# Social determinants of homelessness from childhood to adolescence: protocol for a living systematic review and meta-analysis

## TL;DR

This study aims to understand the social factors that lead to homelessness in children and adolescents to help prevent it early in life.

## Contribution

The paper introduces a living systematic review to continuously update knowledge on social determinants of homelessness in early life.

## Key findings

- The review will pool data from population-based studies to identify key social determinants of homelessness.
- It will use meta-regression to explore the influence of subgroup and methodological factors if sufficient data are available.
- Findings will be shared through academic publications and plain language summaries for broader impact.

## Abstract

Homelessness across the early life course poses a grave and largely preventable challenge. Those who experience homelessness early are at increased risk of a range of health, education and social inequities that can extend across the life course. Better understanding of the modifiable factors on the pathway to homelessness is needed to inform prevention at the earliest possible point in the life course and reduce the rate of child and adolescent homelessness at the population level. Here we address this gap in real-time knowledge by establishing a living systematic review of population studies of social determinants of homelessness from childhood to adolescence.

We will search MEDLINE, Embase, PubMed and PsycINFO for population-based prospective cohort studies reporting on social determinants of child and adolescent homelessness from 0 to 24 years. No study eligibility restrictions will be placed on the date, country of origin or language of publications. Study quality will be assessed using the Methodological Standards for Epidemiological Research scale. Associations between social determinants and homelessness will be reported using pooled relative risk ratios with 95% CI. If sufficient data are available, the influence of subgroup and methodological factors will be examined using meta-regression.

The study will synthesise published studies that have previously been granted ethics approval, meaning that it is exempt from ethics review or approval. Study findings will be disseminated through a peer-reviewed journal article, conference and seminar presentations. The authors will distribute a plain language summary through their academic and professional networks.

CRD42024577716.