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Homelessness is rising in the US, leading to worse health and early death. Nurses can help reduce stigma and improve health outcomes for people experiencing homelessness (PEH).

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Area of Science:

  • Public Health
  • Health Disparities
  • Nursing Research

Background:

  • The population of people experiencing homelessness (PEH) in the US has grown over the last five years.
  • PEH face significant health challenges, including a higher disease burden and increased mortality rates compared to housed individuals.
  • Societal stigma exacerbates the health and disease management difficulties for PEH.

Purpose of the Study:

  • To review the concept of stigma in relation to homelessness.
  • To define housing and homelessness.
  • To describe the health and healthcare disparities experienced by PEH and to propose nursing interventions utilizing the socio-ecological model to mitigate stigma and improve health outcomes.

Main Methods:

  • Literature review on stigma, housing, and homelessness.
  • Analysis of health and healthcare disparities for PEH.
  • Application of the socio-ecological model to identify nursing intervention points.

Main Results:

  • Stigma is a significant barrier to health and healthcare access for PEH.
  • PEH experience profound disparities in health status and healthcare utilization.
  • The socio-ecological model provides a framework for multi-level nursing interventions.

Conclusions:

  • Nursing interventions are crucial for addressing the stigma faced by PEH.
  • Targeting stigma at various ecological levels can improve health outcomes for individuals experiencing housing instability.
  • Systemic changes and targeted nursing strategies are needed to reduce health disparities for PEH.