Anita Palepu
Datos Biográficos
| ID | 233370 |
|---|---|
| NOMBRE | Anita Palepu |
| NOMBRES | Anita |
| APELLIDO | Palepu |
| FIRMA | PALEPU A |
| AFILIACIONES | University of British Columbia |
| ORCID | 0000-0002-7881-4800 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 35 |
| TOTAL DE CITAS | 92 |
| TOTAL COMO AUTOR | 35 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1999 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Psychometric performance and student perceptions of AI- versus student-generated multiple-choice questions
BACKGROUND: Developing high-quality multiple-choice examinations in medical education is time- and resource-intensive. Large language models (LLMs) offer a promising approach to accelerate question development; however, their utility for exam development remains underexplored. METHODS: The trial was a participant-blinded, parallel-group randomized controlled trial conducted among first-year medical students. Students were randomized to complete a…
Hospital-based transitional housing and care at discharge for persons experiencing homelessness
People identifying as homeless in high income countries are becoming older and more medically complex. Previous studies have demonstrated the health and social benefits of various housing interventions for people who are homeless after hospital discharge. In this pre-/post-intervention cohort study, we recruited 57 participants from two transitional housing programs on the grounds of a single inner-city tertiary care center. In comparison to the …
The role of housing stability in predicting social capital
Social capital is a collective asset important for individual and population well‐being. Individuals who experience homelessness may face barriers in accessing social capital due to health challenges, small social networks, and social exclusion. Data from a 4‐year longitudinal study was used to determine if housing stability predicted greater social capital and if this relationship was mediated by social support and psychological integration for …
Cycles of instability
People with histories of homelessness often have difficulties obtaining and maintaining adequate housing. This qualitative study examined the residential transitions of people with histories of residential instability and homelessness to understand factors contributing to the instability they experience. Interviews were conducted with 64 participants about their housing transitions, in the final year of a 4-year, prospective cohort study in three…
Understanding subjective quality of life in homeless and vulnerably housed individuals
Much of the extant research on quality-of-life (QoL) in homelessness has focused narrowly on health-related QoL. Far less is known about broader subjective quality-of-life (SQoL). The purpose of this study was to examine levels and predictors of SQoL among homeless and vulnerably housed individuals in a 4-year longitudinal study. Data were from the Health and Housing in Transition (HHiT) study, a prospective cohort study of 1190 individuals from …
Prioritizing Patient Perspectives When Designing Intervention Studies for Homeless Older Adults
Purpose: Medical respite provides postacute care to people experiencing homelessness upon hospital discharge if they are too sick to recover on the streets or in a traditional shelter. The current study examined the feasibility of conducting a study to test the effectiveness of a medical respite intervention for older people experiencing homelessness. Methods: Fifteen patient and 11 provider participants were interviewed between July and November…
Does Housing Improve Health Care Utilization and Costs? A Longitudinal Analysis of Health Administrative Data Linked to a Cohort of Individuals With a History of Homelessness
BACKGROUND: Individuals who are homeless have complex health care needs, which contribute to the frequent use of health services. In this study, we investigated the relationship between housing and health care utilization among adults with a history of homelessness in Ontario. METHODS: Survey data from a 4-year prospective cohort study were linked with administrative health records in Ontario. Annual rates of health encounters and mean costs were…
Housing Trajectories, Risk Factors, and Resources among Individuals Who Are Homeless or Precariously Housed
This study identifies time-patterned trajectories of housing stability among homeless and vulnerably housed individuals who participated in a multisite four-year longitudinal study in Canada. Findings show four distinct trajectories for the homeless and vulnerably housed: high levels of sustained housing stability, improving levels over time leading to high levels of housing stability, decreasing levels of housing stability over time, and low lev…
