{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:37:49Z","timestamp":1792089469178,"version":"4.4.0"},"reference-count":151,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015091","name":"NIHR Collaboration for Leadership in Applied Health Research and Care South London","doi-asserted-by":"publisher","award":["doctoral award"],"award-info":[{"award-number":["doctoral award"]}],"id":[{"id":"10.13039\/501100015091","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec024\">\n<jats:title>Background<\/jats:title>\n<jats:p>Women with experience of homelessness face severe health inequalities, with their average age at death being nearly half that of the general population. Recent research emphasises the compound challenges women with homeless experiences face in seeking help,accessing and engaging with support services, but we know little about the influence of different intersectional dimensions on their support access and experiences. The paper aims to review the evidence and critically engage with the impact of gender\/sex, race, ethnicity, age, disability, class\/poverty, migration status, religion, pregnancy\/maternity and sexual orientation on women\u2019s homelessness trajectories and engagement with services.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec025\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We conducted a systematic narrative review of studies in 2023 investigating the impact of intersectional dimensions on women, trans women, and non-binary individuals with experiences of homelessness\u2019 engagement with services and help-seeking. Primary qualitative, quantitative or mixed method research, written in English and published after 2010, was included. Narrative methods were utilised in the synthesis and analysis of the research.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec026\">\n<jats:title>Results<\/jats:title>\n<jats:p>The search identified 4109 articles after deduplication from which 52 were included for review. The findings highlighted intersectional experiences in help-seeking and engagement across housing, healthcare, the police, social services, and voluntary organisations. The women, trans women and non-binary individuals included in the studies reported a range of barriers, stigma, and discrimination, often rooted in systematic and intersectional disadvantage which delayed or prevented help-seeking and recovery.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec027\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The review investigates the multiple challenges faced by women, trans women and non-binary individuals with experiences of homelessness, highlighting systemic and intersectional disadvantages which impinge on their agency. Changes in policy and practice are recommended to develop more effective person-centred, culturally and gender-sensitive approaches that can transform intersectional dimensions into strengths, empowering women and improving their recovery and engagement with services.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0321300","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T17:54:27Z","timestamp":1745517267000},"page":"e0321300","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":15,"title":["A systematic narrative review of the research evidence of the impact of intersectionality on service engagement and help-seeking across different groups of women, trans women, and non-binary individuals experiencing homelessness and housing exclusion"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9256-6786","authenticated-orcid":true,"given":"Carolin","family":"Hess","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Abdulla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Finzel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonina","family":"Semkina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jess","family":"Harris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annette","family":"Boaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill","family":"Manthorpe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"key":"pone.0321300.ref001","author":"Office 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Fordham","year":"2015","journal-title":"Community Pract"},{"issue":"9","key":"pone.0321300.ref013","doi-asserted-by":"crossref","first-page":"1582","DOI":"10.1177\/10778012221117599","article-title":"Centering our voices: Experiences of violence among homeless african american women","volume":"29","author":"E Deal","year":"2023","journal-title":"Violence Against Women"},{"issue":"2","key":"pone.0321300.ref014","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1080\/02673037.2020.1853069","article-title":"Governing