What is it about?

This study analyzed differences in homelessness rates across all 50 US states. It found the cost of living index, mainly housing costs, was the primary driver of homelessness. Unemployment, poverty, and alcohol misuse contributed as well. Opioid prescriptions had an unexpected negative correlation with homelessness: as opioid prescription rates went up, homelessness decreased.

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Why is it important?

This analysis identifies actionable targets to guide resource allocation and policy to reduce homelessness through interventions aimed at housing affordability, income support, addiction treatment, and job creation. It provides evidence to support collaborative efforts addressing the economic factors driving homelessness.

Perspectives

As the lead author of this research, I'm excited to have conducted one of the first large-scale analyses examining contributors to homelessness at a state population level. Our novel finding that more permissive opioid prescription policies are associated with lower homelessness warrants deeper investigation into whether overly restrictive approaches may displace vulnerable individuals. While observational studies have inherent limitations, these results can inform pragmatic solutions through targeted housing assistance, vocational training, and addiction treatment integration. Homelessness persists despite myriad interventions, so research illuminating its multifactorial drivers is essential to guide impactful policy changes. We hope these insights spur cross-sector collaborations, enhancing access to affordable housing, economic stability, and integrated health services.

Thomas F Heston MD
University of Washington

Read the Original

This page is a summary of: The Cost of Living Index as a Primary Driver of Homelessness in the United States: A Cross-State Analysis, Cureus, October 2023, Springer Science + Business Media,
DOI: 10.7759/cureus.46975.
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