Evidence map›Paper›PMID 38948456›Full record

ArticleJournal of social distress and the homeless2024

"We Remember the Pain": A qualitative study of intergenerational trauma among older adults experiencing homelessness in the HOPE HOME study.

Anita S Hargrave, Cheyenne M Garcia, Marguerita Lightfoot, Margaret A Handley, John Weeks, Pamela Olsen, Kelly R Knight, Margot B Kushel

Abstract read
In one paragraph

Article in Journal of social distress and the homeless, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Anita S HargraveUniversity of California, San Francisco (UCSF). 505 Parnassus Ave, San Francisco, CA 94143 USA.
Cheyenne M GarciaUCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital. 2789 25th St, San Francisco, CA 94110 USA.
Marguerita LightfootOregon Health & Science University (OHSU). 3181 S.W. Sam Jackson Park Road, Portland, OR 97239.
Margaret A HandleyUniversity of California, San Francisco (UCSF). 505 Parnassus Ave, San Francisco, CA 94143 USA.
John WeeksUCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital. 2789 25th St, San Francisco, CA 94110 USA.
Pamela OlsenUCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital. 2789 25th St, San Francisco, CA 94110 USA.
Kelly R KnightUniversity of California, San Francisco (UCSF). 505 Parnassus Ave, San Francisco, CA 94143 USA.
Margot B KushelUniversity of California, San Francisco (UCSF). 505 Parnassus Ave, San Francisco, CA 94143 USA.

Funding

Aging Among the Homeless: Social Isolation, Function and Institutional CareR01AG041860 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Margot B Kushel · 2012 to 2026
$9.3M
University of California, San Francisco/Kaiser Permanente Northern California Division of Research Building Interdisciplinary Research Careers in Women’s Health (BIRCWH) K12 ProgramK12AR084219 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Monica Gandhi, CYNTHIA C HARPER · 2023 to 2026
$3.1M
Mentoring Researchers in Aging in Vulnerable PopulationsK24AG046372 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUSHEL, MARGOT B · 2015 to 2025
$1.9M
Family-assisted Housing for Older Homeless AdultsR01AG050630 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KNIGHT, KELLY RAY, KUSHEL, MARGOT B · 2015 to 2019
$1.6M
NIAMS NIH HHS K12 AR084219NIA NIH HHS K24 AG046372NIA NIH HHS R01 AG041860NIA NIH HHS R01 AG050630
6 · The paper itself

Abstract

Rates of homelessness among adults aged 50 and over are rising. Common strategies for exiting homelessness rely on social and family support. However, intergenerational trauma may disrupt these social support networks and contribute to homelessness. Understanding the impact of intergenerational trauma on living with family or friends may give insight into addressing homelessness among older adults. We purposefully sampled 46 adults who reported living with family or friends from the HOPE HOME study cohort (350 community-recruited adults, ≥ 50 years and experiencing homelessness in Oakland, California) and 19 family/friends who had hosted the participants in their living spaces. We conducted independent, semi-structured interviews and used grounded theory methodologies to analyze data. We identified four major themes from the interviews: (1) Intergenerational trauma was common and made it difficult to stay with family or friends; (2) Participants and hosts sought to protect future generations from intergenerational trauma; (3) Relationships endured despite intergenerational trauma; and (4) social structures exacerbated the impact of intergenerational trauma and played a significant role in perpetuating homelessness. Trauma-informed policies that confront the structures that propagate or exacerbate intergenerational trauma may mitigate their impact and facilitate housing for older adults.

Indexed as

AgingHomelessnessQualitativeTrauma

Identifiers

PMID38948456
PMCPMC11213552

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.