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Differential impacts of COVID-19 and associated responses on the health, social well-being and food security of users of supportive social and health programs during the COVID-19 pandemic: A qualitative study
Author(s): Cilia Mejia-Lancheros, Samira Alfayumi-Zeadna, James Lachaud, Patricia O'Campo, Evie Gogosis, George Da Silva, Vicky Stergiopoulos, Stephen W Hwang, Naomi Thulien
Publication Date: 2022
The effects of the COVID-19 pandemic on the lives of underserved populations are underexplored. This study aimed to identify the impacts of the pandemic and associated public health responses on the health and social well-being, and food security of users of Housing First (HF) services in Toronto during the first wave of the COVID-19 pandemic.
Chronic Pain Among Homeless Persons with Mental Illness
Author(s): Marc Vogel, Anastasia Frank, Fiona Choi, Verena Strehlau, Nooshin Nikoo, Mohammadali Nikoo, Stephen W Hwang, Julian Somers, Michael R Krausz, Christian G Schütz
Publisher: Oxford Academic
Publication Date: 2017
Chronic pain is an important public health issue. However, characteristics and needs of marginalized populations have received limited attention. Studies on prevalence and correlates of chronic pain among homeless persons are lacking. This study assessed chronic pain among homeless persons with mental illness in the At Home/Chez Soi study.
Food security among individuals experiencing homelessness and mental illness in the At Home/Chez Soi Trial
Author(s): Patricia O’Campo, Stephen W Hwang, Agnes Gozdzik, Andrée Schuler, Vered Kaufman-Shriqui, Daniel Poremski, Luis Ivan Palma Lazgare, Jino Distasio, Slimane Belbraouet, Sindi Addorisio
Publication Date: 2017
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. At Home/Chez Soi was a 2-year randomized controlled trial comparing the effectiveness of HF compared w...
Advance care planning, palliative care, and end-of-life care interventions for homeless people: A systematic review
Author(s): Rafael Sumalinog, Katy Harrington, Naheed Dosani, Stephen W Hwang
Publication Date: 2016
Background: Homeless individuals have a high prevalence of multiple chronic comorbidities and early mortality compared to the general population. They also experience significant barriers to access and stigmatization in the healthcare system. Providing advance care planning, palliative care, and end-of-life care for this underserved population is an important health issue. Aim: To summarize and evaluate the evidence surrounding advance care plann...
Substance Use and Access to Health Care and Addiction Treatment among Homeless and Vulnerably Housed Persons in Three Canadian Cities
Author(s): Anita Palepu, Anne Gadermann, Anita M. Hubley, Susan Farrell, Evie Gogosis, Tim Aubry, Stephen W Hwang
Publication Date: 2013
We examined the prevalence of substance use disorders among homeless and vulnerably housed persons in three Canadian cities and its association with unmet health care needs and access to addiction treatment using baseline data from the Health and Housing in Transition Study. Methods In 2009, 1191 homeless and vulnerably housed persons were recruited in Vancouver, Toronto, and Ottawa, Canada. Interviewer administered questionnaires collected data...
Learning to account for the social determinants of health affecting homeless persons
Author(s): Ryan McNeil, Manal Guirguis-Younger, Laura B Dilley, Jeffrey Turnbull, Stephen W Hwang
Publication Date: 2013
<i>Context</i>  Intersecting social determinants of health constrain access to care and treatment adherence among homeless populations. Because clinicians seldom receive training in the social determinants of health, they may be unprepared to account for or address these factors when developing treatment strategies for homeless individuals. <i>Objectives</i>  This study explored: (i) clin...
Science and Ideology
Author(s): Stephen W Hwang
Publication Date: 2007
Consider the following hypothetical scenario. An innovative new intervention for people with diabetes is developed. Health Canada provides funding to a highly accomplished group of academic health scientists, who have no financial conflicts of interest with respect to the new intervention, to conduct research on its effectiveness. Their work shows that the new intervention significantly reduces the incidence of a variety of diabetic complications...