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Health‐seeking behaviours in the homeless population

A concept analysis

Bibliographic Data

ID14948100
AuthorsJenna N Becker (School of Nursing Purdue University West Lafayette Indiana USA), Karen J Foli (0000-0002-9510-4800, School of Nursing Purdue University West Lafayette Indiana USA, corresponding author)
Year2022
Volume30
Issue2
Pagese278-e286
Publication date2022-02-01
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.13499
PMID34250681
OpenAlexW3182681987
LanguageEN
Citations received10
References cited27

This concept analysis aims to define the concept of health-seeking behaviour in relation to the homeless population. The altered experiences of individuals who are homeless suggest that the concept of health-seeking behaviours has distinct attributes and therefore, a new definition of this concept is needed when compared with other populations. The framework outlined by Walker and Avant was used for this analysis with model, borderline and contrary cases. Databases searched were: CINAHL, Sociological Abstracts, PsycInfo, Google Scholar and PubMed. Because of the limited literature on the overall health-seeking behaviours of the homeless population, the most relevant 15 sources were selected from these databases for the literature review. Critical attributes derived from the literature were: (a) distrust in healthcare services, emerging from feelings of judgement or stigma from healthcare providers; (b) prioritising physiological needs such as food, shelter and clothing over the safety needs of health; (c) delaying seeking care until physical symptoms are severe; and (d) having decreased access to healthcare because of being uninsured or having no money, requiring transportation, experiencing long wait times for appointments, or lacking knowledge of available healthcare services. We define health-seeking behaviours in the homeless population as a complex process where a homeless individual seeks out healthcare for a problem or illness, but must first meet his or her physiological needs and then deem current symptoms severe enough to seek medical treatment despite his or her distrust in the healthcare system and barriers to accessing healthcare. Homeless individuals may face unique physiological hardships and emotional stressors compared to the general population, which results in distinct attributes surrounding health-seeking behaviours. Healthcare providers need to be aware of current barriers to care and perceived access to care in order to reduce the barriers to care that the homeless population faces

CINAHL · Distrust · Environmental health · Feeling · Health care · MEDLINE · Political science · Population · Psychological intervention · PsycINFO · Sociology of health and illness · Food Security and Health in Diverse Populations · Health disparities and outcomes · Homelessness and Social Issues · Medicine · Nursing · Psychology · Social Psychology

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    Open Access•Alya Howard, Amanda Low et al.•Health Promotion International•2025

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  • Access to health and social protection policies by homeless people during the Covid-19 pandemic

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  • Realty Citizenship, Running Partners, and Alternate Loves

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Citations per year3.33
Citation span2023 - 2026 (4)
Highly citedNo

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