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Table 4 Generative structures, external and internalised mediators

From: Making sense of street chaos: an ethnographic exploration of homeless people’s health service utilization

Generative Structures.
Structures Exerting Influence Prior to becoming homeless
Poverty
Dysfunctional Familial Background (23 sources/71 references).
Substance Misuse (8 sources/10 references).
Negative Experiences of Authority (35 sources/70 references).
Illiteracy (4 sources/4 references).
Mental Illness (14 sources/22 references).
Structures Exerting Influence upon becoming homeless
Insecurity of Accommodation. (10 sources/19 references).
Need to Prioritise Survival over Health (35 Sources/99 references).
Chaotic Nature of Homelessness (26 sources/56 references).
Ubiquity of Early Death in Homelessness (17 sources/39 references).
Ubiquity of Violence in Homelessness (26 sources/78 references).
Substance Misuse (42 sources/107 references).
Negative Experience of Authority (35 sources/70 references).
External Barriers
Physical Barriers
Distance (6 sources/6 references)
Administrative Barriers
Complexity of application processes for medical care. (12 sources/15 references)
Appointment Systems (16 sources/26 references)
Queues (18 sources/ 37 references)
Policies for Management of addiction when queuing (20 sources/48 references)
Authoritative Rules of Service (16 sources/39 references)
Communicative Barriers
Absence of Information (10 sources/19 references)
Conversations of Exclusion. (36 sources/172 references)
Attitudinal Barriers
Stigma & Discrimination (35 sources/222 references)
Internalised Barriers
Cognitive Barriers
Fatalistic Cognitions (18 sources/47 references)
Denial Cognitions (18 sources/45 references)
Presumption of Poor Treatment due to personal past experience or due to hearing of other people’s’s negative experiences (15 sources/33 references)
Presumption of Discrimination Cognitions (11 sources/33 references)
Self Blame Cognitions (12 sources/37 references)
Competing Priorities Cognitions. (35 sources/99 references)
Emotional Barriers
Fear (35 sources/96 references)
Hopelessness (18 sources/36 references)
Embarrassment (11 sources/30 references)
Low self-esteem (8 sources/20 references)