Evidence map›Paper›PMID 39532793›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2024

Measuring Indigenous homelessness: Findings from Our Health Counts Toronto.

Stephanie McConkey, Julia Iannace, Marcie Snyder, Cheryllee Bourgeois, Janet Smylie

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Article in Canadian journal of public health = Revue canadienne de sante publique, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Stephanie McConkeyDepartment of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada. Stephanie.McConkey@mail.utoronto.ca.ORCID 0000-0001-6287-9653
Julia IannaceWell Living House, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Marcie SnyderWell Living House, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Cheryllee BourgeoisSeventh Generation Midwives Toronto, Toronto, ON, Canada.
Janet SmylieWell Living House, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.

Funding

CIHR 130329
6 · The paper itself

Abstract

objectivesOur Health Counts (OHC) Toronto, an Indigenous population database which addresses gaps in urban health information, was used to measure Thistle's (2017) 12 dimensions of Indigenous homelessness. Using this framework, we examine the sociodemographic characteristics of First Nations, Inuit, and Metis (FNIM) adults living in Toronto, the 12 dimensions as experienced by this population, and the distinctions between FNIM adults who were and those who were not experiencing physical homelessness.

methodsRespondent-driven sampling (RDS)-II proportions and 95% confidence intervals were produced from the database (n = 915 FNIM adults) to describe key sociodemographic characteristics of the population and to estimate the proportion and number of dimensions of Indigenous homelessness experienced by FNIM adults. Results were compared between those who were and those who were not living physically homeless.

resultsThis study shows that 27.3% of FNIM adults in Toronto were living physically homeless. The proportion of homelessness was significantly higher among males, adults aged 26 to 54, and unemployed individuals. Using the OHC database, 7 of the 12 dimensions were measurable. Almost all FNIM adults had experienced one or more of the 7 measurable dimensions. The most common were cultural disintegration and loss, mental disruption and balance, contemporary geographic separation, and relocation and mobility. These dimensions were significantly more common among FNIM adults experiencing physical homelessness.

conclusionResults show that FNIM adults living physically homeless are more likely to experience other dimensions of homelessness. Using existing data, 5 of the 12 dimensions were not measurable. This points to a critical need to develop new survey tools to fully understand the historical, environmental, social, political, spiritual, and emotional factors that influence pathways into homelessness among FNIM populations.

Indexed as

Ill-Housed PersonsAdolescentAdultAgedDatabases, FactualFemaleHumansIndigenous CanadiansMaleMiddle AgedOntarioYoung AdultCommunity-based participatory researchHousingHousing instabilityIndigenous peoplesNorth AmericanPopulation health

Identifiers

PMID39532793
PMCPMC11582107

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LicenceCC BY
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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.