homeless mothers: the unmaking of home and family","volume":"37","author":"E Bimpson","year":"2022 Feb 7","journal-title":"Hous Stud"},{"issue":"1","key":"pone.0321300.ref015","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1080\/10530789.2018.1441677","article-title":"An investigation of predictors of mental health in single men and women experiencing homelessness in three Canadian cities","volume":"27","author":"RA Cherner","year":"2018 Jan 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meta-analysis","volume":"18","author":"C O\u2019Leary","year":"2022 Sep","journal-title":"Campbell Syst Rev"},{"issue":"7\u20138","key":"pone.0321300.ref023","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1111\/jocn.12056","article-title":"A systematic review of interventions for homeless women","volume":"22","author":"V Speirs","year":"2013 Apr","journal-title":"J Clin Nurs"},{"issue":"1","key":"pone.0321300.ref024","doi-asserted-by":"crossref","first-page":"e23","DOI":"10.1016\/S2468-2667(21)00234-6","article-title":"Housing interventions for women experiencing intimate partner violence: a systematic review","volume":"7","author":"Ar Yakubovich","year":"2022 Jan","journal-title":"Lancet Public Health"},{"key":"pone.0321300.ref025","article-title":"Health promotion model.","volume-title":"Nursing theories: The base for professional nursing practice. Pearson new international edition","author":"N. Pender","year":"2014"},{"issue":"Supplement 1","key":"pone.0321300.ref026","doi-asserted-by":"crossref","first-page":"S712","DOI":"10.1192\/j.eurpsy.2021.1887","article-title":"Systematic review of racial and ethnic disparities pertaining treatment in mental healthcare amongst incarcerated patients","author":"A Quintao","year":"2021 Apr","journal-title":"Eur Psychiatry"},{"issue":"2","key":"pone.0321300.ref027","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1136\/bmjspcare-2020-002719","article-title":"Hospice care access inequalities: a systematic review and narrative synthesis","volume":"12","author":"J Tobin","year":"2022 Jun","journal-title":"BMJ Support Palliat Care"},{"issue":"11\u201312","key":"pone.0321300.ref028","doi-asserted-by":"crossref","first-page":"2061","DOI":"10.1111\/jocn.14818","article-title":"Homelessness among youth who identify as LGBTQ+: a systematic review","volume":"28","author":"E McCann","year":"2019 Jun","journal-title":"J Clin Nurs"},{"issue":"1","key":"pone.0321300.ref029","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1017\/S0714980815000616","article-title":"A literature review of homelessness and aging: suggestions for a policy and practice-relevant research agenda","volume":"35","author":"A Grenier","year":"2016 Mar","journal-title":"Can J Aging"},{"issue":"11","key":"pone.0321300.ref030","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-009238","article-title":"Systematic review of interventions to reduce illicit drug use in female drug-dependent street sex workers","volume":"5","author":"N Jeal","year":"2015","journal-title":"BMJ Open"},{"issue":"Supplement 1","key":"pone.0321300.ref031","first-page":"11","article-title":"Housing support in pregnancy: a systematic review of social welfare outcomes for families","author":"K Brewde","year":"2023 Mar","journal-title":"J Paediatr Child Health"},{"issue":"5","key":"pone.0321300.ref032","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1111\/hsc.12972","article-title":"Barriers and facilitators perceived by women while homeless and pregnant in accessing antenatal and or postnatal healthcare: a qualitative evidence synthesis","volume":"28","author":"C McGeough","year":"2020","journal-title":"Health Soc Care Community"},{"issue":"1","key":"pone.0321300.ref033","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s12954-020-0356-9","article-title":"What constitutes effective problematic substance use treatment from the perspective of people who are homeless? A systematic review and meta-ethnography","volume":"17","author":"H Carver","year":"2020","journal-title":"Harm Reduct J"},{"issue":"5","key":"pone.0321300.ref034","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1111\/j.1525-1446.2008.00726.x","article-title":"Experiences of homeless people in the health care delivery system: a descriptive phenomenological study","volume":"25","author":"DC Martins","year":"2008","journal-title":"Public Health Nurs"},{"issue":"7156","key":"pone.0321300.ref035","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1136\/bmj.317.7156.465","article-title":"Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings","volume":"317","author":"LA Bero","year":"1998","journal-title":"BMJ"},{"key":"pone.0321300.ref036","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1258\/1355819054308549","article-title":"Towards