202 lines
5.8 KiB
YAML
202 lines
5.8 KiB
YAML
abstract: 'Background
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Persons experiencing homelessness and vulnerable housing or those with
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lived experience of homelessness have worse health outcomes than
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individuals who are stably housed. Structural violence can dramatically
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affect their acceptance of interventions. We carried out a systematic
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review to understand the factors that influence the acceptability of
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social and health interventions among persons with lived experience of
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homelessness.
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Methods
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We searched through eight bibliographic databases and selected grey
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literature sources for articles that were published between 1994 and
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2019. We selected primary studies that reported on the experiences of
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homeless populations interacting with practitioners and service
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providers working in permanent supportive housing, case management,
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interventions for substance use, income assistance, and women- and
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youth-specific interventions. Each study was independently assessed for
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its methodological quality. We used a framework analysis to identify key
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finding and used the GRADE-CERQuaI approach to assess confidence in the
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key findings.
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Findings
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Our search identified 11,017 citations of which 35 primary studies met
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our inclusion criteria. Our synthesis highlighted that individuals were
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marginalized, dehumanized and excluded by their lived homelessness
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experience. As a result, trust and personal safety were highly valued
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within human interactions. Lived experience of homelessness influenced
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attitudes toward health and social service professionals and sometimes
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led to reluctance to accept interventions. Physical and structural
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violence intersected with low self-esteem, depression and
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homeless-related stigma. Positive self-identity facilitated links to
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long-term and integrated services, peer support, and patient-centred
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engagement.
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Conclusions
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Individuals with lived experience of homelessness face considerable
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marginalization, dehumanization and structural violence. Practitioners
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and social service providers should consider anti-oppressive approaches
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and provide, refer to, or advocate for health and structural
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interventions using the principles of trauma-informed care. Accepting
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and respecting others as they are, without judgment, may help
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practitioners navigate barriers to inclusiveness, equitability, and
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effectiveness for primary care that targets this marginalized
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population.'
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affiliation: 'Pottie, K (Corresponding Author), Bruyere Res Inst, CT Lamont Primary
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Hlth Care Res Ctr, Ottawa, ON, Canada.
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Pottie, K (Corresponding Author), Univ Ottawa, Dept Family Med, Ottawa, ON, Canada.
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Magwood, Olivia; Saad, Ammar; Alkhateeb, Qasem; Gebremeskel, Akalewold; Rehman,
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Asia; Hannigan, Terry; Sun, Annie Huiru; Kendall, Claire; Pottie, Kevin, Bruyere
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Res Inst, CT Lamont Primary Hlth Care Res Ctr, Ottawa, ON, Canada.
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Leki, Vanessa Ymele, MyHlth Ctr, PET CT Dept, Mississauga, ON, Canada.
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Kpade, Victoire, McGill Univ Montreal, Fac Med, Montreal, PQ, Canada.
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Saad, Ammar; Kendall, Claire; Pottie, Kevin, Univ Ottawa, Sch Epidemiol \& Publ
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Hlth, Ottawa, ON, Canada.
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Pinto, Nicole, Univ Guelph, Dept Populat Med, Guelph, ON, Canada.
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Kendall, Claire; Ponka, David; Pottie, Kevin, Univ Ottawa, Dept Family Med, Ottawa,
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ON, Canada.
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Kendall, Claire, OHRI, Ottawa, ON, Canada.
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Kendall, Claire, St Michaels Hosp, Li Ka Shing Knowledge Inst, Toronto, ON, Canada.
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Kozloff, Nicole, Univ Toronto, Ctr Addict \& Mental Hlth, Toronto, ON, Canada.
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Kozloff, Nicole, Univ Toronto, Dept Psychiat, Toronto, ON, Canada.
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Kozloff, Nicole, Univ Toronto, Inst Hlth Policy Management \& Evaluat, Toronto,
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ON, Canada.
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Tweed, Emily J., Univ Glasgow, MRC CSO Social \& Publ Hlth Sci Unit, Glasgow, Lanark,
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Scotland.'
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article-number: e0226306
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author: Magwood, Olivia and Leki, Vanessa Ymele and Kpade, Victoire and Saad, Ammar
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and Alkhateeb, Qasem and Gebremeskel, Akalewold and Rehman, Asia and Hannigan, Terry
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and Pinto, Nicole and Sun, Annie Huiru and Kendall, Claire and Kozloff, Nicole and
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Tweed, Emily J. and Ponka, David and Pottie, Kevin
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author-email: kpottie@uottawa.ca
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author_list:
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- family: Magwood
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given: Olivia
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- family: Leki
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given: Vanessa Ymele
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- family: Kpade
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given: Victoire
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- family: Saad
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given: Ammar
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- family: Alkhateeb
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given: Qasem
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- family: Gebremeskel
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given: Akalewold
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- family: Rehman
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given: Asia
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- family: Hannigan
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given: Terry
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- family: Pinto
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given: Nicole
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- family: Sun
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given: Annie Huiru
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- family: Kendall
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given: Claire
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- family: Kozloff
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given: Nicole
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- family: Tweed
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given: Emily J.
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- family: Ponka
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given: David
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- family: Pottie
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given: Kevin
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da: '2023-09-28'
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doi: 10.1371/journal.pone.0226306
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files: []
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issn: 1932-6203
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journal: PLOS ONE
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keywords-plus: 'PEOPLES VIEWS; FRAMEWORK; PROGRAM; SERVICE; WOMEN; CARE; PERSPECTIVES;
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GENDER; DETERMINANTS; PERCEPTIONS'
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language: English
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month: DEC 30
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number: '12'
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number-of-cited-references: '105'
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orcid-numbers: 'Magwood, Olivia/0000-0003-0262-5621
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Tweed, Emily J./0000-0001-6659-812X
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Saad, Ammar/0000-0002-3145-4596
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Sun, Annie H./0000-0003-2002-7115
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Gebremeskel, Akalewold Tadesse/0000-0001-5141-8018
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Pottie, Kevin/0000-0002-1874-8346
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Ponka, David/0000-0003-0902-8520
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Kozloff, Nicole/0000-0003-1389-1351'
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papis_id: 934691cef4ef66099d9610f8575fe1cf
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ref: Magwood2019commontrust
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researcherid-numbers: 'Pottie, Kevin/ABC-4385-2020
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LI, LINGJUAN/IAR-7701-2023
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Magwood, Olivia/IST-7319-2023
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'
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tags:
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- relevant
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- review
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times-cited: '40'
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title: 'Common trust and personal safety issues: A systematic review on the acceptability
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of health and social interventions for persons with lived experience of homelessness'
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type: Review
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unique-id: WOS:000515092200015
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usage-count-last-180-days: '2'
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usage-count-since-2013: '24'
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volume: '14'
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web-of-science-categories: Multidisciplinary Sciences
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year: '2019'
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