Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study
Abstract Background Homelessness constitutes a traumatic period that adversely impacts health and quality of life outcomes. The potential mitigating effects of resilience on quality of life levels in people experiencing homelessness are underresearched. This study assesses the longitudinal associati...
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | Health and Quality of Life Outcomes |
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| Online Access: | https://doi.org/10.1186/s12955-021-01713-z |
| _version_ | 1818577009643618304 |
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| author | Cilia Mejia-Lancheros Julia Woodhall-Melnik Ri Wang Stephen W. Hwang Vicky Stergiopoulos Anna Durbin |
| author_facet | Cilia Mejia-Lancheros Julia Woodhall-Melnik Ri Wang Stephen W. Hwang Vicky Stergiopoulos Anna Durbin |
| author_sort | Cilia Mejia-Lancheros |
| collection | DOAJ |
| description | Abstract Background Homelessness constitutes a traumatic period that adversely impacts health and quality of life outcomes. The potential mitigating effects of resilience on quality of life levels in people experiencing homelessness are underresearched. This study assesses the longitudinal associations between resilience and quality of life scores among adults experiencing homelessness and mental illness. Methods This study is a secondary analysis of longitudinal data collected over 6 years from participants (N = 575) of the At Home/Chez Soi study on Housing First, Toronto site. Repeatedly measured resilience scores are the primary exposure and repeatedly measured global quality of life scores and mental health-specific quality of life scores are the primary outcomes. Mixed effect models were used to assess the association between the exposures and the outcomes. Results The majority of the participants were men (69.2%) and were on average 40.4 (± 11.8) years old at baseline. The average resilience score ranged between 5.00 to 5.62 over 8 data collection points across the 6-year follow-up period. After adjusting for gender, age, ethno-racial background, Housing First intervention, physical and mental comorbidities, and lifetime homelessness, higher resilience scores were positively associated with higher Global quality of life (Adjusted-coefficient: 0.23, 95% CI 0.19–0.27) and mental health-related quality of life values (Adjusted-coefficient: 4.15, 95% CI 3.35–4.95). Conclusion In homeless adults with mental illness, higher resilience levels were positively associated with higher global and mental health related quality of life values. Further interventions and services aimed to enhance resilience mechanisms and strategies are warranted to enhance better mental health and quality of life outcomes of this population group. Trial registration At Home/Chez Soi trial was registered with ISRCTN, ISRCTN42520374. Registered 18 September 2009, http://www.isrctn.com/ISRCTN42520374. |
| first_indexed | 2024-12-16T06:23:06Z |
| format | Article |
| id | doaj.art-5a78433b2e4942919e0b63758a5ddb7f |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-16T06:23:06Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-5a78433b2e4942919e0b63758a5ddb7f2022-12-21T22:41:05ZengBMCHealth and Quality of Life Outcomes1477-75252021-03-011911910.1186/s12955-021-01713-zAssociations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal studyCilia Mejia-Lancheros0Julia Woodhall-Melnik1Ri Wang2Stephen W. Hwang3Vicky Stergiopoulos4Anna Durbin5MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoDepartment of Social Sciences, Faculty of Arts, University of New BrunswickMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoCentre for Addiction and Mental HealthMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St Michael’s Hospital, Unity Health TorontoAbstract Background Homelessness constitutes a traumatic period that adversely impacts health and quality of life outcomes. The potential mitigating effects of resilience on quality of life levels in people experiencing homelessness are underresearched. This study assesses the longitudinal associations between resilience and quality of life scores among adults experiencing homelessness and mental illness. Methods This study is a secondary analysis of longitudinal data collected over 6 years from participants (N = 575) of the At Home/Chez Soi study on Housing First, Toronto site. Repeatedly measured resilience scores are the primary exposure and repeatedly measured global quality of life scores and mental health-specific quality of life scores are the primary outcomes. Mixed effect models were used to assess the association between the exposures and the outcomes. Results The majority of the participants were men (69.2%) and were on average 40.4 (± 11.8) years old at baseline. The average resilience score ranged between 5.00 to 5.62 over 8 data collection points across the 6-year follow-up period. After adjusting for gender, age, ethno-racial background, Housing First intervention, physical and mental comorbidities, and lifetime homelessness, higher resilience scores were positively associated with higher Global quality of life (Adjusted-coefficient: 0.23, 95% CI 0.19–0.27) and mental health-related quality of life values (Adjusted-coefficient: 4.15, 95% CI 3.35–4.95). Conclusion In homeless adults with mental illness, higher resilience levels were positively associated with higher global and mental health related quality of life values. Further interventions and services aimed to enhance resilience mechanisms and strategies are warranted to enhance better mental health and quality of life outcomes of this population group. Trial registration At Home/Chez Soi trial was registered with ISRCTN, ISRCTN42520374. Registered 18 September 2009, http://www.isrctn.com/ISRCTN42520374.https://doi.org/10.1186/s12955-021-01713-zHomelessnessResilienceQuality of lifeSubstance use disorderMental illness |
| spellingShingle | Cilia Mejia-Lancheros Julia Woodhall-Melnik Ri Wang Stephen W. Hwang Vicky Stergiopoulos Anna Durbin Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study Health and Quality of Life Outcomes Homelessness Resilience Quality of life Substance use disorder Mental illness |
| title | Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study |
| title_full | Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study |
| title_fullStr | Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study |
| title_full_unstemmed | Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study |
| title_short | Associations of resilience with quality of life levels in adults experiencing homelessness and mental illness: a longitudinal study |
| title_sort | associations of resilience with quality of life levels in adults experiencing homelessness and mental illness a longitudinal study |
| topic | Homelessness Resilience Quality of life Substance use disorder Mental illness |
| url | https://doi.org/10.1186/s12955-021-01713-z |
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