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Western Journal of Nursing Research
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*Health Literacy
*Healthy Living
*Homeless Health Concerns
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Research with Homeless People Uncovers a Model of Health

Dianne McCormack

University of New Brunswick-Saint John, McGill University

Judith MacIntosh

University of New Brunswick-Fredericton

This grounded theory research study explored health experiences of 11 homeless persons in shelters in three New Brunswick cities and the strategies that they used to attain, maintain, or regain health. Audiotaped interviews were conducted, transcribed verbatim, and analyzed. The model that emerged from analysis consists of three pathways to health. This model of health has two central components, person and health. Person is influenced directly by family values and beliefs, and directly and indirectly by societal values and beliefs. Health is the outcome and is reached through two mediating factors of lifestyle behaviors and sector services. The first pathway to health contains the mediating factor of lifestyle behaviors, the second contains the mediating factor of sector services, and the third contains both mediating factors. Pathway strategies of choosing, accessing, and appraising appropriateness of methods influence the active participation of the person that directs the action within the model. Implications of the study include that a fragmented system of help hinders access to services intended to promote health in this population.

Western Journal of Nursing Research, Vol. 23, No. 7, 679-697 (2001)
DOI: 10.1177/019394590102300704
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