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Factors Associated with Community Participation among Individuals Who Have Experienced Homelessness

Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei 11031, Taiwan
Occupational Therapy Assistant Program, Bristol Community College, New Bedford, MA 02470, USA
Department of Occupational Therapy, Boston University College of Health and Rehabilitation Sciences: Sargent College, Boston, MA 02215, USA
Research Division at the Center for Psychiatric Rehabilitation, Boston University, Boston, MA 02215, USA
Author to whom correspondence should be addressed.
Academic Editor: Wendy Stav
Int. J. Environ. Res. Public Health 2015, 12(9), 11364-11378;
Received: 23 July 2015 / Revised: 20 August 2015 / Accepted: 3 September 2015 / Published: 10 September 2015
(This article belongs to the Special Issue Occupational Therapies and Human Well-Being)
Community participation is an important goal for people who have experienced homelessness. The aim of this study was to use the International Classification of Functioning, Disability and Health (ICF) as a framework to examine factors associated with community participation among people who are homeless or recently housed through housing programs. Participants (n = 120) recruited from six housing placement and search programs completed measures of community participation (including productivity, social and leisure, and community-services-use domains), psychiatric and physical symptoms, functional limitations, and a demographic form. Multiple regression analyses were used to identify predictors of overall community participation and subdomain scores. Results suggested that cognitive and mobility limitations, relationship status, and housing status significantly predicted both overall participation and participation in productivity and social and leisure subdomains. Participants who were housed through housing programs, who had cognitive and mobility limitations, and who were single showed less community participation. The findings suggest that activity limitations and environmental and personal factors may need to be addressed in efforts to enhance community participation in this population. View Full-Text
Keywords: homeless; environment; ICF; participation; housing homeless; environment; ICF; participation; housing
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Chang, F.-H.; Helfrich, C.A.; Coster, W.J.; Rogers, E.S. Factors Associated with Community Participation among Individuals Who Have Experienced Homelessness. Int. J. Environ. Res. Public Health 2015, 12, 11364-11378.

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