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Level of Street Involvement and Health and Health Services Use of Calgary Street Youth (Quantitative Research) (Report)

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eBook details

  • Title: Level of Street Involvement and Health and Health Services Use of Calgary Street Youth (Quantitative Research) (Report)
  • Author : Canadian Journal of Public Health
  • Release Date : January 01, 2009
  • Genre: Law,Books,Professional & Technical,
  • Pages : * pages
  • Size : 294 KB

Description

Health issues faced by street youth in Canada are of growing concern for public health, as homelessness and health become critical social issues. (1) The health risks of street-involved youth are many, and may arise from street environmental risks (including inadequate shelter, poor diet, and violence); (2,3) and risks resulting from street experiences, including those related to sexual activity (including survival/obligatory sex or prostitution) such as high rates of STIs (HIV, chlamydia, gonorrhoea, hepatitis B) and high-risk pregnancy; (4-6) substance use, such as drug overdoses, or hepatitis B, C, or HIV infection through sharing of needles or injection drug equipment; (7,8) and isolation and lack of social support, which may lead to mental health problems or exacerbation of mental health issues (including depression and suicide attempts). (4,9) While many street youth use hospital emergency and health clinics, they typically turn to these only when seriously injured or ill, and often cannot afford medicines. (10-12) A variety of definitions of street youth have been used, but most health research in Canada focuses on youth under 25 who face some degree of precarious housing (e.g., those "couch surfing" at friends' homes or in hotels) or absolute homelessness (those living outdoors, in abandoned buildings or shelters) over a given time period and who use street services. (4,13) A more inclusive perspective defines street-involved youth as young people under 25 who spend considerable amounts of time on the street, participate extensively in street lifestyle practices, and who may live or have lived independently of parents or guardians in marginal or precarious situations. (14) This approach acknowledges diversity among the street-involved youth population, and includes youth who may not be accessing services as well as youth who may be street-involved, but who have not lived on the street. This approach also considers factors that lead to street involvement, which typically include family conflict, violence or maltreatment, (15,16) individual issues (such as mental health issues and substance use), (4,17) or child welfare or educational systems issues. (18) Within the last decade, there has been a growing recognition in the literature that for youth, involvement with the street is episodic, and may follow one or repeated cycles of entry, equilibrium on the street, and extrication or disengagement. (15,19) Studies have thus recently begun to examine health risks, health outcomes, and street services use according to the levels and types of street involvement. (10,20) The objective of this study was to describe health risks, outcomes and health services use of Calgary street-involved youth and investigate differences in these by their level of street involvement in order to inform health and street services delivery.


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