Stephen Hwang

MD, MPH

Director, Centre for Urban Health Solutions

Biography

Research Interests

Homelessness, housing as a social determinant of health, health care for homeless persons, marginalized populations, inner city health, urban health, socioeconomic status, access to care, community-based primary health care, health services research, probiotics for the prevention of Clostridium difficile infection.

Research Activities

My research focuses on improving the health of people who are homeless or vulnerably housed and deepening our understanding of housing as a social determinant of health. My current research projects include a study of health care utilization in a sample of 1,191 homeless men, women, and families in Toronto; an observational cohort study of health and housing transitions among 1,200 homeless and vulnerably housed adults in Toronto, Ottawa, and Vancouver; and the Mental Health Commission of Canada’s “At Home” study, a randomized controlled trial of rent subsidies and mental health supports for individuals who are homeless and have mental health issues.

Recent Publications

  1. To, MJ, Palepu, A, Aubry, T, Nisenbaum, R, Gogosis, E, Gadermann, A et al.. Predictors of homelessness among vulnerably housed adults in 3 Canadian cities: a prospective cohort study. BMC Public Health. 2016;16 (1):1041. doi: 10.1186/s12889-016-3711-8. PubMed PMID:27716129 PubMed Central PMC5048475.
  2. O'Campo, P, Stergiopoulos, V, Nir, P, Levy, M, Misir, V, Chum, A et al.. How did a Housing First intervention improve health and social outcomes among homeless adults with mental illness in Toronto? Two-year outcomes from a randomised trial. BMJ Open. 2016;6 (9):e010581. doi: 10.1136/bmjopen-2015-010581. PubMed PMID:27619826 PubMed Central PMC5030577.
  3. Hamilton-Wright, S, Woodhall-Melnik, J, Guilcher, SJ, Schuler, A, Wendaferew, A, Hwang, SW et al.. Gambling in the Landscape of Adversity in Youth: Reflections from Men Who Live with Poverty and Homelessness. Int J Environ Res Public Health. 2016;13 (9):. doi: 10.3390/ijerph13090854. PubMed PMID:27589784 PubMed Central PMC5036687.
  4. Stergiopoulos, V, Gozdzik, A, Tan de Bibiana, J, Guimond, T, Hwang, SW, Wasylenki, DA et al.. Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial. BMC Health Serv Res. 2016;16 (1):432. doi: 10.1186/s12913-016-1666-1. PubMed PMID:27557705 PubMed Central PMC4997752.
  5. Goligher, EC, Del Sorbo, L, Cheung, AM, Alibhai, SM, Liao, L, Easson, A et al.. Why conscientious objection merits respect. CMAJ. 2016;188 (11):822-3. doi: 10.1503/cmaj.1150113. PubMed PMID:27503992 PubMed Central PMC4978582.
  6. Guilcher, SJ, Hamilton-Wright, S, Skinner, W, Woodhall-Melnik, J, Ferentzy, P, Wendaferew, A et al.. "Talk with me": perspectives on services for men with problem gambling and housing instability. BMC Health Serv Res. 2016;16 (a):340. doi: 10.1186/s12913-016-1583-3. PubMed PMID:27485610 PubMed Central PMC4971622.
  7. Jaworsky, D, Gadermann, A, Duhoux, A, Naismith, TE, Norena, M, To, MJ et al.. Residential Stability Reduces Unmet Health Care Needs and Emergency Department Utilization among a Cohort of Homeless and Vulnerably Housed Persons in Canada. J Urban Health. 2016;93 (4):666-81. doi: 10.1007/s11524-016-0065-6. PubMed PMID:27457795 PubMed Central PMC4987593.
  8. Adair, CE, Kopp, B, Distasio, J, Hwang, SW, Lavoie, J, Veldhuizen, S et al.. Housing Quality in a Randomized Controlled Trial of Housing First for Homeless Individuals with Mental Illness: Correlates and Associations with Outcomes. J Urban Health. 2016;93 (4):682-97. doi: 10.1007/s11524-016-0062-9. PubMed PMID:27402549 PubMed Central PMC4987590.
  9. Kouyoumdjian, FG, Kiefer, L, Wobeser, W, Gonzalez, A, Hwang, SW. Mortality over 12 years of follow-up in people admitted to provincial custody in Ontario: a retrospective cohort study. CMAJ Open. ;4 (2):E153-61. doi: 10.9778/cmajo.20150098. PubMed PMID:27398358 PubMed Central PMC4933645.
  10. Sumalinog, R, Harrington, K, Dosani, N, Hwang, SW. Advance care planning, palliative care, and end-of-life care interventions for homeless people: A systematic review. Palliat Med. 2016; :. doi: 10.1177/0269216316649334. PubMed PMID:27260169 .
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Affiliations & Other Activities

  • Scientist, Li Ka Shing Knowledge Institute, St. Michael’s Hospital
  • Staff Physician, Division of General Internal Medicine, St. Michael’s Hospital
  • Director, Division of General Internal Medicine, University of Toronto
  • Professor, Department of Medicine, University of Toronto
  • Professor, Dalla Lana School of Public Health, University of Toronto
  • Professor, Institute of Health Policy, Management and Evaluation, University of Toronto