Food security among individuals experiencing homelessness and mental illness in the at Home/Chez Soi Trial

Patricia O'Campo, Stephen W. Hwang, Agnes Gozdzik, Andreé Schuler, Vered Kaufman-Shriqui, Daniel Poremski, Luis Ivan Palma Lazgare, Jino Distasio, Slimane Belbraouet, Sindi Addorisio

פרסום מחקרי: פרסום בכתב עתמאמרביקורת עמיתים

18 ציטוטים ‏(Scopus)

תקציר

Objective Individuals experiencing homelessness are particularly vulnerable to food insecurity. The At Home/Chez Soi study provides a unique opportunity to first examine baseline levels of food security among homeless individuals with mental illness and second to evaluate the effect of a Housing First (HF) intervention on food security in this population. Design At Home/Chez Soi was a 2-year randomized controlled trial comparing the effectiveness of HF compared with usual care among homeless adults with mental illness, stratified by level of need for mental health services (high or moderate). Logistic regressions tested baseline associations between food security (US Food Security Survey Module), study site, sociodemographic variables, duration of homelessness, alcohol/substance use, physical health and service utilization. Negative binomial regression determined the impact of the HF intervention on achieving levels of high or marginal food security over an 18-month follow-up period (6 to 24 months). Setting Community settings at five Canadian sites (Moncton, Montreal, Toronto, Winnipeg and Vancouver). Subjects Homeless adults with mental illness (n 2148). Results Approximately 41 % of our sample reported high or marginal food security at baseline, but this figure varied with gender, age, mental health issues and substance use problems. High need participants who received HF were more likely to achieve marginal or high food security than those receiving usual care, but only at the Toronto and Moncton sites. Conclusions Our large multi-site study demonstrated low levels of food security among homeless experiencing mental illness. HF showed promise for improving food security among participants with high levels of need for mental health services, with notable site differences.

שפה מקוריתאנגלית
עמודים (מ-עד)2023-2033
מספר עמודים11
כתב עתPublic Health Nutrition
כרך20
מספר גיליון11
מזהי עצם דיגיטלי (DOIs)
סטטוס פרסוםפורסם - 1 אוג׳ 2017

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