Social conditions of becoming homelessness: qualitative analysis of life stories of homeless peoples

被引:57
作者
Mabhala, Mzwandile A. [1 ,3 ]
Yohannes, Asmait [2 ]
Griffith, Mariska [1 ]
机构
[1] Univ Chester, Dept Publ Hlth & Wellbeing, Fac Hlth & Social Care, Riverside Campus, Chester CH1 1SL, Cheshire, England
[2] Ambulatory Surg Ctr, Mt Sinai Dept Surg, 5 East 98th St,14th Floor,Box 1259, New York, NY 10029 USA
[3] Univ Chester, Dept Publ Hlth & Wellbeing, Riverside Campus, Chester CH1 1SF, Cheshire, England
关键词
HEALTH INEQUALITIES; PUBLIC-HEALTH; HISTORY; CARE; ASSOCIATION; TYPOLOGY; ADULTS; UK;
D O I
10.1186/s12939-017-0646-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: It is increasingly acknowledged that homelessness is a more complex social and public health phenomenon than the absence of a place to live. This view signifies a paradigm shift, from the definition of homelessness in terms of the absence of permanent accommodation, with its focus on pathways out of homelessness through the acquisition and maintenance of permanent housing, to understanding the social context of homelessness and social interventions to prevent it. However, despite evidence of the association between homelessness and social factors, there is very little research that examines the wider social context within which homelessness occurs from the perspective of homeless people themselves. This study aims to examine the stories of homeless people to gain understanding of the social conditions under which homelessness occurs, in order to propose a theoretical explanation for it. Method: Twenty-six semi-structured interviews were conducted with homeless people in three centres for homeless people in Cheshire North West of England. Results: The analysis revealed that becoming homeless is a process characterised by a progressive waning of resilience capacity to cope with life challenges created by series of adverse incidents in one's life. The data show that final stage in the process of becoming homeless is complete collapse of relationships with those close to them. Most prominent pattern of behaviours participants often describe as main causes of breakdown of their relationships are: 1. engaging in maladaptive behavioural lifestyle including taking drugs and/or excessive alcohol drinking 2. Being in trouble with people in authorities. Conclusion: Homeless people describe the immediate behavioural causes of homelessness, however, the analysis revealed the social and economic conditions within which homelessness occurred. The participants' descriptions of the social conditions in which were raised and their references to maladaptive behaviours which led to them becoming homeless, led us to conclude that they believe that their social condition affected their life chances: that these conditions were responsible for their low quality of social connections, poor educational attainment, insecure employment and other reduced life opportunities available to them.
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页数:16
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