TY - JOUR
T1 - Determinants of tenancy sustainment following homelessness: a systematic review
AU - Boland, L
AU - Slade, A
AU - Yarwood, R
AU - Bannigan, K
N1 - Acceptance from webpage
Author start date at GCU is after acceptance > apply exception 254a. ET 13/11/19
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Background: Tenancy sustainment—maintenance of a tenancy to avoid a premature end of tenure—is fundamental to prevention of homelessness. Understanding what enables a successful tenancy is essential in informing interventions designed to support people in leaving homelessness. Objectives: To conduct a systematic review identifying determinants associated with tenancy sustainment following homelessness. Search Methods: A detailed search of 12 electronic databases, as well as gray literature sources, was conducted in 2015 and updated in 2016. Selection Criteria: We included all study designs with a population of homeless or formerly homeless individuals in which tenancy sustainment was the primary outcome. Two reviewers independently carried out abstract and full-text reviews. QualSyst, a validated quality appraisal tool, was used in assessing the methodological quality of articles. Data Collection and Analysis: A data extraction form was developed for the review and was completed by a pair of reviewers to ensure accuracy. The heterogeneity of the studies included indicated that a narrative overview of the results was most appropriate. Main Results: Forty-three articles reporting 38 studies were included. Determinants were categorized at 4 levels: individual, interpersonal, community, and structural. Participation in specific programs (e.g., Housing First), receipt of social support, and older age were identified as positive determinants of tenancy sustainment. Conclusions: This systematic review is the first, to our knowledge, to focus solely on tenancy sustainment as a primary outcome. Although a range of determinants associated with tenancy sustainment were identified, it was difficult to draw strong conclusions owing to the heterogeneity of the studies. Despite being a fundamental concept in homelessness research, tenancy sustainment is poorly defined and conceptualized. A deeper understanding of tenancy sustainment will inform the development and evaluation of interventions that support people in leaving homelessness and maintaining tenancies. Public Health Implications: Housing stability is central to preventing homelessness and addressing the numerous public health concerns that can co-occur with homelessness. Our review highlights that a standardized approach to measuring housing stability and more high-quality intervention studies are essential.
AB - Background: Tenancy sustainment—maintenance of a tenancy to avoid a premature end of tenure—is fundamental to prevention of homelessness. Understanding what enables a successful tenancy is essential in informing interventions designed to support people in leaving homelessness. Objectives: To conduct a systematic review identifying determinants associated with tenancy sustainment following homelessness. Search Methods: A detailed search of 12 electronic databases, as well as gray literature sources, was conducted in 2015 and updated in 2016. Selection Criteria: We included all study designs with a population of homeless or formerly homeless individuals in which tenancy sustainment was the primary outcome. Two reviewers independently carried out abstract and full-text reviews. QualSyst, a validated quality appraisal tool, was used in assessing the methodological quality of articles. Data Collection and Analysis: A data extraction form was developed for the review and was completed by a pair of reviewers to ensure accuracy. The heterogeneity of the studies included indicated that a narrative overview of the results was most appropriate. Main Results: Forty-three articles reporting 38 studies were included. Determinants were categorized at 4 levels: individual, interpersonal, community, and structural. Participation in specific programs (e.g., Housing First), receipt of social support, and older age were identified as positive determinants of tenancy sustainment. Conclusions: This systematic review is the first, to our knowledge, to focus solely on tenancy sustainment as a primary outcome. Although a range of determinants associated with tenancy sustainment were identified, it was difficult to draw strong conclusions owing to the heterogeneity of the studies. Despite being a fundamental concept in homelessness research, tenancy sustainment is poorly defined and conceptualized. A deeper understanding of tenancy sustainment will inform the development and evaluation of interventions that support people in leaving homelessness and maintaining tenancies. Public Health Implications: Housing stability is central to preventing homelessness and addressing the numerous public health concerns that can co-occur with homelessness. Our review highlights that a standardized approach to measuring housing stability and more high-quality intervention studies are essential.
KW - homelessness
KW - tenancy sustainment
KW - housing stability
KW - public health
U2 - 10.2105/AJPH.2018.304652
DO - 10.2105/AJPH.2018.304652
M3 - Article
C2 - 30252526
VL - 108
SP - e1-e8
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 11
ER -