Honors Program

Changemaker Scholars, Honors in Nursing

Date of Award

5-2026

Thesis Professor(s)

Judith Rice

Thesis Professor Department

Nursing

Abstract

Individuals experiencing homelessness represent a vulnerable population facing significant health and social challenges across the United States. Although people of all ages are affected, certain age groups are disproportionately represented. National data indicate that adults aged 35-54 make up the largest community of individuals experiencing homelessness, with a growing number of adults aged 55 and older. However, less is known about how these national trends compare to local populations, particularly in Appalachia. The purpose of this study is to compare the age distribution between individuals experiencing homelessness at the national level with local data from northeast Tennessee to identify potential differences and their implications for nursing practice. This study uses a descriptive, comparative cross-sectional design, drawing on secondary data from the U.S. Department of Housing and Urban Development’s 2024 Annual Homelessness Assessment Report and the Tennessee Valley Coalition for the Homeless 2024 Point-in-Time count, along with regional PATH program data. Findings indicate that, while both national and local populations are concentrated among middle-aged adults, the local population is slightly older, with a higher proportion of individuals aged 45-54 and an increasing representation of those over age 50. These findings highlight the importance of incorporating local demographic data into healthcare planning, as an older population may require increased focus on chronic disease management and preventative care. This study supports the need for tailored, population-specific nursing interventions to improve patient health outcomes.

Publisher

East Tennessee State University

Document Type

Honors Thesis - Open Access

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Copyright

Copyright by the authors.

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