Longitudinal Associations between Perceived Quality of Living Spaces and Health-Related Quality of Life among Homeless and Vulnerably Housed Individuals Living in Three Canadian Cities

Carly Magee, Monica Norena, Anita M. Hubley, Anita Palepu, Stephen W. Hwang, Rosane Nisenbaum, Mohammad Ehsanul Karim and Anne Gadermann
Additional contact information
Carly Magee: School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
Monica Norena: Centre for Health Evaluation and Outcome Sciences, St. Paul’s Hospital, Vancouver, BC V6T 1Z3, Canada
Anita M. Hubley: Department of Educational and Counselling Psychology, and Special Education, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
Anita Palepu: Centre for Health Evaluation and Outcome Sciences, St. Paul’s Hospital, Vancouver, BC V6T 1Z3, Canada
Stephen W. Hwang: MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, ON M5B 1A6, Canada
Rosane Nisenbaum: MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, ON M5B 1A6, Canada
Mohammad Ehsanul Karim: School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
Anne Gadermann: School of Population and Public Health, University of British Columbia, Vancouver, BC V6T 1Z3, Canada

IJERPH, 2019, vol. 16, issue 23, 1-12

Abstract: The objective of this study was to examine longitudinal associations between perceived quality of living spaces and mental and physical health-related quality of life (HRQoL) among homeless and vulnerably housed individuals living in three Canadian cities. The Health and Housing in Transition (HHiT) study was a prospective cohort study conducted between 2009 and 2013 of N = 1190 individuals who were homeless and vulnerably housed at baseline. Perceived quality of living spaces (based on rated comfort, safety, spaciousness, privacy, friendliness and overall quality) and both mental and physical HRQoL were assessed at baseline and at four annual follow up points. Generalized estimating equation (GEE) analyses were used to examine associations between perceived quality of living spaces and both mental and physical HRQoL over the four-year study period, controlling for time-varying housing status, health and socio-demographic variables. The results showed that higher perceived quality of living spaces was positively associated with mental ( b = 0.42; 95% CI 0.38—0.47) and physical ( b = 0.11; 95% CI 0.07—0.15) HRQoL over the four-year study period. Findings indicate that policies aimed at increasing HRQoL in this population should prioritize improving their experienced quality of living spaces.

Keywords: homeless persons; vulnerably housed; housing; health; health-related quality of life (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://www.mdpi.com/1660-4601/16/23/4808/pdf (application/pdf)
https://www.mdpi.com/1660-4601/16/23/4808/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:16:y:2019:i:23:p:4808-:d:292453

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().