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The most vulnerable group of older adults is often identified as homeless older adults. This designation is primarily due to the combination of factors that characterize their situation. Homeless individuals of any age face significant safety and health challenges, but older adults may experience even more pronounced vulnerabilities due to age-related health issues, including mobility limitations, chronic diseases, and mental health conditions.

Living without stable housing exacerbates issues such as access to healthcare, nutrition, and social support, which are critical for maintaining health and well-being. Older adults who are homeless are also at higher risk for violence, exploitation, and substance abuse, all of which compound their vulnerability. Without a fixed address, they may struggle to access services and resources, contributing to ongoing cycles of poverty and health decline.

While other groups, such as elderly couples living in poverty with chronic illnesses or newly widowed, low-income elderly women, also face serious challenges, they often retain some level of support and resources that can mitigate their vulnerability compared to the completely homeless population. Similarly, elderly men with alcoholism are dealing with substance abuse issues, which are serious, but their situation does not inherently encompass the broader societal impacts of homelessness. Thus, the multifaceted crises faced by homeless older adults make them the most vulnerable group within