wow-inequalities/02-data/intermediate/wos_sample/fc67fa05f4d6d24575049ed3aac10b21-paudyal-vibhu-and-m/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Self-care, which refers to what people do to prevent disease and
maintain good health, can alleviate negative health consequences of
people experiencing homelessness. The aim of the study was to apply a
theoretically informed approach in exploring engagement of people
experiencing homelessness in self-care and to identify factors that can
be targeted in future health and social care interventions. Qualitative
semi-structured interviews were conducted with 28 participants
opportunistically recruited from a specialist homelessness healthcare
centre of North East Scotland, the United Kingdom (UK). An interview
schedule was developed based on the theoretical domains framework (TDF).
Interviews were audio-recorded and transcribed verbatim. Six aspects of
self-care were explored, including (a) self-awareness of physical and
mental health, (b) health literacy, including health seeking behaviour,
(c) healthy eating, (d) risk avoidance or mitigation, (v) physical
activity and sleep and (e) maintaining personal hygiene. Thematic
analysis was conducted by two independent researchers following the
Framework Approach. Participants described low engagement in self-care.
Most of the barriers to engagement in self-care by participants were
related to `environmental context and resources'' domain of TDF.
Participants often resorted to stealing or begging for food. Many
perceived having low health literacy to interpret health-related
information. Visits to churches and charities to get a shower or to
obtain free meals were commonplace. Participants expressed pessimism
that there was `nothing'' they could do to improve their health and
described perceived barriers often too big for them to overcome.
Alienation, lack of social support and the perception that they had done
irreversible damage to their health prevented their involvement in
self-care. The theme of `social circle'' held examples of both enabler
and barriers in participants'' uptake of risky behaviours. Health and
social services should work with persons experiencing homelessness in
designing and delivering targeted interventions that address contextual
barriers, multi-morbidity, health literacy and self-efficacy.'
affiliation: 'Paudyal, V (Corresponding Author), Univ Birmingham, Sch Pharm, Insititute
Clin Sci, Birmingham, W Midlands, England.
Paudyal, Vibhu, Univ Birmingham, Inst Clin Sci, Birmingham, W Midlands, England.
MacLure, Katie; McKenzie, Myra, Robert Gordon Univ, Fac Hlth \& Social Care, Aberdeen,
Scotland.
Forbes-McKay, Katrina, Robert Gordon Univ, Appl Social Studies, Aberdeen, Scotland.
MacLeod, Joan, Aberdeen City Community Hlth Partnership, NHS Grampian South Cluster,
Aberdeen, Scotland.
Smith, Ann, Aberdeen City Community Hlth Partnership, NHS Grampian North Cluster,
Aberdeen, Scotland.
Stewart, Derek, Qatar Univ, Coll Pharm, Doha, Qatar.'
author: Paudyal, Vibhu and MacLure, Katie and Forbes-McKay, Katrina and McKenzie,
Myra and MacLeod, Joan and Smith, Ann and Stewart, Derek
author-email: v.paudyal@bham.ac.uk
author_list:
- family: Paudyal
given: Vibhu
- family: MacLure
given: Katie
- family: Forbes-McKay
given: Katrina
- family: McKenzie
given: Myra
- family: MacLeod
given: Joan
- family: Smith
given: Ann
- family: Stewart
given: Derek
da: '2023-09-28'
doi: 10.1111/hsc.12850
earlyaccessdate: SEP 2019
eissn: 1365-2524
files: []
issn: 0966-0410
journal: HEALTH \& SOCIAL CARE IN THE COMMUNITY
keywords: health behaviours; homelessness; self-care
keywords-plus: 'ASSERTIVE COMMUNITY TREATMENT; HIGH-INCOME COUNTRIES; USE DISORDERS;
HOUSING 1ST; MORTALITY; INTERVENTIONS; OUTCOMES'
language: English
month: JAN
number: '1'
number-of-cited-references: '49'
orcid-numbers: 'MacLure, Katie/0000-0003-0686-948X
Paudyal, Vibhu/0000-0002-4173-6490'
pages: 160-172
papis_id: 424cd547032eb4598fdc961678258074
ref: Paudyal2020ifi
researcherid-numbers: 'MacLure, Katie/GRJ-8912-2022
'
times-cited: '17'
title: '`If I die, I die, I don''t care about my health'': Perspectives on self-care
of people experiencing homelessness'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000485848000001
usage-count-last-180-days: '3'
usage-count-since-2013: '13'
volume: '28'
web-of-science-categories: Public, Environmental \& Occupational Health; Social Work
year: '2020'