J Health Care Poor Underserved. 2021;32(1):463-486. doi: 10.1353/hpu.2021.0035.
Previous research has utilized survey and administrative data to document health problems among Housing First (HF) residents; however, little is known about residents' personal perspectives on their health. The purpose of this study was to utilize conventional content analysis to analyze health-related concerns among HF residents with histories of alcohol use disorder. Between June and December 2013, we interviewed 44 adults who had histories of chronic homelessness and alcohol use disorder and were residing in single-site HF in Seattle, Washington. Responses centered on five primary topics: alcohol-related harm, perceived health vulnerability, concern for fellow residents' health, end of life, and health and safety promotion. HF residents experience complex alcohol-exacerbated health difficulties and existing health services may not meet the needs of those whose health is particularly compromised. Considering that HF facilitates aging in place, end-of-life care and grief counseling should be integrated into HF services.
先前的研究利用调查和行政数据记录了住房优先（HF）居民的健康问题；然而，对于居民对自身健康的个人看法知之甚少。本研究的目的是利用传统的内容分析方法分析有酗酒史的 HF 居民的健康相关问题。2013 年 6 月至 12 月，我们对 44 名曾有慢性无家可归和酗酒史并居住在华盛顿西雅图单站点 HF 的成年人进行了访谈。受访者的回复主要集中在五个主题：与酒精相关的危害、感知的健康脆弱性、对其他居民健康的关注、生命终结以及健康和安全促进。HF 居民经历着复杂的酒精加重的健康困难，而现有的卫生服务可能无法满足那些健康状况特别脆弱的人的需求。考虑到 HF 有助于原地老龄化，临终关怀和悲伤咨询应该纳入 HF 服务。
