Ending homelessness among people with mental illness: the At Home/Chez Soi randomized trial of a Housing First intervention in TorontoStephen W Hwang
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St, Michael s Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada
BMC Public Health 12:787. 2012
..The objectives of this paper are to examine the approach to participant recruitment and community engagement at the Toronto site of the AH/CS Project, and to describe the baseline demographics of participants in Toronto...
- Effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review
Donna Fitzpatrick-Lewis
The Effective Public Health Practice Project, School of Nursing, McMaster University, Hamilton, Canada
BMC Public Health 11:638. 2011
..This rapid review examines recent evidence regarding interventions that have been shown to improve the health of homeless people, with particular focus on the effect of these interventions on housing status...
- Health status, quality of life, residential stability, substance use, and health care utilization among adults applying to a supportive housing program
Stephen W Hwang
Centre for Research on Inner City Health, Keenan Research Centre in the Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, ON, Canada
J Urban Health 88:1076-90. 2011
..Nonetheless, this study shows that highly disadvantaged individuals with a high prevalence of poor physical and mental health and substance use can achieve stable housing...
The health and housing in transition study: a longitudinal study of the health of homeless and vulnerably housed adults in three Canadian citiesStephen W Hwang
Centre for Research on Inner City Health, The Keenan Research Centre at the Li Ka Shing Knowledge Institute, St Michael s Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada
Int J Public Health 56:609-23. 2011
..This paper discusses the HHiT study methodological recruitment strategies and follow-up procedures, including a discussion of the limitations and challenges experienced to date...
- Hospital costs and length of stay among homeless patients admitted to medical, surgical, and psychiatric services
Stephen W Hwang
Centre for Research on Inner City Health, The Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, Ontario, Canada
Med Care 49:350-4. 2011
..This study compares hospitalization costs for homeless and housed patients, with and without adjustment for patient and service characteristics...
- Chronic pain among homeless persons: characteristics, treatment, and barriers to management
Stephen W Hwang
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St, Michael s Hospital, Toronto, Canada
BMC Fam Pract 12:73. 2011
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- Universal health insurance and health care access for homeless persons
Stephen W Hwang
Centre for Research on Inner City Health, St Michael s Hospital, Toronto, Ontario, Canada
Am J Public Health 100:1454-61. 2010
..We examined the extent of unmet needs and barriers to accessing health care among homeless people within a universal health insurance system...
- Is looking older than one's actual age a sign of poor health?
Stephen W Hwang
Centre for Research on Inner City Health, The Keenan Research Centre in Li Ka Shing Knowledge Institute of St Michael s Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada
J Gen Intern Med 26:136-41. 2011
..This practice suggests an implicit assumption that patients who appear older than their actual age are more likely to be in poor health...
- The effect of traumatic brain injury on the health of homeless people
Stephen W Hwang
Centre for Research on Inner City Health, The Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, Ont
CMAJ 179:779-84. 2008
..We sought to determine the lifetime prevalence of traumatic brain injury and its association with current health conditions in a representative sample of homeless people in Toronto, Ontario...
- Drug problems among homeless individuals in Toronto, Canada: prevalence, drugs of choice, and relation to health status
Michelle N Grinman
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St, Michael s Hospital, Toronto, Canada
BMC Public Health 10:94. 2010
..The objective of this study was to determine the prevalence and characteristics of drug use among a representative sample of homeless individuals and to examine the association between drug problems and physical and mental health status...
- Housing characteristics and their influence on health-related quality of life in persons living with HIV in Ontario, Canada: results from the positive spaces, healthy places study
Sean B Rourke
The Ontario HIV Treatment Network, 600 1300 Yonge St, Toronto, ON, M4T 1X3, Canada
AIDS Behav 16:2361-73. 2012
..Interventions that enhance housing affordability and housing satisfaction may help improve health-related quality of life of people living with HIV...
