Evidence map›Paper›PMID 42496821›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2026

Distance as a determinant: A spatial analysis of crisis and second-stage housing for survivors of domestic violence in Ontario.

Madeleine D Sheppard-Perkins, Tomoko McGaughey, Francine E Darroch

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Article in Canadian journal of public health = Revue canadienne de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Madeleine D Sheppard-PerkinsFaculty of Health Sciences, Carleton University, Ottawa, ON, Canada. maddysheppardperkins@cmail.carleton.ca.ORCID http://orcid.org/0000-0003-0410-4491
Tomoko McGaugheyFaculty of Health Sciences, Carleton University, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0001-5789-7785
Francine E DarrochFaculty of Health Sciences, Carleton University, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-2049-8091

Funding

Social Sciences and Humanities Research Council 752-2023-2359
6 · The paper itself

Abstract

This study presents the first province-wide spatial analysis of shelter accessibility for survivors of domestic violence in Ontario, Canada. Using travel time calculations from dissemination area (DA) centroids to the nearest crisis and second-stage shelters, we quantify geographic disparities in access across urban, suburban, rural, and remote communities. Shelter data were compiled from ShelterSafe and public databases, and rurality was classified using Statistics Canada's Index of Remoteness. Results reveal stark gradients in accessibility: average travel time to second-stage housing in remote areas exceeds 247 min, compared to 26.6 min in urban centres. Crisis shelters, while more numerous per capita, remain significantly less accessible in rural regions. Regression models indicate that shelter type, remoteness, and service features (i.e., pet accommodation, childcare, accessibility) predict travel time, with second-stage shelters and those offering more service options often situated farther away. These findings underscore how structural and spatial inequities shape survivors' ability to seek safety and support. Policy recommendations include revising housing eligibility timelines, investing in rural second-stage infrastructure, and using geospatial tools to identify service deserts.

Indexed as

Domestic violenceGender-based violenceHousingRural healthShelter accessSpatial analysis

Identifiers

What OpenQuestion holds

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Registered trials

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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.