"It's been up and down"-perspectives on living through COVID-19 for individuals who experience homelessness: a qualitative study
"It's been up and down"-perspectives on living through COVID-19 for individuals who experience homelessness: a qualitative study
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“情况有起有落”——对经历过无家可归者的 COVID-19 生活的看法：一项定性研究
DOI：
10.1016/s0140-6736(21)02549-6
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Adams E
中科院分区：
文献类型：
--
作者：
Adams E
背景联合国将COVID-19大流行描述为当代最大的公共卫生危机。然而，在大流行之前经历过紧缩、逆境和不利条件的个人，在大流行的每一个转折点，从传播风险到接种疫苗，都受到了不成比例的影响。其中一个群体是无家可归的人。随着英国开始过渡到大流行后的复苏阶段，了解COVID-19对无家可归者日常生活的影响至关重要，以确保他们不会被抛在后面，并更好地针对他们的具体需求制定复苏计划。方法2021年2月至5月期间，26个人（10名妇女和16名男子）谁自称经历无家可归的纽卡斯尔盖茨黑德地区参加了20-80分钟的电话采访。参与者在参与之前提供书面或口头知情同意书。招募是通过现有的网络、住房提供者、慈善机构、口口相传和滚雪球抽样进行的。分析与五个人共同制作的生活经验，使用解释现象学分析。NVivo版本1·5用于组织报价。伦理批准由医学科学研究伦理委员会（纽卡斯尔大学研究伦理委员会的一部分）授予（参考2034/6698/2020）。通过五个主要主题，分享了描述独特故事的共同点：（1）日常生活的超现实-寻求理解和失去自主权;（2）情绪过山车-面对负面情绪;（3）孤独是我最好的朋友-从孤独中学习;（4）逆境是唯一的一致性-认识到过去和现在的困难，暴力和损失;和（5）应对不确定性--使用药物、正念和技术来生存。解读疫情以各种方式影响了无家可归者的日常生活，包括个人成长、没有变化和倒退。这项研究是有限的，其本地化的招聘在英国的纽卡斯尔和盖茨黑德，但是，这种地方的重点和参与的个人生活经验，加强了研究的影响，在该地区的政策和实践。为支持大流行后的恢复而制定的举措或政策应反映各种影响，同时特别重视无家可归者的孤独感、逆境和恢复力。
BackgroundThe UN describes the COVID-19 pandemic as the greatest public health crisis for the current generation. However, individuals who experienced austerity, adversity, and disadvantage prior to the pandemic have been disproportionately affected with every turn the pandemic has taken, from transmission risk to vaccination take-up. One such population is individuals who experience homelessness. As the UK begins to transition to a stage of post-pandemic recovery, it is imperative to understand the perceived impact COVID-19 has had on the day-to-day lives of individuals who experience homelessness, to ensure they are not left behind and recovery planning can be better targeted to their specific needs.MethodsBetween February and May, 2021, 26 individuals (10 women and 16 men) who self-identified as experiencing homelessness within the Newcastle Gateshead area took part in telephone interviews of 20–80 min in length. Participants provided written or verbal informed consent prior to participating. Recruitment took place through existing networks, housing providers, charities, word of mouth, and snowball sampling. Analysis was co-produced with five individuals with lived experience using interpretative phenomenological analysis. NVivo release 1·5 was used to organise quotes. Ethics approval was granted by the Faculty of Medical Sciences Research Ethics Committee, part of Newcastle University's Research Ethics Committee (ref 2034/6698/2020.)FindingsExperiences shared depicted unique stories with commonalities across the findings through five main themes: (1) surreality of day-to-day life—searching for understanding and lost autonomy; (2) an emotional rollercoaster—confronting negative emotions; (3) loneliness is my best friend—learning from being alone; (4) adversity is the only consistency—recognising past and present hardship, violence, and loss; and (5) coping with uncertainty—using drugs, mindfulness, and technology to survive.InterpretationThe pandemic has affected the daily lives of people who experience homelessness in a variety of ways, including personal growth, no change, and regression. This study is limited by its localised recruitment in Newcastle and Gateshead in the UK; however, this local focus and involvement of individuals with lived experience has strengthened the study's implications for policy and practice in the region. Initiatives or policies developed to support post-pandemic recovery should reflect the array of impacts, while giving special recognition to loneliness, adversity, and resiliency among individuals who experience homelessness.FundingNational Institute for Health Research School for Public Health Research.