Gentil Lia, Grenier Guy, Bamvita Jean-Marie, Dorvil Henri, Fleury Marie-Josée
Department of Psychiatry, McGill University, Montreal, QC, Canada.
Research Center, Douglas Mental Health University Institute, Montreal, QC, Canada.
Front Psychiatry. 2019 Jan 30;10:10. doi: 10.3389/fpsyt.2019.00010. eCollection 2019.
Quality of life (QOL) is a key indicator in mental health planning, program evaluation, and evaluation of patient outcomes. Yet few studies have focused on QOL in homeless populations. More specifically, research has yet to identify profiles of homeless individuals based on their QOL using cluster analysis. This study developed a typology of QOL for a sample of 455 homeless individuals recruited from 27 community and public organizations in Quebec (Canada). The typology was developed based on QOL scores, as well as sociodemographic, clinical, and service use variables. Study participants had to be at least 18 years old, with current or previous experience of homelessness. A questionnaire including socio-demographics, residential history, service utilization, and health-related variables was administered. Four clusters were identified using a two-step cluster analysis. QOL was highest in the cluster consisting of older women with low functional disability, and relatively few episodes of homelessness. The second cluster with high QOL scores included individuals living in temporary housing with relatively few mental health or substance use disorders (SUDs). The third cluster with low QOL included middle-aged women living in temporary housing, with criminal records, personality disorders, and SUDs. QOL was also lower in the fourth cluster composed of individuals with multiple homeless episodes and complex health problems as well as high overall service use. Findings reinforced the importance of disseminating specific programs adapted to the diverse profiles of homeless individuals, with a view toward increasing their QOL.
生活质量(QOL)是心理健康规划、项目评估和患者预后评估中的关键指标。然而,很少有研究关注无家可归人群的生活质量。更具体地说,尚未有研究通过聚类分析根据生活质量来确定无家可归者的类型。本研究针对从加拿大魁北克省27个社区和公共组织招募的455名无家可归者样本,开发了一种生活质量类型学。该类型学是基于生活质量得分以及社会人口统计学、临床和服务使用变量而开发的。研究参与者必须年满18岁,有当前或以前的无家可归经历。发放了一份包含社会人口统计学、居住历史、服务利用和健康相关变量的问卷。使用两步聚类分析确定了四个聚类。生活质量在由功能残疾程度低、无家可归经历相对较少的老年女性组成的聚类中最高。生活质量得分高的第二个聚类包括居住在临时住房中、心理健康或物质使用障碍(SUDs)相对较少的个体。生活质量低的第三个聚类包括居住在临时住房中的中年女性,她们有犯罪记录、人格障碍和物质使用障碍。在由有多次无家可归经历、复杂健康问题以及高总体服务使用情况的个体组成的第四个聚类中,生活质量也较低。研究结果强化了传播适合不同无家可归者类型的特定项目以提高其生活质量的重要性。
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