Many cities across the United States are experiencing homelessness at crisis levels, including rises in the numbers of unhoused emerging adults (18-25). Emerging adults experiencing homelessness may be at higher risk of experiencing negative outcomes, given that being unhoused increases risk for a variety of behaviors. To better understand the current living circumstances of emerging adults with a history of homelessness, as well as their perceptions about associations between housing stability and quality of life (QOL), we conducted 30 semi-structured in-depth interviews with individuals recruited from drop-in centers for youth experiencing homelessness. At the time of recruitment n=19 were stably housed and n=11 were unstably housed. Two coders analyzed these data inductively and deductively, using pre-identified domains and open coding. Coding reliability was assessed. Three main themes emerged, each with subthemes: 1) Housing quality (neighborhood safety, convenience, housing unit characteristics); 2) QOL before stable housing (physical and mental wellbeing, social wellbeing, and other determinants of QOL, such as encounters with law enforcement); and 3) Changes in QOL after stable housing (same subthemes as for pre-housing stability QOL). Findings indicated a pattern of perceived relationships between housing stability, housing quality, built and social environments, and QOL in the context of emerging adults who experienced or continued to experience homelessness. However, results were mixed with regards to the perceived effects of housing stability on alcohol and other drug use. Taken together, results indicate several areas of challenge, but also highlight opportunities to facilitate improvements in QOL among vulnerable emerging adults who experience homelessness.

中文翻译：

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有无家可归史的新兴成年人的住房稳定性与感知生活质量之间的关联。

美国许多城市的无家可归现象都达到了危机水平，其中包括无家可归的新兴成年人（18-25 岁）数量的增加。鉴于无家可归会增加各种行为的风险，经历无家可归的新兴成年人可能面临更高的负面后果风险。为了更好地了解有无家可归史的新兴成年人当前的生活状况，以及他们对住房稳定性和生活质量 (QOL) 之间关系的看法，我们对从无家可归者中招募的个人进行了 30 次半结构化深度访谈。在无家可归青少年中心。招募时，n=19 人为稳定安置，n=11 人为不稳定安置。两名编码员使用预先确定的域和开放编码对这些数据进行归纳和演绎分析。评估编码可靠性。出现了三个主题，每个主题又包含一些副主题： 1）住房质量（邻里安全、便利性、住房单元特征）；2) 稳定住房之前的生活质量（身心健康、社会福祉以及生活质量的其他决定因素，例如与执法部门的接触）；3) 稳定住房后生活质量的变化（与住房前稳定生活质量相同的子主题）。研究结果表明，在经历或继续经历无家可归的新兴成年人的背景下，住房稳定性、住房质量、建筑和社会环境以及生活质量之间存在一种感知关系模式。然而，关于住房稳定性对酒精和其他药物使用的感知影响，结果好坏参半。总而言之，结果表明了几个领域的挑战，但也凸显了促进无家可归的弱势新兴成年人生活质量改善的机会。