Competing perspectives on rural homelessness: Findings from a qualitative study in Ontario, Canada

Competing perspectives on rural homelessness: Findings from a qualitative study in Ontario, Canada
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DOI:
10.1111/hsc.13633
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发表时间:
2021-11-06
影响因子:
2.4
通讯作者:
Buck-McFadyen, Ellen
Buck-McFadyen, Ellen
中科院分区:
医学4区
文献类型:
--
作者:
Buck-McFadyen, Ellen

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加拿大的农村无家可归现象直到最近才得到承认,在我们对这一现象以及农村背景如何影响这一现象的理解方面仍然存在一些差距。这项定性的探索性研究旨在帮助理解住房不安全的经历、导致农村无家可归的因素以及安大略省农村社区住房危机的潜在解决方案。与27名参与者进行了面谈:16名住房不安全的人和11名了解当地无家可归情况的关键告密者。数据收集在2020年8月至2021年5月之间进行,归纳分析是同时进行的。调查结果揭示了关于这场危机的规模、其根本原因以及解决农村无家可归问题的潜在解决方案的相互矛盾的观点。农村无家可归者的无形本质和个人主义价值观将无家可归的责任归因于糟糕的选择,而不是结构性因素,这可能解释了这些不同的观点。耻辱在如何理解无家可归的问题上也发挥了重要作用,特别是对于无家可归和被认为在使用药物的人。农村环境中缺乏隐私、服务有限和住房存量低,给解决无家可归问题带来了挑战。帮助改善对无家可归者的支持的战略包括反污名教育、能力建设以及让有过无家可归经历的人参与决策和决策。还应通过部门间协作和针对无家可归的结构性驱动因素的上游政策,将预防纳入应对农村无家可归问题。
Rural homelessness in Canada has only recently been acknowledged, and several gaps remain in our understanding of the phenomenon and how it is influenced by the rural context. This qualitative exploratory study aimed to help understand the experience of housing insecurity, factors that lead to rural homelessness, and potential solutions to the housing crisis in a rural Ontario community. Interviews were conducted with 27 participants: 16 individuals who were housing insecure and 11 key informants who had knowledge of the local homelessness situation. Data collection took place between August 2020 and May 2021 and inductive analysis was concurrent. Findings revealed competing perspectives on the magnitude of the crisis, its root causes, and potential solutions to rural homelessness. The invisible nature of rural homelessness and values of individualism that assign responsibility for homelessness to poor choices rather than structural factors may account for these different perspectives. Stigma also played an important role in how homelessness was understood, particularly for individuals who were homeless and perceived to be using substances. The lack of privacy, limited services, and low housing stock in the rural environment contributed to challenges with overcoming homelessness. Strategies to help improve supports for individuals facing homelessness include anti-stigma education, capacity building, and inclusion of people with lived experience of homelessness in decision and policymaking. Prevention should also be incorporated into the response to rural homelessness through intersectoral collaboration and upstream policies that target the structural drivers of homelessness.