- Low rates of cervical cancer screening among urban immigrants: a population-based study in Ontario, Canada
Aisha K Lofters
Department of Family and Community Medicine, University of Toronto, Toronto, Canada
Med Care 48:611-8. 2010
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- Predictors of low cervical cancer screening among immigrant women in Ontario, Canada
Aisha K Lofters
Department of Family and Community Medicine, University of Toronto, Toronto, Canada
BMC Womens Health 11:20. 2011
..This study aimed to determine how predictors of low cervical cancer screening, reflective of sociodemographics, the health care system, and migration, varied by region of origin for Ontario's immigrant women...
- Mortality among residents of shelters, rooming houses, and hotels in Canada: 11 year follow-up study
Stephen W Hwang
Centre for Research on Inner City Health, Keenan Research Centre, Li Ka Shing Knowledge Institute, St Michael s Hospital, Toronto, ON, Canada
BMJ 339:b4036. 2009
..To examine mortality in a representative nationwide sample of homeless and marginally housed people living in shelters, rooming houses, and hotels...
- Direct and indirect effects of perceived social support on health-related quality of life in persons living with HIV/AIDS
Tsegaye Bekele
The Ontario HIV Treatment Network, Toronto, Canada
AIDS Care 25:337-46. 2013
..01), mediated by depressive symptoms. Interventions that enhance social support have the potential to contribute to better HRQOL either directly or indirectly by decreasing the deleterious effect of depressive symptoms on HRQOL...
- Access to primary health care among homeless adults in Toronto, Canada: results from the Street Health survey
Erika Khandor
Toronto Public Health, Toronto, Ontario, Canada
Open Med 5:e94-e103. 2011
..We investigated access to primary health care among a representative sample of homeless adults in Toronto, Canada...
- Homelessness and the response to emerging infectious disease outbreaks: lessons from SARS
Cheryl S Leung
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute, St Michael s Hospital, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada
J Urban Health 85:402-10. 2008
..The Toronto SARS experience provided insights that are relevant to response planning for future outbreaks in cities with substantial numbers of homeless individuals...
- Infectious disease exposures and contact tracing in homeless shelters
Stephen W Hwang
Faculty of Medicine, University of Toronto, Ontario, Canada
J Health Care Poor Underserved 19:1163-7. 2008
..At the onset of a serious outbreak, it may be desirable to institute policies that strongly encourage individuals to remain at their current shelter for the duration of the outbreak...
- Multidimensional social support and the health of homeless individuals
Stephen W Hwang
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St Michael s Hospital, 30 Bond St, Toronto, Ontario, Canada
J Urban Health 86:791-803. 2009
..g., social capital) and their influence on the health of homeless individuals...
Housing as a socio-economic determinant of health: findings of a national needs, gaps and opportunities assessmentJames R Dunn
Centre for Research on Inner City Health, St Michael s Hospital, Toronto, ON
Can J Public Health 97:S11-5, S12-7. 2006
..Recent reviews of the literature point to a dearth of research on the socio-economic dimensions of housing and health, despite its potential for promoting health...
- The effects of housing status on health-related outcomes in people living with HIV: a systematic review of the literature
Chad A Leaver
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St Michael s Hospital, Toronto, ON, Canada
AIDS Behav 11:85-100. 2007
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- Inequalities in determinants of health among Aboriginal and Caucasian persons living with HIV/AIDS in Ontario: results from the Positive Spaces, Healthy Places Study
Laverne E Monette
Ontario Aboriginal HIV AIDS Strategy, Toronto, ON
Can J Public Health 102:215-9. 2011
..This study sought to understand the differences in the determinants of health and housing-related characteristics between samples of Aboriginal and Caucasian adults living with HIV/AIDS in Ontario...
- Interventions to improve the health of the homeless: a systematic review
Stephen W Hwang
Centre for Research on Inner City Health, St Michael s Hospital, Toronto, Ontario, Canada
Am J Prev Med 29:311-9. 2005
..Homelessness is a widespread problem in the United States. The primary goal of this systematic review is to provide guidance in the development and organization of programs to improve the health of homeless people...
