Thurman Whitney, Hutson Tara, Lowery Dylan, Patten Amy, Garcia Alexandra A
School of Nursing, The University of Texas at Austin, Austin, TX 78712, USA.
College of Pharmacy, The University of Texas at Austin, Austin, TX 78712, USA.
Int J Environ Res Public Health. 2025 Apr 21;22(4):654. doi: 10.3390/ijerph22040654.
Nearly 50% of single homeless adults are over the age of 50, and adults aged 50 years and older are the fastest growing subpopulation of the homeless in the U.S. This subpopulation has unique mobility needs and barriers to transportation. We used rapid ethnographic assessments to explore the practices, needs, perceptions, and values of unhoused older adults in relation to their efforts to access and navigate health and social services via public transit. We conducted 23 observations of 12 participants as they navigated public transit to meet their travel needs. Our data consist of 65 h of observations with field notes, walking interviews, and travel diaries. Two themes-waiting and friction-encompassed participants' experiences of mobility and their ongoing negotiations that involved time, space, individual ability, and interpersonal interactions within their environmental context. For this population, attainment of housing and improved health and well-being is contingent on access to reliable transportation-a condition that is not met in many communities. For the participants in our study, the physical demands of accessing public transit combined with the cognitive load of interpreting multi-step directions in specific time schedules were often insurmountable. The public transit system was often hostile, such that participants were stigmatized and segregated. Professionals who work with older homeless individuals must consider the capacity of their clients to successfully navigate public transit, and policymakers should consider the transit needs of their entire population when designing transit systems.
近50%的单身无家可归成年人年龄在50岁以上,50岁及以上的成年人是美国无家可归者中增长最快的亚群体。这个亚群体有独特的出行需求和交通障碍。我们使用快速人种学评估方法,来探索无家可归的老年人在通过公共交通获取和使用健康与社会服务方面的做法、需求、认知和价值观。我们对12名参与者在乘坐公共交通以满足出行需求时进行了23次观察。我们的数据包括65小时的观察记录、现场笔记、步行访谈和旅行日记。“等待”和“摩擦”这两个主题涵盖了参与者的出行体验以及他们在所处环境中涉及时间、空间、个人能力和人际互动的持续协商。对于这个群体而言,获得住房以及改善健康和福祉取决于能否获得可靠的交通——而这在许多社区都无法实现。对于我们研究中的参与者来说,乘坐公共交通的身体需求,再加上在特定时间表中解读多步骤指示的认知负担,往往是难以克服的。公共交通系统常常充满敌意,使得参与者受到污名化和隔离。与老年无家可归者打交道的专业人员必须考虑到他们的客户成功乘坐公共交通的能力,政策制定者在设计交通系统时应考虑全体民众的交通需求。