systematic reviews that inform health care management and policy-making","volume":"10","author":"J Lavis","year":"2005","journal-title":"J Health Serv Res Policy"},{"key":"pone.0321300.ref037","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/2046-4053-1-7","article-title":"Why prospective registration of systematic reviews makes sense","volume":"1","author":"L Stewart","year":"2012","journal-title":"Syst Rev"},{"issue":"2","key":"pone.0321300.ref038","first-page":"19","article-title":"The ETHOS definition and classification of homelessness: an analysis","volume":"5","author":"K Amore","journal-title":"J Homeless Stud"},{"issue":"11","key":"pone.0321300.ref039","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1177\/026101838400401106","article-title":"Definitions of homelessness: a feminist perspective","volume":"4","author":"S Watson","year":"1984","journal-title":"Crit Soc Policy"},{"key":"pone.0321300.ref040","doi-asserted-by":"crossref","DOI":"10.2139\/ssrn.2927811","article-title":"Women\u2019s homelessness: International evidence on causes, consequences, coping and policies","author":"G Johnson","year":"2017"},{"issue":"1","key":"pone.0321300.ref041","first-page":"163","article-title":"Women and homelessness","volume":"4","author":"I Baptista","journal-title":"Homeless res Eur"},{"key":"pone.0321300.ref042","first-page":"42","article-title":"Mapping the margins: Intersectionality, identity politics, and violence against women of color.","volume-title":"The public nature of private violence","author":"KW Crenshaw"},{"issue":"2","key":"pone.0321300.ref043","doi-asserted-by":"crossref","first-page":"e278","DOI":"10.1111\/hsc.13499","article-title":"Health-seeking behaviours in the homeless population: a concept analysis","volume":"30","author":"JN Becker","year":"2022","journal-title":"Health Soc Care Community"},{"key":"pone.0321300.ref044","author":"E Aromataris","year":"2020"},{"key":"pone.0321300.ref045","author":"World Bank.","year":"2022"},{"issue":"3","key":"pone.0321300.ref046","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1111\/j.1540-4560.2007.00519.x","article-title":"Toward an international understanding of homelessness","volume":"63","author":"PA Toro","year":"2007","journal-title":"J Soc Issues"},{"issue":"4","key":"pone.0321300.ref047","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/S0197-3975(00)00010-2","article-title":"Homelessness: a proposal for a global definition and classification","volume":"24","author":"Springer S","year":"2000","journal-title":"Habitat Int"},{"issue":"5","key":"pone.0321300.ref048","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1016\/j.jclinepi.2013.12.006","article-title":"A population search filter for hard-to-reach populations increased search efficiency for a systematic review","volume":"67","author":"C Cooper","year":"2014","journal-title":"J Clin Epidemiol"},{"key":"pone.0321300.ref049","author":"MM Gagnon","year":"2014"},{"issue":"1","key":"pone.0321300.ref050","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/s13643-019-1009-5","article-title":"Searching for health equity: Validation of a search filter for ethnic and socioeconomic inequalities in transport","volume":"8","author":"J Hosking","year":"2019","journal-title":"Syst Rev"},{"issue":"2","key":"pone.0321300.ref051","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.dhjo.2018.11.009","article-title":"Developing a systematic search strategy related to people with disability: A brief report testing the utility of proposed disability search terms in a search about opioid use","volume":"12","author":"M Ioerger","year":"2019","journal-title":"Disabil Health J"},{"key":"pone.0321300.ref052","author":"M Holland","year":"2020"},{"issue":"1","key":"pone.0321300.ref053","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1177\/0042098012452329","article-title":"Pathways into multiple exclusion homelessness in seven UK cities","volume":"50","author":"S Fitzpatrick","year":"2013","journal-title":"Urban Stud"},{"issue":"1","key":"pone.0321300.ref054","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.evalprogplan.2005.09.001","article-title":"Insights from the street: Perceptions of services and providers by homeless young adults","volume":"29","author":"SJ Thompson","year":"2006","journal-title":"Eval Program Plann"},{"issue":"3","key":"pone.0321300.ref055","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1111\/jebm.12266","article-title":"Gray literature: an important resource in systematic reviews","volume":"10","author":"A Paez","year":"2017","journal-title":"J Evid Based Med"},{"key":"pone.0321300.ref056","volume-title":"EPPI-Reviewer 