title: Accessibility patterns and community integration among previously homeless adults: a Geographic Information Systems (GIS) approach.
abstract: Although a desired rehabilitation goal, research continues to document that community integration significantly lags behind housing stability success rates for people of a variety of ages who used to be homeless. While accessibility to resources is an environmental factor that may promote or impede integration activity, there has been little empirical investigation into the impact of proximity of community features on resource use and integration. Using a Geographic Information Systems (GIS) approach, the current study examines how accessibility or proximity to community features in Boston, United States related to the types of locations used and the size of an individual's "activity space," or spatial presence in the community. Significant findings include an inverse relationship between activity space size and proximity to the number and type of community features in one's immediate area. Specifically, larger activity spaces were associated with neighborhoods with less community features, and smaller activity spaces corresponded with greater availability of resources within one's immediate area. Activity space size also varied, however, based on proximity to different types of resources, namely transportation and health care. Greater community function, or the ability to navigate and use community resources, was associated with better accessibility and feeling part of the community. Finally, proximity to a greater number of individual identified preferred community features was associated with better social integration. The current study suggests the ongoing challenges of successful integration may vary not just based on accessibility to, but relative importance of, specific community features and affinity with one's surroundings. Community integration researchers and housing providers may need to attend to the meaning attached to resources, not just presence or use in the community.
authors.affiliation: The University of North Carolina at Chapel Hill, USA. Electronic address: dara_chan@med.unc.edu.
authors.forename: Dara V
authors.initials: DV
authors.lastname: Chan
authors.affiliation: Boston University, USA.
authors.forename: Sucharita
authors.initials: S
authors.lastname: Gopal
authors.affiliation: Boston University, USA.
authors.forename: Christine A
authors.initials: CA
authors.lastname: Helfrich
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001900:Boston; D005260:Female; D040362:Geographic Information Systems; D006297:Health Services Accessibility; D006703:Ill-Housed Persons; D006798:Housing; D006801:Humans; D008297:Male; D008875:Middle Aged; D012917:Social Adjustment; D014481:United States; D055815:Young Adult
keywords: Accessibility; Community integration; Geographic Information Systems (GIS); Homelessness; Housing; USA