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espanolObjetivos: Analizar la incidencia de diferentes variables en el padecimiento de reiterados episodios en la situacion sin hogar. Metodo: El trabajo se realizo a partir de los datos obtenidos de una muestra representativa de las personas en situacion sin hogar en Madrid (Espana) (n=188). Resultados: El padecimiento de una enfermedad grave o cronica ejerce un efecto en la “puerta giratoria” a la situacion sin hogar mediado por una percepcion subjetiva muy negativa de la propia salud que, a su vez, se encuentra mediada por el padecimiento de alguna discapacidad. El consumo excesivo de alcohol ejerce un efecto en la “puerta giratoria” a la situacion sin hogar mediado por el acceso a tratamiento por problemas derivados de dicho consumo. Padecer una enfermedad grave o cronica correlaciona con tener o haber tenido problemas derivados de un consumo excesivo de alcohol. El padecimiento de multiples sucesos vitales estresantes ejerce un efecto directo en la “puerta giratoria” a la situacion sin hogar. Conclusiones: Para prevenir la “puerta giratoria” a la situacion sin hogar hay que eliminar las barreras que dificultan el acceso a los recursos normalizados de salud a las personas en exclusion social, a la vez que implementar programas continuados de apoyo para las personas sin hogar o en riesgo que incluyan prioritariamente cuestiones de salud. EnglishObjectives.- To analyse the impact of different variables on repeated episodes of homelessness. Method.- The study was conducted based on data obtained from a representative sample of homeless people in Madrid (Spain) (n = 188). Results.- Suffering from a serious or chronic illness has an effect on the revolving door to homelessness, which is mediated by a highly negative subjective perception of the individual's own health, which is in turn mediated by suffering from a disability. Excessive alcohol consumption has an effect on the revolving door to homelessness, mediated by access to treatment for problems caused by alcohol consumption. Suffering from a serious or chronic illness correlates with having problems caused by excessive alcohol consumption. Experiencing multiple stressful life events has a direct effect on the revolving door to homelessness. Conclusions.- To prevent the revolving door to homelessness, it is necessary to remove the barriers that hinder access to normal health resources which are experienced by people suffering from social exclusion, while implementing ongoing support programmes for homeless people or those at risk of homelessness, which primarily deal with health issues.

The revolving door to homelessness. The influence of health, alcohol consumption and stressful life events on the number of episodes of homelessness.