4.0: software for research synthesis","author":"J Thomas","year":"2010"},{"issue":"1","key":"pone.0321300.ref057","first-page":"b92","article-title":"Guidance on the conduct of narrative synthesis in systematic reviews","volume":"1","author":"J Popay","year":"2006","journal-title":"A product from the ESRC methods programme Version"},{"issue":"3","key":"pone.0321300.ref058","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1002\/jrsm.1354","article-title":"Best practice guidelines for abstract screening large\u2010evidence systematic reviews and meta\u2010analyses","volume":"10","author":"JR Polanin","year":"2019","journal-title":"Res Synth Methods"},{"issue":"3","key":"pone.0321300.ref059","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1097\/XEB.0000000000000062","article-title":"Qualitative research synthesis: Methodological guidance for systematic reviewers utilizing meta-aggregation","volume":"13","author":"C Lockwood","year":"2015","journal-title":"Int J Evid Based Healthc"},{"issue":"2","key":"pone.0321300.ref060","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"V Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"pone.0321300.ref061","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1186\/1472-6963-14-89","article-title":"Patient engagement in research: A systematic review","volume":"14","author":"JP Domecq","year":"2014","journal-title":"BMC Health Serv Res"},{"issue":"6","key":"pone.0321300.ref062","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1080\/0966369X.2021.1896997","article-title":"\u2018This is how it works here\u2019: the spatial deprioritisation of trans people within homelessness services in Wales","volume":"29","author":"E England","year":"2021","journal-title":"Gender, Place Cul"},{"issue":"3","key":"pone.0321300.ref063","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1177\/0844562119859138","article-title":"Spaces of exclusion: Safety, stigma, and surveillance of mothers experiencing homelessness","volume":"51","author":"S Benbow","year":"2019","journal-title":"Can J Nurs Res"},{"issue":"2","key":"pone.0321300.ref064","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1177\/0844562118818948","article-title":"Mothering Without a Home: Internalized impacts of social exclusion","volume":"51","author":"S Benbow","year":"2019","journal-title":"Can J Nurs Res"},{"issue":"3","key":"pone.0321300.ref065","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1177\/0844562119840910","article-title":"\u201cUntil you hit rock bottom there\u2019s no support\u201d: Contradictory Sources and systems of support for mothers experiencing homelessness in southwestern Ontario","volume":"51","author":"S Benbow","year":"2019","journal-title":"Can J Nurs Res"},{"issue":"8","key":"pone.0321300.ref066","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1080\/01459740.2020.1753046","article-title":"Necropolitics in the \u201cCompassionate\u201d city: care\/brutality in San Francisco","volume":"39","author":"AM L\u00f3pez","year":"2020 Nov 16","journal-title":"Med Anthropol"},{"key":"pone.0321300.ref067","first-page":"6","author":"K Reeve","year":"2020"},{"issue":"4","key":"pone.0321300.ref068","doi-asserted-by":"crossref","first-page":"1988","DOI":"10.1093\/bjsw\/bcab130","article-title":"Housing, homelessness and children\u2019s social care: Towards an urgent research agenda","volume":"52","author":"S Cross","year":"2022","journal-title":"Br J Soc Work"},{"key":"pone.0321300.ref069","author":"S Jaleel","year":"2023"},{"issue":"4","key":"pone.0321300.ref070","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1177\/1074840714548943","article-title":"Voices from the street: Exploring the realities of family homelessness","volume":"20","author":"L G\u00fcltekin","year":"2014","journal-title":"J Fam Nurs"},{"key":"pone.0321300.ref071","article-title":"I just wanted somewhere safeWomen who are homeless with their children","author":"M Kirkman","year":"2014 Apr 10","journal-title":"J Soc"},{"issue":"22","key":"pone.0321300.ref072","first-page":"137","article-title":"Treatment desires and symptomatology among substance-abusing homeless mothers: What I want versus what I need","volume":"4040","author":"N Slesnick","year":"2013","journal-title":"J Behav Health Serv Res"},{"issue":"5","key":"pone.0321300.ref073","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1080\/01488376.2011.585326","article-title":"\u201cDon\u2019t leave me hanging\u201d: homeless mothers\u2019 perceptions of service providers","volume":"37","author":"B Sznajder-Murray","year":"2011","journal-title":"J Soc Serv Res"},{"issue":"8","key":"pone.0321300.ref074","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1002\/jcop.21499","article-title":"\u201cUnderstand