HOPE HOME: All Related Resources
Our Research
Loneliness Among Homeless-Experienced Older Adults With Cognitive or Functional Impairments: Qualitative Findings From the HOPE HOME Study
BMC Public Health
February 22, 2024
Our Research
Loneliness Among Homeless-Experienced Older Adults With Cognitive or Functional Impairments: Qualitative Findings From the HOPE HOME Study
BMC Public Health
February 22, 2024
Loneliness is often more common in older adults and those who face structural vulnerabilities, including those who experience homelessness. In the United States, 48% of single homeless adults are 50 and older. There is a limited information about loneliness among older adults who have experienced homelessness. This study used qualitative data collected as part of a longitudinal mixed-methods study, Health Outcomes of People Experiencing Homelessness in Older Middle Age (HOPE HOME). The study aimed to examine the intersection between social isolation, functional and cognitive impairment, and use of supportive services among a cohort of older adults experiencing homelessness in Oakland, California. Researchers found that homeless-experienced older adults with cognitive or functional impairments exhibited diverse loneliness experiences.
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Videos
Webinar: Aging, Health, & Homelessness: Findings from CASPEH and HOPE HOME
December 13, 2023
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Half of people experiencing homelessness are older than 50, and almost half of older homeless adults became homeless for the first time after they turned 50. This webinar is about the causes and consequences of homelessness in late life. Margot Kushel, MD, and other BHHI presenters will discuss findings from the Health Outcomes of People Experiencing Homelessness in Older Middle Age (HOPE HOME) project—a longitudinal cohort study following older adults experiencing homelessness in Oakland, CA, and the California Statewide Study of People Experiencing Homelessness (CASPEH)—the largest representative study of homelessness in the United States since the mid-1990s.
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Our Research
Sleep Quality Among Homeless-Experienced Older Adults: Exploratory Results from the HOPE HOME Study
Journal of General Internal Medicine
October 2, 2023
Our Research
Sleep Quality Among Homeless-Experienced Older Adults: Exploratory Results from the HOPE HOME Study
Journal of General Internal Medicine
October 2, 2023
Sleep is essential to health and affected by environmental and clinical factors. There is limited longitudinal research examining sleep quality in homeless older adults. This exploratory study examined the factors associated with poor sleep quality in a cohort of older adults in Oakland, California. Researchers found that participants had higher prevalence of poor sleep and worse Pittsburgh Sleep Quality Index (PSQI) scores than in studies of housed adults 20 years older.
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Our Research
"I Needed for You to See What I'm Talking About": Experiences With Telehealth Among Homeless-Experienced Older Adults
Gerontology and Geriatric Medicine
May 6, 2023
Our Research
"I Needed for You to See What I'm Talking About": Experiences With Telehealth Among Homeless-Experienced Older Adults
Gerontology and Geriatric Medicine
May 6, 2023
Little is known how older adults with a current or recent experience of homelessness navigated the switch to telehealth during the COVID-19 pandemic. Researchers examined the perceptions and use of telehealth, sampling from a larger longitudinal study on homeless-experienced adults in Oakland, CA. They found that the participants experienced challenges accessing the necessary technologies for telehealth.
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Our Research
Caregiving Needs Are Unmet for Many Older Homeless Adults: Findings from the HOPE HOME Study
Journal of General Internal Medicine
November 1, 2022
Our Research
Caregiving Needs Are Unmet for Many Older Homeless Adults: Findings from the HOPE HOME Study
Journal of General Internal Medicine
November 1, 2022
In this cohort study, UCSF BHHI researchers found that most older homeless-experienced adults needed caregiving assistance and few received such assistance. Interventions that increase caregiving access for homeless-experienced individuals may help avoid poor health outcomes and costly long-term care needs due to untreated disabilities.
