| Titre : | Assessing the CANCERLESS Health Navigation Model’s Impact on Cancer Risk Factors among People Experiencing Homelessness in Four European Countries |
| Auteurs : | Juan Esteban Guzman Benitez ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2025 |
| Description : | 46p. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Sans domicile fixe ; Cancer ; Prévention santé ; Facteur risque ; Accès soins ; Autriche ; Grèce ; Royaume Uni ; Espagne |
| Résumé : |
People experiencing homelessness (PEH) face significant health barriers. They are at higher risk for cancer and chronic diseases due to financial hardship, social stigma, and increased prevalence of risk behaviours such as smoking, poor diet, and low physical activity. This project aimed to assess whether the tailored health navigation model, CANCERLESS, could improve modifiable cancer risk behaviours and improve health outcomes among PEH. The intervention aimed to address modifiable cancer risk factors and enhance cancer prevention through targeted activities, including behavioural support, education, and social services. The CANCERLESS intervention was implemented over nineteen months across 16 sites in Austria, Greece, Spain, and the UK. Participants received support from trained health navigators. The study used data from 277 PEH who completed the intervention. Data were collected at baseline (T0) and after the intervention (T2), using standardised questionnaires to measure demographics, health behaviours, and quality of life. The analysis included descriptive statistics, multiple imputation for missing data, and repeated-measures ordinal logistic regression.
The results revealed significant improvements in physical activity and homelessness situation, with greater effects among participants with higher levels of education and those without legal documentation. However, there was a notable decline in condom use and limited change in smoking or alcohol use, suggesting that not all cancer risk factors improved. These findings emphasise the challenges of achieving lasting health behavioural change and the importance of addressing structural barriers. The high dropout rate also stresses the need for improved adherence strategies for highly mobile populations. Nevertheless, the findings show that tailored, navigation-based models can make a positive difference for groups often overlooked by healthcare systems. To fully address the diverse needs of PEH, future interventions must be flexible, sustained, and co-created with them. Above all, cancer should not become yet another barrier for individuals already facing daily uncertainty and hardship. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2025/mph/juan_esteban_guzman_benitez.pdf |
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