Strengths, challenges, and gaps in linkage to primary care among hospitalized individuals who are homeless in Vancouver, British Columbia
Individuals who are homeless in the Canadian city of Vancouver, British Columbia have an increasing burden of chronic medical conditions, resulting in rising use of hospital services. Although continued efforts have been made to improve accessibility, barriers to primary care linkage and utilization still exist. Our study explored the strengths, barriers, and gaps in how inpatients who are homeless are connected to primary care through semi-struc…
The Association of Residential Instability and Hospitalizations among Homeless and Vulnerably Housed Individuals
Longitudinal Associations between Perceived Quality of Living Spaces and Health-Related Quality of Life among Homeless and Vulnerably Housed Individuals Living in Three Canadian Cities
The objective of this study was to examine longitudinal associations between perceived quality of living spaces and mental and physical health-related quality of life (HRQoL) among homeless and vulnerably housed individuals living in three Canadian cities. The Health and Housing in Transition (HHiT) study was a prospective cohort study conducted between 2009 and 2013 of N = 1190 individuals who were homeless and vulnerably housed at baseline. Per…
I Haven't Given Up and I'm Not Gonna
Resilience is a factor related to positive health outcomes. Exploring this concept among adults experiencing homelessness can inform interventions while subsequently considering individuals' strengths. A phenomenographic approach was applied to examine this concept among a sample of 22 individuals involved in qualitative interviews. The phenomenographic inquiry identified eight conceptions and found resilience is captured in both positive and neg…
Perceptions of Housing and Shelter among People with Histories of Unstable Housing in three Cities in Canada
Housing is a key social determinant of health that contributes to the well‐documented relationship between socioeconomic status and health. This study explored how individuals with histories of unstable and precarious housing perceive their housing or shelter situations, and the impact of these settings on their health and well‐being. Participants were recruited from the Health and Housing in Transition study (HHiT), a longitudinal, multi‐city st…
Observations from the field
Conducting longitudinal research with homeless or vulnerably housed (HVH) participants is challenging. Homelessness, poverty, mental health issues, and addiction are social issues with which most cities in North America are grappling today. The study purpose was to explore the experiences of, and lessons learned by, staff in interviewing and retaining HVH adults in a marginalized neighborhood over the course of a 4 year longitudinal study. Four f…
Predictors of homelessness among vulnerably housed adults in 3 Canadian cities
Vulnerably housed individuals are at high risk for experiencing homelessness. The study has public health implications, highlighting the need for enhanced access to addiction treatment and improved housing quality for this population
Minimal impact of response shift for SF-12 mental and physical health status in homeless and vulnerably housed individuals
Residential Stability Reduces Unmet Health Care Needs and Emergency Department Utilization among a Cohort of Homeless and Vulnerably Housed Persons in Canada
The effect of incarceration on housing stability among homeless and vulnerably housed individuals in three Canadian cities
Subjective Quality of Life Among Individuals who are Homeless
Subjective Health-Related Quality of Life in Homeless and Vulnerably Housed Individuals and Its Relationship with Self-Reported Physical and Mental Health Status
A cross-sectional observational study of unmet health needs among homeless and vulnerably housed adults in three Canadian cities
Homeless and vulnerably housed adults have a similar likelihood of experiencing unmet health care needs. Strategies to improve access to primary care and reduce barriers to accessing care in these populations are needed
Housing First Improves Residential Stability in Homeless Adults With Concurrent Substance Dependence and Mental Disorders
Objectives. We examined the relationship between substance dependence and residential stability in homeless adults with current mental disorders 12 months after randomization to Housing First programs or treatment as usual (no housing or support through the study). Methods. The Vancouver At Home study in Canada included 2 randomized controlled trials of Housing First interventions. Eligible participants met the criteria for homelessness or precar…
Daily Substance Use and Mental Health Symptoms among a Cohort of Homeless Adults in Vancouver, British Columbia
