title: Barriers to health and social services for street-involved youth in a Canadian setting.
abstract: Although street-involved youth contend with many health and social problems, the extent to which vulnerable youth engage with supportive services has not been well described. This study sought to examine the prevalence and correlates associated with having difficulty accessing health and social services among a prospective cohort of street-involved youth in Vancouver, Canada. Among 1019 street-involved youth, 650 (64 per cent) reported having difficulty accessing services during the study period. In a multivariate analysis, youth who reported having difficulty accessing services were significantly more likely to be socially and economically vulnerable. Specifically, they were more likely to report severe housing instability, high-intensity drug use, recent interactions with law enforcement, drug dealing, and histories of violence and physical abuse. Study findings point to opportunities to improve access to services among vulnerable youth through removal of blanket age restrictions for youth services, establishing youth-centric social housing, and supporting peer-driven, low-threshold services.
authors: 1] British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada [2] Interdisciplinary Studies Graduate Program, University of British Columbia, Vancouver, Canada.
authors: Brittany
authors: B
authors: Barker
authors: 1] British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada [2] Department of Medicine, University of British Columbia, Vancouver, Canada.
authors: Thomas
authors: T
authors: Kerr
authors: British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada.
authors: Paul
authors: P
authors: Nguyen
authors: 1] British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada [2] Department of Medicine, University of British Columbia, Vancouver, Canada.
authors: Evan
authors: E
authors: Wood
authors: 1] British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada [2] School of Public Policy, Simon Fraser University, Vancouver, Canada.
authors: Kora
authors: K
authors: DeBeck
mesh_terms: D000293:Adolescent; D000328:Adult; D002170:Canada; D005260:Female; D018453:Homeless Youth / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012947:Social Work; D035862:Vulnerable Populations; D055815:Young Adult