my side, my situation, and my story:\u201d Insights into the service needs among substance-abusing homeless mothers","volume":"40","author":"P Dashora","year":"2012","journal-title":"J Community 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Stud"},{"issue":"3","key":"pone.0321300.ref078","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1108\/JACPR-05-2022-0717","article-title":"The \u2018epidemic within the pandemic\u2019: meeting the needs of racially minoritised women experiencing domestic abuse during the Covid-19 pandemic","volume":"15","author":"S Magill","year":"2023","journal-title":"J Aggress Conflic Peace Res"},{"issue":"1","key":"pone.0321300.ref079","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1080\/02673037.2013.729269","article-title":"A house is not a home: The housing experiences of African and Caribbean mothers living with HIV","volume":"28","author":"S Greene","year":"2013","journal-title":"Housing Stud"},{"key":"pone.0321300.ref080","volume-title":"The state of women\u2019s housing need & homelessness in Canada","author":"K Schwan","year":"2020"},{"key":"pone.0321300.ref081","article-title":"The impact of COVID\u201019 and housing insecurity on lower\u2010income Black women","volume":"80","author":"HS Versey","year":"2022","journal-title":"J Soc Issu"},{"key":"pone.0321300.ref082","doi-asserted-by":"crossref","first-page":"107282","DOI":"10.1016\/j.childyouth.2023.107282","article-title":"Investigating the mental health outcomes among LGBTQ youth experiencing homelessness in York Region, Ontario","volume":"155","author":"A Abramovich","year":"2023","journal-title":"Child Youth Serv Rev"},{"issue":"1","key":"pone.0321300.ref083","first-page":"1","article-title":"Supporting pregnant women experiencing homelessness","volume":"76","author":"J Theobald","year":"2022","journal-title":"Aust Soc Work"},{"key":"pone.0321300.ref084","author":"V Maclugash","year":"2024"},{"issue":"1","key":"pone.0321300.ref085","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1080\/10522158.2012.642671","article-title":"Does a baby help young women transition out of homelessness? 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The political intersectionality of older women\u2019s homelessness in Poland","volume":"29","author":"M Mostowska","year":"2020","journal-title":"J Gender Stud"},{"key":"pone.0321300.ref097","article-title":"Needs assessment for creating a patient-centered, community-engaged health program for homeless pregnant women","author":"A Tegan","year":"2018"},{"key":"pone.0321300.ref098","author":"GOV.UK","year":"2023"},{"key":"pone.0321300.ref099","first-page":"68","author":"J Austin","year":"2019"},{"issue":"2","key":"pone.0321300.ref100","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/JFN.0000000000000067","article-title":"House to house, shelter to shelter: experiences of black women seeking housing after leaving abusive relationships","volume":"11","author":"PR Wilson","year":"2015","journal-title":"J Forensic Nurs"},{"issue":"1","key":"pone.0321300.ref101","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1080\/10538720.2013.866867","article-title":"Understanding service experiences of LGBTQ young people through an intersectional lens","volume":"26","author":"MA Wagaman","year":"2014","journal-title":"J Gay Lesbian Soc Serv"},{"issue":"11\u201312","key":"pone.0321300.ref102","doi-asserted-by":"crossref","first-page":"NP5993","DOI":"10.1177\/0886260518811425","article-title":"Length of women\u2019s stays in domestic violence shelters: Examining the contribution of background variables, level of violence, reasons for entering shelters, and expectations","volume":"36","author":"A Ben-Porat","year":"2021","journal-title":"J Interpers Violence"},{"issue":"5","key":"pone.0321300.ref103","first-page":"247","article-title":"Domestic abuse and older people: factors influencing help-seeking","volume":"19","author":"S Wydall","year":"2017","journal-title":"JAP"},{"issue":"23\u201324","key":"pone.0321300.ref104","doi-asserted-by":"crossref","first-page":"11236","DOI":"10.1177\/0886260519898434","article-title":"Victimization and resilience among sexual and 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past trauma and health interactions on homeless women\u2019s views of perinatal care: a qualitative study","volume":"69","author":"A Gordon","year":"2019","journal-title":"Br J Gen Pract"},{"issue":"9","key":"pone.0321300.ref111","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1080\/07399332.2014.989437","article-title":"Sex work and motherhood: social and structural barriers to health and social services for pregnant and parenting street and off-street sex