Understanding Health Needs and Perspectives of Middle-Aged and Older Women Experiencing Homelessness
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Objectives: Middle-aged and older homeless women have unique health and social service delivery needs; yet, limited research has been conducted in this area. The purpose of this study was to assess perspectives among prefrail and frail, middle-aged and older homeless women.
Design And Sample: Focus group methodology was conducted to assess perspectives among these homeless women (N=20) aged 43 to 62.
Measures: Sociodemographic and frailty characteristics were assessed by structured instruments, along with mobility, assistive device use and falls.
Results: The average age was 53.4; the majority of the sample was African-American (70%). In total, 60% reported living in a shelter for the last 30 days, while 20% were unsheltered. The majority of the sample reported walking independently (80%) and not using an assistive device (65%). Over one third (35%) fell in the last 30 days and 70% fell in the last year. Content analysis revealed several themes that included (1) health care needs and challenges experienced; (2) perspectives on sexual decision making; (3) employment difficulties; (4) existing support systems; and (5) development of future program planning.
Conclusions: Future research development and implications are discussed.
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