Homelessness and Adherence to Antiretroviral Therapy among a Cohort of HIV-Infected Injection Drug Users
Homelessness is prevalent among HIV-infected injection drug users (IDU) and may adversely affect access and adherence to antiretroviral therapy (ART). There are limited descriptions of the effect of homelessness on adherence to ART in long-term cohorts of HIV-infected IDU. We used data from a community-recruited prospective cohort of HIV-infected IDU, including comprehensive ART dispensation records, in a setting where HIV care is free. We examin…
Seventh International Conference on Urban Health “Knowledge Integration—Successful Interventions in Urban Health” Vancouver, BC, Canada, October 29–31, 2008
It was a pleasure to host the Seventh International Conference on Urban Health (ICUH) at the Westin Bayshore Resort and Marina in Vancouver, British Columbia, from October 29 to 31, 2008. We were proud to build on the success of previous official meetings of the International Society for Urban Health (www.isuh.org), which were most recently held in Baltimore, Amsterdam, and Toronto. The theme, “Knowledge Integration—Successful Interventions in Ur…
Does Weighting Capture What's Important? Revisiting Subjective Importance Weighting with a Quality of Life Measure
Residential Stability Reduces Unmet Health Care Needs and Emergency Department Utilization among a Cohort of Homeless and Vulnerably Housed Persons in Canada
Housing First Improves Residential Stability in Homeless Adults With Concurrent Substance Dependence and Mental Disorders
Objectives. We examined the relationship between substance dependence and residential stability in homeless adults with current mental disorders 12 months after randomization to Housing First programs or treatment as usual (no housing or support through the study). Methods. The Vancouver At Home study in Canada included 2 randomized controlled trials of Housing First interventions. Eligible participants met the criteria for homelessness or precar…
Subjective Health-Related Quality of Life in Homeless and Vulnerably Housed Individuals and Its Relationship with Self-Reported Physical and Mental Health Status
Housing Trajectories, Risk Factors, and Resources among Individuals Who Are Homeless or Precariously Housed
This study identifies time-patterned trajectories of housing stability among homeless and vulnerably housed individuals who participated in a multisite four-year longitudinal study in Canada. Findings show four distinct trajectories for the homeless and vulnerably housed: high levels of sustained housing stability, improving levels over time leading to high levels of housing stability, decreasing levels of housing stability over time, and low lev…
The social determinants of emergency department and hospital use by injection drug users in Canada
I Haven't Given Up and I'm Not Gonna
Resilience is a factor related to positive health outcomes. Exploring this concept among adults experiencing homelessness can inform interventions while subsequently considering individuals' strengths. A phenomenographic approach was applied to examine this concept among a sample of 22 individuals involved in qualitative interviews. The phenomenographic inquiry identified eight conceptions and found resilience is captured in both positive and neg…
The effect of incarceration on housing stability among homeless and vulnerably housed individuals in three Canadian cities
Daily Substance Use and Mental Health Symptoms among a Cohort of Homeless Adults in Vancouver, British Columbia
Homelessness and Adherence to Antiretroviral Therapy among a Cohort of HIV-Infected Injection Drug Users
Homelessness is prevalent among HIV-infected injection drug users (IDU) and may adversely affect access and adherence to antiretroviral therapy (ART). There are limited descriptions of the effect of homelessness on adherence to ART in long-term cohorts of HIV-infected IDU. We used data from a community-recruited prospective cohort of HIV-infected IDU, including comprehensive ART dispensation records, in a setting where HIV care is free. We examin…
The Association of Residential Instability and Hospitalizations among Homeless and Vulnerably Housed Individuals
Perceptions of Housing and Shelter among People with Histories of Unstable Housing in three Cities in Canada
Housing is a key social determinant of health that contributes to the well‐documented relationship between socioeconomic status and health. This study explored how individuals with histories of unstable and precarious housing perceive their housing or shelter situations, and the impact of these settings on their health and well‐being. Participants were recruited from the Health and Housing in Transition study (HHiT), a longitudinal, multi‐city st…
Prioritizing Patient Perspectives When Designing Intervention Studies for Homeless Older Adults