- The relationship between housing conditions and health status of rooming house residents in Toronto
Stephen W Hwang
Inner City Health Research Unit, St Michael s Hospital, 30 Bond St, Toronto, ON M5B 1W8
Can J Public Health 94:436-40. 2003
..Rooming houses are an important source of housing for low-income Canadians. Little information is available on the relationship between housing conditions and health status in this vulnerable population...
- A community-based intervention to increase screening mammography among disadvantaged women at an inner-city drop-in center
Robert K Heyding
Leaside Health Centre and the Department of Family and Community Medicine, Toronto, ON, M4G 4E4, Canada
Women Health 41:21-31. 2005
..This approach may be useful to promote breast cancer screening among women affected by mental illness or homelessness who have contact with community-based agencies...
- Traumatic brain injury among people who are homeless: a systematic review
Jane Topolovec-Vranic
Trauma and Neurosurgery Program, Keenan Research Center of the Li Ka Shing Knowledge Institute, St, Michael s Hospital Department of Occupational Science and Occupational Therapy, University of Toronto, 30 Bond Street, Bond 3 012, Toronto, ON M5B 1W8, Canada
BMC Public Health 12:1059. 2012
..The objective of this systematic review was to review the current state of the literature on TBI and homelessness in order to identify knowledge gaps and direct future research...
- Cervical cancer screening among urban immigrants by region of origin: a population-based cohort study
Aisha K Lofters
Department of Family and Community Medicine, University of Toronto, Toronto, Canada
Prev Med 51:509-16. 2010
..We compared the prevalence of appropriate cervical cancer screening among screening-eligible immigrant women from major geographic regions of the world and native-born women...
- What happens to patients who leave hospital against medical advice?
Stephen W Hwang
Inner City Health Research Unit and the Division of General Internal Medicine, St Michael s Hospital and University of Toronto, Toronto, ON
CMAJ 168:417-20. 2003
..Patients who leave hospital against medical advice (AMA) may be at risk of adverse health outcomes and readmission. In this study we examined rates of readmission and predictors of readmission among patients leaving hospital AMA...
- Homeless people's perceptions of welcomeness and unwelcomeness in healthcare encounters
Chuck K Wen
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
J Gen Intern Med 22:1011-7. 2007
..Homeless people face many barriers to obtaining health care, and their attitudes toward seeking health care services may be shaped in part by previous encounters with health care providers...
- Is homelessness hazardous to your health? Obstacles to the demonstration of a causal relationship
Stephen W Hwang
Inner City Health Research Unit, St Michael s Hospital, University of Toronto, Toronto, ON
Can J Public Health 93:407-10. 2002
..Homeless people suffer from high levels of morbidity and mortality, but there is surprisingly little empiric evidence that homelessness has a direct adverse effect on health...
- Bed bug infestations in an urban environment
Stephen W Hwang
Centre for Research on Inner City Health, St Michael s Hospital, Toronto, Ontario, Canada
Emerg Infect Dis 11:533-8. 2005
..At 1 affected shelter, 4% of residents reported having bed bug bites. Bed bug infestations can have an adverse effect on health and quality of life in the general population, particularly among homeless persons living in shelters...
- Population mortality during the outbreak of Severe Acute Respiratory Syndrome in Toronto
Stephen W Hwang
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St Michael s Hospital, Toronto, Canada
BMC Public Health 7:93. 2007
..The objective of this study was to determine if the period of these infection control measures was associated with changes in overall population mortality due to causes other than SARS...
- Dyspepsia in homeless adults
Stephen W Hwang
Centre for Research on Inner City Health, St Michael s Hospital, Toronto, Ontario, Canada
J Clin Gastroenterol 40:416-20. 2006
..To determine the prevalence of and risk factors for dyspepsia in a representative sample of homeless persons using shelters in Toronto, Canada...
