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Dolenc Nott B, Dowhower DP, Cannon ML, Setter KA. How Are Dehumanizing Perceptions of Homelessness Associated With Age? THE GERONTOLOGIST 2025; 65:gnaf026. [PMID: 39878346 DOI: 10.1093/geront/gnaf026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2024] [Indexed: 01/31/2025] Open
Abstract
BACKGROUND AND OBJECTIVES Increasing numbers of unhoused older individuals in the United States underscores the urgency for tailored services and support. Previous studies demonstrate prevalent negative attitudes and dehumanizing perceptions toward unhoused people. Additionally, past research highlights the influence of ageism and dehumanization on the care older adults receive. However, limited work addresses the layered dehumanization faced by unhoused aging individuals. This study investigated how dehumanizing perceptions of homelessness were associated with age. RESEARCH DESIGN AND METHODS In this experimental study, participants (N = 399; Mage = 23) were randomly assigned to scenarios depicting unhoused individuals who were discernibly either older or younger. Participants were prompted with different empathy tasks and assessed on dehumanization levels. RESULTS Results revealed older unhoused individuals faced significantly higher levels of dehumanization compared to their younger counterparts. Findings also indicated that older participants and male participants demonstrated stronger dehumanization toward unhoused adults. DISCUSSION AND IMPLICATIONS Dehumanization may be intensified for unhoused aging individuals due to their intersecting identities. In turn, this may affect willingness to provide care and the quality of services offered, impacting care settings, medical facilities, and policies focused on homelessness. This research sheds light on the complexities of dehumanization, emphasizing the urgency to address these linked biases to create more inclusive and supportive environments for unhoused aging individuals.
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Affiliation(s)
- Brooke Dolenc Nott
- Department of Psychological Sciences, Western Oregon University, Monmouth, Oregon, USA
| | - Daniel P Dowhower
- Department of Public Health and Exercise Science, Western Oregon University, Monmouth, Oregon, USA
| | - Melissa L Cannon
- Department of Gerontology: Aging and Adulthood, Western Oregon University, Monmouth, Oregon, USA
| | - Kathryn A Setter
- Department of Gerontology: Aging and Adulthood, Western Oregon University, Monmouth, Oregon, USA
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Yuan Y, Knight KR, Weeks J, King S, Olsen P, Kushel M. Loneliness among homeless-experienced older adults with cognitive or functional impairments: qualitative findings from the HOPE HOME study. BMC Public Health 2024; 24:569. [PMID: 38388904 PMCID: PMC10885402 DOI: 10.1186/s12889-024-18052-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 02/08/2024] [Indexed: 02/24/2024] Open
Abstract
BACKGROUND Loneliness is more common in older adults and those who face structural vulnerabilities, including homelessness. The homeless population is aging in the United States; now, 48% of single homeless adults are 50 and older. We know little about loneliness among older adults who have experienced homelessness. We aimed to describe the loneliness experience among homeless-experienced older adults with cognitive and functional impairments and the individual, social, and structural conditions that shaped these loneliness experiences. METHODS We purposively sampled 22 older adults from the HOPE HOME study, a longitudinal cohort study among adults aged 50 years or older experiencing homelessness in Oakland, California. We conducted in-depth interviews about participants perceived social support and social isolation. We conducted qualitative content analysis. RESULTS Twenty participants discussed loneliness experience, who had a median age of 57 and were mostly Black (80%) and men (65%). We developed a typology of participants' loneliness experience and explored the individual, social, and structural conditions under which each loneliness experience occurred. We categorized the loneliness experience into four groups: (1) "lonely- distressed", characterized by physical impairment and severe isolation; (2) "lonely- rather be isolated", reflecting deliberate social isolation as a result of trauma, marginalization and aging-related resignation; (3) "lonely- transient", as a result of aging, acceptance and grieving; and (4) "not lonely"- characterized by stability and connection despite having experienced homelessness. CONCLUSIONS Loneliness is a complex and heterogenous social phenomenon, with homeless-experienced older adults with cognitive or functional impairments exhibiting diverse loneliness experiences based on their individual life circumstances and needs. While the most distressing loneliness experience occurred among those with physical impairment and mobility challenges, social and structural factors such as interpersonal and structural violence during homelessness shaped these experiences.
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Affiliation(s)
- Yeqing Yuan
- School of Social Work, University of Alaska Anchorage, 2533 Providence Dr., Suite 234, 99508, Anchorage, AK, USA
- Benioff Homelessness and Housing Initiative, San Francisco General Hospital and Trauma Center, Department of Medicine, School of Medicine, Center for Vulnerable Populations at Zuckerberg, University of California - San Francisco, 94143, San Francisco, CA, UCSF Box 1339, USA
| | - Kelly R Knight
- Department of Humanities and Social Sciences, School of Medicine, University of California - San Francisco, 490 Illinois Street, 7th Floor, 94143, San Francisco, CA, USA
| | - John Weeks
- Benioff Homelessness and Housing Initiative, San Francisco General Hospital and Trauma Center, Department of Medicine, School of Medicine, Center for Vulnerable Populations at Zuckerberg, University of California - San Francisco, 94143, San Francisco, CA, UCSF Box 1339, USA
| | - Stephen King
- Benioff Homelessness and Housing Initiative, San Francisco General Hospital and Trauma Center, Department of Medicine, School of Medicine, Center for Vulnerable Populations at Zuckerberg, University of California - San Francisco, 94143, San Francisco, CA, UCSF Box 1339, USA
| | - Pamela Olsen
- Benioff Homelessness and Housing Initiative, San Francisco General Hospital and Trauma Center, Department of Medicine, School of Medicine, Center for Vulnerable Populations at Zuckerberg, University of California - San Francisco, 94143, San Francisco, CA, UCSF Box 1339, USA
| | - Margot Kushel
- Benioff Homelessness and Housing Initiative, San Francisco General Hospital and Trauma Center, Department of Medicine, School of Medicine, Center for Vulnerable Populations at Zuckerberg, University of California - San Francisco, 94143, San Francisco, CA, UCSF Box 1339, USA.
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Pruitt AS, Barile JP. Actionable research for understanding and addressing homelessness. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:2051-2057. [PMID: 35545867 DOI: 10.1002/jcop.22878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 04/25/2022] [Indexed: 06/15/2023]
Abstract
Homelessness results from an interaction of structural determinants and individual vulnerabilities, creating various pathways into homelessness and having multilevel impacts. Understanding and addressing homelessness requires research that not only takes an ecological perspective but also can be translated into action. Despite research demonstrating differing needs and experience among various subpopulations, particularly marginalized groups, homeless service systems often take a one-size-fits-all approach. Additionally, homeless service systems' prioritization of the most vulnerable and chronically homeless for permanent housing programs results in a service system that operates in a state of triage, with minimal attention to prevention efforts. This special issue highlights actionable research focused on preventing homelessness and addressing disparities among marginalized groups. Included articles target homelessness at multiple levels using a combination of qualitative, quantitative, and mixed-methods approaches. Embedded in community psychology values, this study focuses on prevention, leverages participatory methods, relies on diverse lived experiences, and explores community-based solutions.
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Affiliation(s)
- Anna S Pruitt
- University of Hawai'i at Mānoa, Honolulu, Hawaii, USA
| | - John P Barile
- University of Hawai'i at Mānoa, Honolulu, Hawaii, USA
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