{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T07:56:33Z","timestamp":1778658993851,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,3,31]],"date-time":"2015-03-31T00:00:00Z","timestamp":1427760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Institute of Health (NIH)\/Nursing Research (NINR)","award":["T32 NR007077"],"award-info":[{"award-number":["T32 NR007077"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Middle\u2010aged and older homeless women have unique health and social service delivery needs; yet, limited research has been conducted in this area. The purpose of this study was to assess perspectives among prefrail and frail, middle\u2010aged and older homeless women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Sample<\/jats:title><jats:p>Focus group methodology was conducted to assess perspectives among these homeless women (N=20) aged 43 to 62.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measures<\/jats:title><jats:p>Sociodemographic and frailty characteristics were assessed by structured instruments, along with mobility, assistive device use and falls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average age was 53.4; the majority of the sample was African\u2010American (70%). In total, 60% reported living in a shelter for the last 30\u00a0days, while 20% were unsheltered. The majority of the sample reported walking independently (80%) and not using an assistive device (65%). Over one third (35%) fell in the last 30\u00a0days and 70% fell in the last year. Content analysis revealed several themes that included (1) health care needs and challenges experienced; (2) perspectives on sexual decision making; (3) employment difficulties; (4) existing support systems; and (5) development of future program planning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Future research development and implications are discussed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.12195","type":"journal-article","created":{"date-parts":[[2015,4,2]],"date-time":"2015-04-02T19:44:57Z","timestamp":1428003897000},"page":"634-644","source":"Crossref","is-referenced-by-count":25,"title":["Understanding Health Needs and Perspectives of Middle\u2010Aged and Older Women Experiencing Homelessness"],"prefix":"10.1111","volume":"32","author":[{"given":"Benissa E.","family":"Salem","sequence":"first","affiliation":[{"name":"School of Nursing University of California Los Angeles Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Ma\u2010Pham","sequence":"additional","affiliation":[{"name":"Downtown Women's Center Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,31]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2008.1111"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.6627"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-011-1848-9"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2013.01.004"},{"key":"e_1_2_6_6_1","volume-title":"Policy brief: The characteristics of homeless women","author":"Colorado Coalition for the Homeless","year":"2010"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jana.2007.10.001"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/08952841.2011.611391"},{"key":"e_1_2_6_9_1","first-page":"1","volume-title":"Downtown women's needs assessment","author":"Downtown Women's Action Coalition [DWAC]","year":"2013"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05896.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2009.11.003"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2006.00493.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0b013e3181d1a8a9"},{"key":"e_1_2_6_15_1","volume-title":"HIV and aging","author":"Joint United Nations Programme on HIV\/AIDS [UNAIDS]","year":"2013"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886109902173006"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2003.20909.x"},{"key":"e_1_2_6_18_1","volume-title":"Greater Los Angeles homeless count","author":"Los Angeles Homeless Services Authority [LAHSA]","year":"2014"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945913482050"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.1041"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0b013e31825fe3ef"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.2012.24.3.280"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-013-0420-5"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/62.7.722"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102318\u201010\u201057"},{"key":"e_1_2_6_26_1","volume-title":"The coding manual for qualitative researchers","author":"Salda\u00f1a J.","year":"2013"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945913487608"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/JFN.0b013e31827a1e9d"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.3233\/EFI-2004-22201"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20083"},{"key":"e_1_2_6_31_1","volume-title":"Review of Stewart B. 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