Housing is an established social determinant of health. Homelessness has no internationally agreed definition, and countries count it in very different ways, so there is no reliable global total. Across OECD countries, at least 2.6 million people were reported as homeless or in housing exclusion under national definitions, and between 2023 and 2026 (or the nearest years available) the reported number rose in 15 of the 20 countries with comparable data. Far more people have shelter that is not adequate: UN-Habitat estimates that more than 1.16 billion people lived in slums and informal settlements in 2024, over 130 million more than in 2015, and that at least 3 billion people live in inadequate housing.
In the United States, 745,652 people experienced homelessness on a single night in January 2025, and 266,320 of them spent the night in places not meant for sleeping, such as cars, parks, abandoned buildings or stations. The total was 3.3% below the record of 2024, but the number of people experiencing homelessness on their own, outside a family with children, was the highest since data collection began, and one in three of them had a disability and had been homeless for a year or more or repeatedly. In Los Angeles County, the count rose by 1.2% in 2026 to an estimated 73,040 people, 49,002 of them unsheltered, after two consecutive years of decline; LAHSA notes that the change is not statistically significant. Poor health, including mental illness and substance use disorders, is both a cause and a consequence of homelessness, and people experiencing homelessness have high rates of emergency department use and hospital stays.
How homelessness is defined and counted
There is no internationally agreed definition of homelessness, and statistical definitions vary widely between countries. The OECD sorts national data using the European ETHOS Light typology, the United States counts people on a single night each January, and the UN's housing target measures slums and inadequate housing, which is a related but different problem:
Living rough and in emergency accommodation
The narrow meaning of homelessness covers people living rough in streets or public spaces, people in emergency accommodation such as overnight shelters, and people in accommodation for homeless people such as temporary or transitional housing (ETHOS Light categories 1 to 3). The wider term housing exclusion adds people leaving institutions without a home, people in non-conventional dwellings and people staying temporarily with family or friends because they have no housing (categories 4 to 6).
Hidden homelessness
Many people without a home are not in any count: people who stay temporarily with family or friends, who avoid visible public spaces, or who are not in contact with support services. There is no formal definition of hidden homelessness, and countries use the term in different ways. Women are more likely to rely on informal arrangements of this kind.
Point-in-time counts in the United States
HUD's annual count gives a one-night estimate in the last week of January. People are sheltered if they stay in emergency shelters, transitional housing or safe havens, and unsheltered if they sleep in a place not meant for sleeping, such as a car, park, abandoned building or station. People staying with family or friends are not included. Individuals have chronic patterns of homelessness if they have a disability and have been homeless for a year or more, or at least four times in three years for a total of at least 12 months.
Slums and inadequate housing
UN-Habitat counts an urban household as a slum household if it lacks one or more of improved water, improved sanitation, sufficient living space, durable housing or secure tenure; SDG indicator 11.1.1 also considers housing affordability. People in slums usually have a dwelling, but not an adequate one, so this measure is not a count of homelessness.