Coping during the COVID‐19 pandemic among young adults experiencing homelessness and unstable housing: A qualitative study

Gibbs, Karen DiValerio; Jones, Jennifer Torres; LaMark, Whitney; Abdulmooti, Sarah; Bretz, Lauren A.; Kearney, Kelly D.; Narendorf, Sarah C.; Maria, Diane Santa

doi:10.1111/phn.13136

Cited by 10 publications

(5 citation statements)

References 40 publications

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“…Other research demonstrated similar findings in that more substance use was associated with more housing instability [63][64][65][66]. Substance use may be used as a way of coping with increased housing instability [67,68]. Additionally, in a previous study, it was observed that among unhoused populations, elevated drug consumption was used as a survival tactic.…”

Section: Discussionmentioning

confidence: 57%

Housing Insecurity and Other Syndemic Factors Experienced by Black and Latina Cisgender Women in Austin, Texas: A Qualitative Study

Nydegger,

Benton,

Hemingway

et al. 2023

IJERPH

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Austin, Texas emerged as one of the fastest-growing cities in the U.S. over the past decade. Urban transformation has exacerbated inequities and reduced ethnic/racial diversity among communities. This qualitative study focused on housing insecurity and other syndemic factors among Black and Latina cisgender women (BLCW). Data collection from 18 BLCW using in-depth interviews guided by syndemic theory was conducted three times over three months between 2018 and 2019. Four housing insecurity categories emerged: (a) very unstable, (b) unstable, (c) stable substandard, and (d) stable costly. Participants who experienced more stable housing, particularly more stable housing across interviews, reported fewer instances of intimate partner violence (IPV), less substance use, and a reduced risk of acquiring HIV. Results identified the importance of exploring housing insecurity with other syndemic factors among BLCW along with determining structural- and multi-level interventions to improve housing circumstances and other syndemic factors. Future research should explore these factors in other geographic locations, among other intersectional communities, and among larger sample sizes and consider using a mixed methods approach.

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Section: Discussionmentioning

confidence: 57%

Housing Insecurity and Other Syndemic Factors Experienced by Black and Latina Cisgender Women in Austin, Texas: A Qualitative Study

Nydegger,

Benton,

Hemingway

et al. 2023

IJERPH

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Section: Resultsmentioning

confidence: 99%

“…Five studies adopted a qualitative methodology and examined the personal impact of the pandemic on people experiencing homelessness [ 32 , 35 , 36 ] as well as those working in homeless shelters [ 37 , 50 ]. Several studies described deleterious impacts of the pandemic on mental health [ 36 , 50 ], citing worries about COVID-19 and limited accessibility to substance-misuse support because of the pandemic. In other studies, participants described feeling restricted in their ability to manage their personal health due to a reduced capacity to isolate effectively [ 32 ], challenges in dealing with uncertainty, and a perception of restrictions on normal activities [ 32 , 37 ].…”

Section: Resultsmentioning

confidence: 99%

“…In other studies, participants described feeling restricted in their ability to manage their personal health due to a reduced capacity to isolate effectively [ 32 ], challenges in dealing with uncertainty, and a perception of restrictions on normal activities [ 32 , 37 ]. Two studies mentioned increased drug use, alcohol use, and smoking as coping mechanisms [ 36 , 50 ]. One study found people were more concerned about financial-rather than health-related repercussions of the pandemic [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

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The Impact of Being Homeless on the Clinical Outcomes of COVID-19: Systematic Review

Ogbonna,

Bull,

Spinks

et al. 2023

Int J Public Health

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Objective: The homeless population experiences inequality in health compared with the general population, which may have widened during the COVID-19 pandemic. However, the impact of being homeless on the outcomes of COVID-19 is uncertain. This systematic review aimed to analyse the impact of experiencing homelessness on the clinical outcomes of COVID-19, including the effects on health inequalities.Methods: A review protocol was developed and registered in PROSPERO (PROSPERO registration 2022 CRD42022304941). Nine databases were searched in November 2022 to identify studies on homeless populations which contained primary research on the following outcomes of COVID-19: incidence, hospitalisation, mortality, long COVID, mental wellbeing, and evidence of inequalities. Included studies were summarised with narrative synthesis.Results: The searches yielded 8,233 initial hits; after screening, 41 studies were included. Overall, evidence showed that those in crowded living settings had a higher risk of COVID-19 infection compared to rough sleepers and the general population. The homeless population had higher rates of hospitalisation and mortality than the general population, lower vaccination rates, and suffered negative mental health impacts.Conclusion: This systematic review shows the homeless population is more susceptible to COVID-19 outcomes. Further research is needed to determine the actual impact of the pandemic on this population, and of interventions to mitigate overall risk, given the low certainty of findings from some of the low-quality evidence available. In addition, further research is required to ascertain the impact of long COVID on those experiencing homelessness, since the present review yielded no studies on this topic.

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“…[33][34][35] The current findings also align with existing research suggesting Black transgender women who are affected by HIV have unique experiences managing COVID risk, 36,37 potentially resulting in negative mental health outcomes 17 that may be exacerbated by negative coping skills. 38 A widespread theme in the focus groups was that COVID-related stress manifested as heighted fear and anxiety related to getting sick or transmitting the virus to a loved one. For all participants to varying degrees, COVID-19 had a negative impact on their mental health that was compounded by negative coping skills.…”

Section: Discussionmentioning

confidence: 99%

"We Already Knew What Time It Was:" HIV, COVID19, and Black Transgender Women in the South

Johnson¹,

Bullock²,

Hill³

2023

hpu

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Black transgender women in the Southeast are at the center of the modern-day HIV crisis in the U.S. This focus group study was aimed at understanding the impacts of the COVID-19 pandemic on the health and well-being of Black transgender women in the U.S. Southeast who are affected by HIV. From April–June 2022, we completed seven focus group interviews with 56 participants. Themes identified across the focus groups show: 1) the challenges that pre-dated COVID-19; 2) the challenges of managing COVID-19 risk; 3) negative consequences for mental health, physical health, and overall well-being; 4) negative trends in coping with pandemic stress; 5) the importance of self-care and social support for managing pandemic stress; and 6) the need for more community-based resources. Findings demonstrate that understanding these social determinants of health is vital to developing support resources in this ongoing health crisis and crises yet to come.

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Coping during the COVID‐19 pandemic among young adults experiencing homelessness and unstable housing: A qualitative study

Cited by 10 publications

References 40 publications

Housing Insecurity and Other Syndemic Factors Experienced by Black and Latina Cisgender Women in Austin, Texas: A Qualitative Study

Housing Insecurity and Other Syndemic Factors Experienced by Black and Latina Cisgender Women in Austin, Texas: A Qualitative Study

The Impact of Being Homeless on the Clinical Outcomes of COVID-19: Systematic Review

"We Already Knew What Time It Was:" HIV, COVID19, and Black Transgender Women in the South

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