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Our Research
Factors Associated With Mortality Among Homeless Older Adults in California: The HOPE HOME Study
JAMA Internal Medicine
October 1, 2022
Our Research
Factors Associated With Mortality Among Homeless Older Adults in California: The HOPE HOME Study
JAMA Internal Medicine
October 1, 2022
In this long-term study of 450 homeless adults age 50 and older, BHHI researchers examined how factors like regaining housing, using drugs, and having various chronic conditions, such as diabetes, affected participants' risk of dying. They found that 26% of the participants died within a few years of being enrolled, and people who first became homeless at age 50 or older were about 60% more likely to die than those who had become homeless earlier in life, and those who remained homeless were about 80% more likely to die than those who were able to return to housing. These findings illustrate an urgent need for policy approaches to prevent and end homelessness among older adults in the United States and suggest that addressing older adults’ barriers to health care and high rates of institutionalization may prevent premature mortality.
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Our Research
Neurocognitive Health of Older Adults Experiencing Homelessness in Oakland, California
Frontiers in Neurology
July 22, 2022
Our Research
Neurocognitive Health of Older Adults Experiencing Homelessness in Oakland, California
Frontiers in Neurology
July 22, 2022
The homeless population in the United States is aging, however, there is limited studies on the neurologic etiologies of cognitive impairment in this population. Researchers observed a wide range of focal neurological deficits in the study participants, most notably deficits in cranial nerve function, motor function, coordination, and peripheral sensory functions. This study lays the foundation for the development of a longitudinal study of neurocognitive health among unhoused older adults in San Francisco.
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Our Research
“We Remember the Pain”: A Qualitative Study of Intergenerational Trauma Among Older Adults Experiencing Homelessness in the HOPE HOME Study
Journal of Social Distress and Homelessness
May 28, 2022
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Our Research
Temporary stays with housed family and friends among older adults experiencing homelessness: Qualitative findings from the HOPE HOME study
Qualitative Social Work
May 1, 2022
Our Research
Temporary stays with housed family and friends among older adults experiencing homelessness: Qualitative findings from the HOPE HOME study
Qualitative Social Work
May 1, 2022
Recently the demographic characteristics of people experiencing individual homelessness have changed; more individuals over the age of 50 are experiencing homelessness. BHHI researchers examined the motivations for and challenges of older adults experiencing homelessness staying with or moving in with family or friends. Researchers found barriers to stay such as feelings of shame and concerns about burdening the hosts. Findings suggest that family members and friends may play an important role in supporting older adults experiencing homelessness.
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Our Research
Factors Associated with Incarceration in Older Adults Experiencing Homelessness: Results from the HOPE HOME Study
Journal of General Internal Medicine
April 1, 2022
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Our Research
COVID-19 Testing and Vaccine Acceptability Among Homeless-Experienced Adults: Qualitative Data from Two Samples
Journal of General Internal Medicine
March 1, 2022
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Our Research
Ground-Truthing the Experiences of Homeless Older Adults' Recent Stays with Family and Friends: A Case Study of Participatory Data Analysis
Journal of Health Care for the Poor and Underserved
February 10, 2022
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Our Research
Barriers and Facilitators to Resolving Older Adult Homelessness Through Stays With Family: Qualitative Findings From the HOPE HOME Study
Journal of Social Distress and Homelessness
February 8, 2022
Our Research
Persistent Homelessness and Violent Victimization Among Older Adults in the HOPE HOME Study
Journal of Interpersonal Violence
September 1, 2021
Our Research
Persistent Homelessness and Violent Victimization Among Older Adults in the HOPE HOME Study
Journal of Interpersonal Violence
September 1, 2021
The homeless population is aging and people experiencing homelessness are at a heightened risk of experiencing physical and sexual victimization. This study examined whether homelessness is independently associated with experiencing physical or sexual abuse. Researchers found that older homeless adults experience high rates of victimization.
