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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)