workers","volume":"36","author":"P Duff","year":"2015","journal-title":"Health Care Women Int"},{"issue":"1","key":"pone.0321300.ref112","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1177\/14624745211017818","article-title":"The carceral production of transgender poverty: how racialized gender policing deprives transgender women of housing and safety","volume":"25","author":"D Yarbrough","year":"2021","journal-title":"Punish Soc"},{"issue":"13\u201314","key":"pone.0321300.ref113","doi-asserted-by":"crossref","first-page":"NP12634","DOI":"10.1177\/08862605211001465","article-title":"Technology-facilitated domestic violence against immigrant and refugee women: a qualitative study","volume":"37","author":"N Henry","year":"2022","journal-title":"J Interpers Violence"},{"issue":"4","key":"pone.0321300.ref114","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1093\/sw\/sws025","article-title":"Experiences associated with intervening with homeless, substance-abusing mothers: the importance of success","volume":"57","author":"N Slesnick","year":"2012","journal-title":"Soc Work"},{"key":"pone.0321300.ref115","article-title":"The impact of COVID\u201019 and housing insecurity on lower\u2010income Black women","author":"HS Versey","year":"2022","journal-title":"J Soc Issu"},{"key":"pone.0321300.ref116","first-page":"1","article-title":"Inside the open door: considerations of inclusivity among women accessing an open door housing service in Canada","author":"H Brais","year":"2022","journal-title":"Int J Homelessness"},{"issue":"13\u201314","key":"pone.0321300.ref117","doi-asserted-by":"crossref","first-page":"6005","DOI":"10.1177\/0886260518816320","article-title":"\u201cMy sister is the one that made me stay above water\u201d: How social supports are maintained and strained when survivors of intimate partner violence reside in emergency shelter programs","volume":"36","author":"AM Stylianou","year":"2021","journal-title":"J Interpers Violence"},{"key":"pone.0321300.ref118","volume-title":"Girlhood Interrupted: The Erasure of Black Girls\u2019 Childhood","author":"R Epstein","year":"2017"},{"issue":"12","key":"pone.0321300.ref119","doi-asserted-by":"crossref","first-page":"2261","DOI":"10.1111\/add.14417","article-title":"Gendered violence and overdose prevention sites: A rapid ethnographic study during an overdose epidemic in Vancouver, Canada","volume":"113","author":"J Boyd","year":"2018","journal-title":"Addiction"},{"issue":"6","key":"pone.0321300.ref120","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1086\/697895","article-title":"Neighborhood context and enduring differences in the density of charitable organizations: Reinforcing dynamics of foundation and dissolution","volume":"123","author":"D Clifford","year":"2018","journal-title":"Am J Sociol"},{"key":"pone.0321300.ref121","first-page":"127","volume-title":"Women\u2019s homelessness and domestic violence: (In)visible interactions. Women\u2019s Homelessness in Europe","author":"P Mayock","year":"2016"},{"issue":"1","key":"pone.0321300.ref122","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/s12939-023-01846-1","article-title":"Social capital and women\u2019s narratives of homelessness and multiple exclusion in northern England","volume":"22","author":"J McGrath","year":"2023","journal-title":"Int J Equity Health"},{"issue":"4","key":"pone.0321300.ref123","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1111\/josi.12406","article-title":"An intersectional analysis of the feminization of homelessness and mothers\u2019 housing precarity","volume":"76","author":"HE Bullock","year":"2020","journal-title":"J Soc Issues"},{"issue":"0","key":"pone.0321300.ref124","first-page":"1","article-title":"Demographic predictors of experiences of homelessness among lesbian, gay, bisexual, trans, gender-diverse and queer-identifying (LGBTIQ) young people in Australia","volume":"0","author":"G Lim","year":"2023","journal-title":"J Youth Stud"},{"issue":"1","key":"pone.0321300.ref125","doi-asserted-by":"crossref","first-page":"41","DOI":"10.36251\/josi158","article-title":"\u2018Where to now?