Evidence map›Paper›PMID 41557669›Full record

SynthesisPloS one2026

A meta-ethnographic systematic review of women's experiences of homelessness in high income environments.

Maxine Radcliffe, Anne Cronin, Diarmuid Stokes, Matthew J Douma, Debra Jackson, Thilo Kroll, Kate Frazer

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2026. 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. Article
  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

7 authors.

Maxine RadcliffeSchool of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0001-8336-5088
Anne CroninSchool of Medicine, University of Limerick, Limerick, Ireland.
Diarmuid StokesSchool of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-4319-8048
Matthew J DoumaSchool of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Debra JacksonSchool of Nursing Faculty of Medicine and Health University of Sydney, Sydney, Australia.
Thilo KrollSchool of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Kate FrazerSchool of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0002-6703-266X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHomelessness is a significant public policy and health service challenge globally. Often identified as a 'wicked problem' homelessness is hard to define with limited data confirming the exact numbers of people who are homeless due to varying metrics employed many of which likely exclude women by design. Research and policy have primarily focused on the experiences of single men, and the impact of homelessness on women and their experiences of it are not well understood.

objectiveTo synthesise evidence from qualitative studies of homelessness to identify key dimensions of women in high-income countries (HIC) and their experiences navigating lives when homeless.

methodsSystematic searches of six databases [MEDLINE, Embase, Global Health, PsycINFO, CINAHL and ASSIA] were completed from 2012 to 8th January 2024. We included peer-reviewed publications published in English reporting primary qualitative data on women's experiences of homelessness in high-income countries only. A review protocol was developed and published. Noblit and Hare's Metaethnography steps guided the synthesis and are reported according to the eMERGe guidelines.

findingsThirty-two studies were identified describing the experiences of 227 women across nine HICs. A conceptual model comprising three themes is presented within a social-ecological theoretical framework within structural and temporal axes of impact with effects on individual and societal levels. These themes, 1) Precarity, 2) Existing with Risk and Surviving, and 3) Fracturing Identity, describe the implications of homelessness and how the experience of precarity impacts identity and decision-making abilities. The impact of risk arising from violence and exclusion, coupled with descriptions of shame and stigma, presents insight into women's experiences that have hitherto had a limited presence in clinical discourses.

conclusionsThe evidence in this review highlights the perpetual reporting of a deficit lens on homelessness. Women experiencing homelessness in HICs are a heterogeneous group that is poorly recognised and understood in the literature. It appears that there is a lack of tailored and responsive service availability and that this further perpetuates the structural underpinnings of homelessness, which cluster in highly gendered ways.

Indexed as

Ill-Housed PersonsAnthropology, CulturalDeveloped CountriesFemaleHumans

Identifiers

PMID41557669
PMCPMC12818621

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.