Purpose: Medical respite provides postacute care to people experiencing homelessness upon hospital discharge if they are too sick to recover on the streets or in a traditional shelter. The current study examined the feasibility of conducting a study to test the effectiveness of a medical respite intervention for older people experiencing homelessness. Methods: Fifteen patient and 11 provider participants were interviewed between July and November…
The social determinants of emergency department and hospital use by injection drug users in Canada
Socio-Demographic Profile and Hiv and Hepatitis C Prevalence Among Persons Who Died of a Drug Overdose
To describe the sociodemographic characteristics and HIV and Hepatitis C prevalence among persons who died of a drug overdose in the Vancouver metropolis health region in 1998. Methods: A retrospective review was conducted on all overdose death files in the Vancouver/Richmond health region reported to the Office of the Chief Coroner. The files included, autopsy, toxicology, virology, and coroner reports. External linkages were done to determine t…
Alcohol Use and Incarceration Adversely Affect HIV-1 RNA Suppression Among Injection Drug Users Starting Antiretroviral Therapy
Outpatient pharmacy care and HIV viral load response among patients on Haart
Adherence to highly active antiretroviral therapy (HAART) is necessary to achieve long-term effectiveness. The impact of HIV/AIDS-specific pharmacy services on patient adherence and HIV viral suppression is currently not well described. This study aimed to compare the impact of differing levels of HIV-pharmacy care on adherence and time to HIV viral suppression among participants on HAART enrolled in a population-based HIV/AIDS drug treatment pro…
Determinants of Haart discontinuation among injection drug users
The objective of this study was to identify psychosocial determinants of, and self-reported reasons for, HAART discontinuation among HIV-positive injection drug users (IDUs). We examined correlates between sociodemographic characteristics, drug use and risk behaviors, outcome expectations, adherence self-efficacy, social support and HAART discontinuation among 160 HIV-positive participants in the Vancouver Injection Drug Users' Study (VIDUS). Log…
Factors associated with sex-trade involvement among female injection drug users in a Canadian setting
Background: We undertook this study to evaluate the factors associated with sex-trade involvement among a cohort of female injection drug users (IDUs).Methods: We performed a prospective analysis of factors associated with sex-trade involvement among female participants enrolled in a prospective cohort study of Vancouver injection drug users. We examined HIV-status during follow-up and measured time updated social, sex- and drug-related variables…
The establishment of North America's first state sanctioned supervised injection facility
Does Weighting Capture What's Important? Revisiting Subjective Importance Weighting with a Quality of Life Measure
Factors associated with discontinuation of antiretroviral therapy in HIV-infected patients with alcohol problems
Although mortality rates among HIV-infected populations have declined with the advent of combination antiretroviral therapy (ART), patients with substance use disorders have benefited less from these therapies. While adherence to ART has been well studied, less is known about factors associated with discontinuation of ART. The aim of this study is to investigate predictors of discontinuation of ART in HIV-infected patients with alcohol problems, …
Doing Medical Journals Differently
With considerable attention now being paid within scholarly communications to publication models that increase access to research, the launch of the open access journal Open Medicine demonstrates the contribution that open access, in all of its various economic models, can make to scholarly traditions of editorial independence, intellectual integrity, and academic freedom. This paper details the history of Open Medicine, which was born of an edit…
Seventh International Conference on Urban Health “Knowledge Integration—Successful Interventions in Urban Health” Vancouver, BC, Canada, October 29–31, 2008
It was a pleasure to host the Seventh International Conference on Urban Health (ICUH) at the Westin Bayshore Resort and Marina in Vancouver, British Columbia, from October 29 to 31, 2008. We were proud to build on the success of previous official meetings of the International Society for Urban Health (www.isuh.org), which were most recently held in Baltimore, Amsterdam, and Toronto. The theme, “Knowledge Integration—Successful Interventions in Ur…
Homelessness and Adherence to Antiretroviral Therapy among a Cohort of HIV-Infected Injection Drug Users
