Effectiveness of permanent supportive housing and income assistance interventions for homeless individuals in high-income countries: a systematic review

作者：Tim Aubry, Gary Bloch, Vanessa Brcic, Ammar Saad, Olivia Magwood, Tasnim Abdalla, Qasem Alkhateeb, Edward Xie, Christine Mathew, Terry Hannigan, Chris Costello, Kednapa Thavorn, Vicky Stergiopoulos, Peter Tugwell, Kevin Pottie · 发表于：The Lancet Public Health · 年份：2020 · DOI：10.1016/s2468-2667(20)30055-4 · 被引用次数：224 · 研究领域：Homelessness and Social Issues、Housing, Finance, and Neoliberalism、Place Attachment and Urban Studies

BACKGROUND: Permanent supportive housing and income assistance are valuable interventions for homeless individuals. Homelessness can reduce physical and social wellbeing, presenting public health risks for infectious diseases, disability, and death. We did a systematic review, meta-analysis, and narrative synthesis to investigate the effectiveness and cost-effectiveness of permanent supportive housing and income interventions on the health and social wellbeing of individuals who are homeless in high-income countries. METHODS: We searched MEDLINE, Embase, CINAHL, PsycINFO, Epistemonikos, NIHR-HTA, NHS EED, DARE, and the Cochrane Central Register of Controlled Trials from database inception to Feb 10, 2020, for studies on permanent supportive housing and income interventions for homeless populations. We included only randomised controlled trials, quasi-experimental studies, and cost-effectiveness studies from high-income countries that reported at least one outcome of interest (housing stability, mental health, quality of life, substance use, hospital admission, earned income, or employment). We screened studies using a standardised data collection form and pooled data from published studies. We synthesised results using random effects meta-analysis and narrative synthesis. We assessed certainty of the evidence using the Grading of Recommendations Assessment, Development, and Evaluation approach. FINDINGS: Our search identified 15 908 citations, of which 72 articles were includ...