\u2019 Understanding the landscape of health and social services for homeless women in London, Ontario, Canada","volume":"10","author":"A Van Berkum","year":"2019","journal-title":"J Soc Inclusion"},{"issue":"4","key":"pone.0321300.ref126","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1007\/s10578-018-0780-1","article-title":"Homelessness, mental health and suicidality among LGBTQ youth accessing crisis services","volume":"49","author":"H Rhoades","year":"2018","journal-title":"Child Psychiatry Hum Dev"},{"issue":"3\u20134","key":"pone.0321300.ref127","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1002\/ajcp.12700","article-title":"Race matters in addressing homelessness: A scoping review and call for critical research","volume":"72","author":"MK Richard","year":"2023","journal-title":"Am J Community Psychol"},{"issue":"1","key":"pone.0321300.ref128","doi-asserted-by":"crossref","first-page":"108706","DOI":"10.1016\/j.drugalcdep.2021.108706","article-title":"The intersection of gender and drug use-related stigma: A mixed methods systematic review and synthesis of the literature","volume":"223","author":"SA Meyers","year":"2021","journal-title":"Drug Alcohol Depend"},{"issue":"2","key":"pone.0321300.ref129","first-page":"4","article-title":"Gendering women\u2019s homelessness","volume":"16","author":"M Savage","year":"2016","journal-title":"Ir J Appl Soc Stud"},{"issue":"5","key":"pone.0321300.ref130","doi-asserted-by":"crossref","first-page":"2973","DOI":"10.1007\/s11469-021-00560-9","article-title":"Negotiating multiple stigmas: Substance use in the lives of women experiencing homelessness","volume":"20","author":"N Thomas","year":"2022","journal-title":"Int J Mental Health Addict"},{"issue":"1","key":"pone.0321300.ref131","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1177\/1473325019893412","article-title":"Child removal as the gateway to further adversity: Birth mother accounts of the immediate and enduring collateral consequences of child removal","volume":"19","author":"K Broadhurst","year":"2020","journal-title":"Qualitative Social Work"},{"issue":"1","key":"pone.0321300.ref132","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1057\/fr.1981.11","article-title":"A woman\u2019s place: A feminist approach to housing in Britain","volume":"8","author":"H Austerberry","year":"1981","journal-title":"Feminist Review"},{"issue":"1","key":"pone.0321300.ref133","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10530789.2021.1935650","article-title":"Homelessness and discrimination among US adults: The role of intersectionality","volume":"32","author":"AD Otiniano Verissimo","year":"2023","journal-title":"J Soc Distress 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Baines","year":"2020"},{"issue":"1","key":"pone.0321300.ref137","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1186\/s12889-020-8353-1","article-title":"Recognizing and responding to women experiencing homelessness with gendered and trauma-informed care","volume":"20","author":"K Milaney","year":"2020","journal-title":"BMC Public Health"},{"issue":"1","key":"pone.0321300.ref138","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1186\/s12905-024-03112-0","article-title":"Gynecological health and uptake of gynecological care after domestic or sexual violence: a qualitative study in an emergency shelter","volume":"24","author":"E Iraola","year":"2024","journal-title":"BMC Womens Health"},{"key":"pone.0321300.ref139","volume-title":"Improving care transfers for homeless patients after hospital discharge: A realist evaluation","author":"M Cornes","year":"2021"},{"issue":"3","key":"pone.0321300.ref140","doi-asserted-by":"crossref","DOI":"10.3399\/bjgpopen20X101049","article-title":"Evaluating a specialist primary care service for patients experiencing homelessness: A qualitative study","volume":"4","author":"E Clark","year":"2020","journal-title":"BJGP Open"},{"key":"pone.0321300.ref141","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1007\/978-3-030-57296-9_149","article-title":"Innovations in continuity of care among homeless persons with severe mental illnesses.","volume-title":"Innovations in Global Mental Health [Internet","author":"S Vallath","year":"2021"},{"key":"pone.0321300.ref142","volume-title":"Hard edges: The reality for women affected by severe and multiple disadvantage","author":"J Blenkinsopp","year":"2024"},{"issue":"1","key":"pone.0321300.ref143","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1108\/JICA-03-2021-0012","article-title":"Homelessness and integrated care: An application of integrated care knowledge to understanding services for wicked issues","volume":"30","author":"M Clark","year":"2021","journal-title":"JICA"},{"issue":"4","key":"pone.0321300.ref144","doi-asserted-by":"crossref","first-page":"215","DOI":"10.12968\/bjhc.2016.22.4.215","article-title":"Integrating health care for homeless people: Experiences of the KHP Pathway Homeless Team","volume":"22","author":"S Dorney-Smith","year":"2016","journal-title":"Br J Healthc Manag"},{"key":"pone.0321300.ref145","article-title":",","author":"Department for Education","year":"2023"},{"key":"pone.0321300.ref146","first-page":"120","volume-title":"Department for Levelling Up, Housing and Communities. 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