Homelessness is prevalent among HIV-infected injection drug users (IDU) and may adversely affect access and adherence to antiretroviral therapy (ART). There are limited descriptions of the effect of homelessness on adherence to ART in long-term cohorts of HIV-infected IDU. We used data from a community-recruited prospective cohort of HIV-infected IDU, including comprehensive ART dispensation records, in a setting where HIV care is free. We examin…
Daily Substance Use and Mental Health Symptoms among a Cohort of Homeless Adults in Vancouver, British Columbia
A cross-sectional observational study of unmet health needs among homeless and vulnerably housed adults in three Canadian cities
Homeless and vulnerably housed adults have a similar likelihood of experiencing unmet health care needs. Strategies to improve access to primary care and reduce barriers to accessing care in these populations are needed
Housing First Improves Residential Stability in Homeless Adults With Concurrent Substance Dependence and Mental Disorders
Objectives. We examined the relationship between substance dependence and residential stability in homeless adults with current mental disorders 12 months after randomization to Housing First programs or treatment as usual (no housing or support through the study). Methods. The Vancouver At Home study in Canada included 2 randomized controlled trials of Housing First interventions. Eligible participants met the criteria for homelessness or precar…
Subjective Quality of Life Among Individuals who are Homeless
Subjective Health-Related Quality of Life in Homeless and Vulnerably Housed Individuals and Its Relationship with Self-Reported Physical and Mental Health Status
Predictors of homelessness among vulnerably housed adults in 3 Canadian cities
Vulnerably housed individuals are at high risk for experiencing homelessness. The study has public health implications, highlighting the need for enhanced access to addiction treatment and improved housing quality for this population
Minimal impact of response shift for SF-12 mental and physical health status in homeless and vulnerably housed individuals
Residential Stability Reduces Unmet Health Care Needs and Emergency Department Utilization among a Cohort of Homeless and Vulnerably Housed Persons in Canada
The effect of incarceration on housing stability among homeless and vulnerably housed individuals in three Canadian cities
Observations from the field
Conducting longitudinal research with homeless or vulnerably housed (HVH) participants is challenging. Homelessness, poverty, mental health issues, and addiction are social issues with which most cities in North America are grappling today. The study purpose was to explore the experiences of, and lessons learned by, staff in interviewing and retaining HVH adults in a marginalized neighborhood over the course of a 4 year longitudinal study. Four f…
Perceptions of Housing and Shelter among People with Histories of Unstable Housing in three Cities in Canada
Housing is a key social determinant of health that contributes to the well‐documented relationship between socioeconomic status and health. This study explored how individuals with histories of unstable and precarious housing perceive their housing or shelter situations, and the impact of these settings on their health and well‐being. Participants were recruited from the Health and Housing in Transition study (HHiT), a longitudinal, multi‐city st…
Longitudinal Associations between Perceived Quality of Living Spaces and Health-Related Quality of Life among Homeless and Vulnerably Housed Individuals Living in Three Canadian Cities
The objective of this study was to examine longitudinal associations between perceived quality of living spaces and mental and physical health-related quality of life (HRQoL) among homeless and vulnerably housed individuals living in three Canadian cities. The Health and Housing in Transition (HHiT) study was a prospective cohort study conducted between 2009 and 2013 of N = 1190 individuals who were homeless and vulnerably housed at baseline. Per…
I Haven't Given Up and I'm Not Gonna
Resilience is a factor related to positive health outcomes. Exploring this concept among adults experiencing homelessness can inform interventions while subsequently considering individuals' strengths. A phenomenographic approach was applied to examine this concept among a sample of 22 individuals involved in qualitative interviews. The phenomenographic inquiry identified eight conceptions and found resilience is captured in both positive and neg…
Medicine (32 obras) · Homelessness and Social Issues (24 obras) · Gerontology (18 obras) · Psychiatry (18 obras) · Psychology (16 obras) · Environmental health (13 obras) · Demography (11 obras) · Food Security and Health in Diverse Populations (11 obras) · Geriatric Care and Nursing Homes (11 obras) · Mental health (11 obras)