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Our Research
Barriers and Solutions To Advance Care Planning Among Homeless-Experienced Older Adults
Journal of Palliative Medicine
September 22, 2020
Our Research
Risk Factors for Falls in Older Adults Experiencing Homelessness: Results from the HOPE HOME Cohort Study
January 21, 2020
Our Research
"We Really Help, Taking Care of Each Other": Older Homeless Adults as Caregivers
Gerontology and Geriatric Medicine
December 20, 2019
Our Research
Racial Discrimination in the Life Course of Older Adults Experiencing Homelessness: Results From the HOPE HOME Study
Journal of Social Distress and Homelessness
December 18, 2019
Our Research
Unmet Mental Health and Substance Use Treatment Needs Among Older Homeless Adults: Results From the HOPE HOME Study
Journal of Community Psychology
August 19, 2019
Our Research
Trajectories of Functional Impairment in Homeless Older Adults: Results From the HOPE HOME Study
PLoS ONE
August 13, 2019
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News
More and More Californians Are Old, Sick and on the Streets. Here's How We Can Fight Senior Homelessness.
San Francisco Chronicle
July 28, 2019
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News
More and More Californians Are Old, Sick and on the Streets. Here's How We Can Fight Senior Homelessness.
San Francisco Chronicle
July 28, 2019
A guest column by Margot Kushel, MD, and Kevin Prindiville, JD, looks at the rise in homelessness among people older than 50: “With rising housing costs, fewer pensions, and a fraying safety net, many older adults are one crisis away from losing the roof over their head.”
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Our Research
Factors Associated With Food Insecurity Among Older Homeless Adults: Results From the HOPE HOME Study
Journal of Public Health (Oxford, England)
June 1, 2019
Our Research
Mobile Phone, Computer and Internet Use Among Older Homeless Adults: Results From the HOPE HOME Study
JMIR Mhealth Uhealth
October 12, 2018
Our Research
Oral Health and Access to Dental Care Among Older Homeless Adults: Results From the HOPE HOME Study
Journal of Public Health Dentistry
September 17, 2018
Our Research
The Thing That Really Gets Me Is the Future’: Symptomatology in Older Homeless Adults in the HOPE HOME Study
Journal of Pain and Symptom Management
May 18, 2018
Our Research
Advance Care Planning for Older Homeless-Experienced Adults: Results from the Health Outcomes of People Experiencing Homelessness in Older Middle Age Study.
Journal of the American Geriatrics Society
May 9, 2018
Our Research
Physical, Psychological, Social, and Existential Symptoms in Older Homeless-Experienced Adults: An Observational Study of the Hope Home Cohort
Journal of General Internal Medicine
November 28, 2017
Our Research
Older African American Homeless-Experienced Smokers’ Attitudes Toward Tobacco Control Policies—Results From the HOPE HOME Study
American Journal of Health Promotion
September 12, 2017
Our Research
Geriatric Conditions in a Population-Based Sample of Older Homeless Adults
Gerontologist
August 1, 2017
Our Research
Factors Associated With Cognitive Impairment in a Cohort of Older Homeless Adults: Results From the HOPE HOME Study
Drug and Alcohol Dependence
July 4, 2017
Our Research
Factors Associated With Substance Use in Older Homeless Adults: Results From the HOPE HOME Study
Substance Abuse
January 1, 2017
Our Research
Childhood Adversities Associated with Poor Adult Mental Health Outcomes in Older Homeless Adults: Results From the HOPE HOME Study
American Journal of Geriatric Psychiatry
August 17, 2016
Our Research
Emergency Department Use in a Cohort of Older Homeless Adults: Results from the HOPE HOME Study
Academic Emergency Medicine
August 13, 2016
Our Research
Pathways to Homelessness Among Older Homeless Adults: Results From the HOPE HOME Study
PLoS ONE
May 10, 2016
Our Research
Residential Patterns in Older Homeless Adults: Results of a Cluster Analysis
Social Science & Medicine
March 1, 2016
Our Research
Tobacco Cessation Behaviors Among Older Homeless Adults: Results From the HOPE HOME Study
Nicotine & Tobacco Research
February 26, 2016