"2010","journal-title":"J Royal Soc Med"},{"key":"2021060807491032100_ref8","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"issue":"S2","key":"2021060807491032100_ref9","doi-asserted-by":"crossref","first-page":"275","DOI":"10.2105\/AJPH.2013.301323","article-title":"Relationship between adverse childhood experiences and homelessness and the impact of axis I and II disorders","volume":"103","author":"Roos","year":"2013","journal-title":"Am J Public Health"},{"key":"2021060807491032100_ref10","volume-title":"Routine enquiry for history of adverse childhood experiences (ACEs) in the adult patient population in a general practice setting: A pathfinder study","author":"Bellis","year":"2018"},{"issue":"150","key":"2021060807491032100_ref11","article-title":"Social conditions of becoming homelessness: Qualitative analysis of life stories of homeless peoples","volume":"16","author":"Mabhala","year":"2017","journal-title":"Int J Equity Health"},{"issue":"2","key":"2021060807491032100_ref12","article-title":"From homeless teen to chronically homeless adult: A qualitative study of the impact of childhood events on adult homelessness","volume":"14","author":"Baker Collins","year":"2013","journal-title":"Critic Soc Work"},{"issue":"4","key":"2021060807491032100_ref13","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1111\/j.1365-2524.2006.00624.x","article-title":"Homelessness among problem drug users: prevalence, risk factors and trigger events","volume":"14","author":"Kemp","year":"2006","journal-title":"Health Soc Care Commun"},{"key":"2021060807491032100_ref14","volume-title":"Discrimination at the Margins: The Intersectionality of Homelessness & OtherMarginalized Groups","author":"Lurie","year":"2015"},{"issue":"1","key":"2021060807491032100_ref15","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1080\/23251042.2017.1408549","article-title":"Using an intersectional approach to advance understanding of homeless persons vulnerability to disaster","volume":"4","author":"Vickery","year":"2018","journal-title":"Environ Soc"},{"issue":"2","key":"2021060807491032100_ref16","doi-asserted-by":"crossref","DOI":"10.2105\/AJPH.87.2.217","article-title":"Competing priorities as a barrier to medical care among homeless adults in Los Angeles","volume":"87","author":"Gelberg","year":"1997","journal-title":"Amer J Publ Health"},{"issue":"2","key":"2021060807491032100_ref17","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1300\/J013v40n02_06","article-title":"Access to Women's health care: A qualitative study of barriers perceived by homeless women","volume":"40","author":"Gelberg","year":"2004","journal-title":"Women & Health"},{"issue":"9","key":"2021060807491032100_ref18","doi-asserted-by":"crossref","first-page":"2096","DOI":"10.1111\/jan.12675","article-title":"The perceptions of homeless people regarding their healthcare needs and experiences of receiving health care","volume":"71","author":"Rae","year":"2015","journal-title":"J Adv Nursing"},{"key":"2021060807491032100_ref19","doi-asserted-by":"crossref","first-page":"113","DOI":"10.2147\/AHMT.S26560","article-title":"Social capital and risk and protective behaviors: a global health perspective","volume":"2","author":"Kaljee","year":"2011","journal-title":"Adolesc Health Med Ther"},{"issue":"1","key":"2021060807491032100_ref20","doi-asserted-by":"crossref","DOI":"10.3402\/gha.v4i0.5611","article-title":"Social capital and health \u2013 Implications for health promotion","volume":"4","author":"Eriksson","year":"2011","journal-title":"Global Health Action"},{"key":"2021060807491032100_ref21","volume-title":"Supporting The Social Networks of Homeless People, Housing, Care and Support","author":"Joly","year":"2014"},{"issue":"5","key":"2021060807491032100_ref22","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.drugpo.2014.09.012","article-title":"Social and recovery capital amongst homeless hostel residents who use drugs and alcohol","volume":"26","author":"Neale","year":"2014","journal-title":"Int J Drug Policy"},{"issue":"4","key":"2021060807491032100_ref23","first-page":"462","article-title":"Engaging the citizenship of the homeless\u2014A qualitative study of specialist primary care providers","volume":"32","author":"Mills","year":"2015","journal-title":"Family Practice"},{"issue":"2","key":"2021060807491032100_ref24","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1177\/0020764006062096","article-title":"Homelessness and mental illness: A literature review and a qualitative study of perceptions of the adequacy of care","volume":"52","author":"Bhui","year":"2006","journal-title":"Int J Soc Psychiat"},{"key":"2021060807491032100_ref25","volume-title":"Better Care for People with Co-Occurring Mental Health and Alcohol\/Drug Use Conditions","author":"Public Health England","year":"2017"},{"key":"2021060807491032100_ref26","volume-title":"SCIE Research Briefing 30: The Relationship Between Dual Diagnosis: Substance Misuse and Dealing with Mental Health Issues","author":"Crome","year":"2009"}],"container-title":["Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jpubhealth\/article-pdf\/43\/2\/287\/38502536\/fdz104.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jpubhealth\/article-pdf\/43\/2\/287\/38502536\/fdz104.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,8]],"date-time":"2021-06-08T08:04:08Z","timestamp":1623139448000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jpubhealth\/article\/43\/2\/287\/5613191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,5]]},"references-count":26,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2019,11,5]]},"published-print":{"date-parts":[[2021,6,7]]}},"URL":"https:\/\/doi.org\/10.1093\/pubmed\/fdz104","relation":{},"ISSN":["1741-3842","1741-3850"],"issn-type":[{"value":"1741-3842","type":"print"},{"value":"1741-3850","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,6]]},"published":{"date-parts":[[2019,11,5]]}}}