- Does social disadvantage affect the validity of self-report for cervical cancer screening?
Aisha K Lofters
Department of Family and Community Medicine, University of Toronto, Toronto Department of Family and Community Medicine, St Michael s Hospital, Toronto Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St Michael s Hospital, Toronto
Int J Womens Health 5:29-33. 2013
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- Moving from rhetoric to reality: adapting Housing First for homeless individuals with mental illness from ethno-racial groups
Vicky Stergiopoulos
Centre for Research on Inner City Health, The Keenan Research Centre in the Li Ka Shing Knowledge Institute of St, Michael s Hospital, 30 Bond Street, Toronto, Ontario M5B 1 W8, Canada
BMC Health Serv Res 12:345. 2012
..This paper presents the findings of an early implementation and fidelity evaluation of the HF ER-ICM program, supplemented by participant narrative interviews to inform our understanding of the HF ER-ICM program theory...
- The effect of illustrations on patient comprehension of medication instruction labels
Stephen W Hwang
Centre for Research on Inner City Health, St Michael s Hospital, Toronto, Ontario, Canada
BMC Fam Pract 6:26. 2005
..The goal of this study was to determine whether the addition of illustrations to these labels affects patient comprehension...
- Age- and sex-specific income gradients in alcohol-related hospitalization rates in an urban area
Stephen W Hwang
Inner City Health Research Unit, St Michael s Hospital, Toronto, Ontario, Canada
Ann Epidemiol 15:56-63. 2005
..This study examines the effects of age and sex on the relationship between neighborhood income and alcohol-related hospitalization rates in a large urban area...
- After insurance issues are settled
Stephen W Hwang
Centre for Research on Inner City Health, St. Michael's Hospital and Division of General Internal Medicine, University of Toronto, Toronto, Ontario M5B 1W8, Canada
Ann Intern Med 145:150-1. 2006
- Methodological, practical, and ethical challenges to inner-city health research
Ahmed M Bayoumi
Inner City Health Research Unit, St Michael s Hospital, Toronto, ON, Canada
J Urban Health 79:S35-42. 2002
..Throughout the research endeavor, the inner-city health researcher must carefully balance the roles of investigator, advocate, activist, and caregiver...
- Active tuberculosis among homeless persons, Toronto, Ontario, Canada, 1998-2007
Kamran Khan
St Michael s Hospital, Toronto, Ontario, Canada
Emerg Infect Dis 17:357-65. 2011
..The rise in foreign-born homeless persons with TB strains likely acquired overseas suggests that the risk for drug-resistant strains entering the homeless shelter system may be escalating...
- Homeless people's trust and interactions with police and paramedics
Tanya L Zakrison
Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
J Urban Health 81:596-605. 2004
..Further research is needed for objective characterization of homeless people's interactions with police officers and the potential health implications of low levels of trust in the police...
- Risk factors for cardiovascular disease in homeless adults
Tony C Lee
Centre for Research on Inner City Health, St. Michael's Hospital, Toronto, Ontario, Canada
Circulation 111:2629-35. 2005
..Multiple risk factor equations may underestimate true risk in this population because of inadequate accounting for factors such as cocaine use and heavy smoking...
- The assessment of food security in homeless individuals: a comparison of the Food Security Survey Module and the Household Food Insecurity Access Scale
Anna C Holland
Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute of St Michael s Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada
Public Health Nutr 14:2254-9. 2011
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- The At Home/Chez Soi trial protocol: a pragmatic, multi-site, randomised controlled trial of a Housing First intervention for homeless individuals with mental illness in five Canadian cities
Paula N Goering
Department of Psychiatry, Centre for Addiction and Mental Health, University of Toronto, Toronto, Ontario, Canada
BMJ Open 1:e000323. 2011
..Trial registration number This study has been registered with the International Standard Randomised Control Trial Number Register and assigned ISRCTN42520374...
