Abstract Social integration is a critical predictor of health and wellbeing for older people, yet limited research examines how older people experiencing homelessness navigate social integration and what their needs are. This study explores how 20 older adults with lived experiences of homelessness and housing precarity perceive and experience social integration in an independent housing setting with on-site support. Additionally, it aims to identify the factors that facilitate and promote social integration for this population. Drawing on semi-structured lifecourse interviews and photovoice sessions, reflexive thematic analysis identified four key themes: (1) From isolation to inclusion: narratives on social integration; (2) Space, place and social integration; (3) Unlocking pathways to deep and meaningful social interactions; and (4) Navigating social integration: the vital role of autonomy and choice. The findings reveal that social integration exists along a continuum. While some participants valued solitude and independence, others actively sought meaningful connections, or occupied a middle ground, engaging in casual interactions. Social integration was influenced by three factors: the built and natural environment, opportunities for deep and meaningful interactions, and individual autonomy and choice. These findings add to the knowledge and debate surrounding the definition of social integration and its contributory factors, especially for older adults with experiences of homelessness and housing precarity. The study underscores the need for different housing models and environments to accommodate and cater across the social integration continuum, ensuring that everyone can find their place within the community and engage in a way that feels comfortable and fulfilling for them.
Fayyaz et al. (Thu,) studied this question.