Roncarati Jill S, Cusack Meagan, True Gala, Browne Julia, Harris Taylor, deRussy Aerin, Tsai Jack, Elwy A Rani, Byrne Thomas H, Montgomery Ann Elizabeth
J Health Care Poor Underserved. 2025;36(1):21-55. doi: 10.1353/hpu.2025.a951583.
We conducted a scoping review of 45 peer-reviewed articles to characterize the intersection of housing instability and homelessness, care, and services in rural North America. We sought gaps in literature related to geographically based health disparities among people experiencing housing instability and identify practices that may promote better health outcomes. We offer practical implications for health care and service provision for people experiencing housing instability in rural areas.
We reviewed the literature and according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) standards.
We identified 45 articles matching the inclusion criteria for full-text review. Emerging themes included subpopulations and demographics, physical and behavioral health, and services.
More information is needed on housing instability in rural settings such as housing instability among unsheltered individuals, Native Americans, and older persons. Solutions to end homelessness should consider tailoring resources and services to the rural context.
我们对45篇经过同行评审的文章进行了范围综述，以描述北美农村地区住房不稳定与无家可归、护理及服务之间的交叉情况。我们查找了与住房不稳定人群中基于地理位置的健康差异相关的文献空白，并确定了可能促进更好健康结果的做法。我们为农村地区住房不稳定人群的医疗保健和服务提供提出了实际建议。
我们按照系统评价和Meta分析扩展版范围综述的首选报告项目（PRISMA-ScR）标准对文献进行了综述。
我们确定了45篇符合全文综述纳入标准的文章。新出现的主题包括亚人群和人口统计学、身体和行为健康以及服务。
对于农村地区的住房不稳定情况，如无住所个体、美洲原住民和老年人中的住房不稳定情况，还需要更多信息。终结无家可归现象的解决方案应考虑根据农村情况调整资源和服务。
