Why do homeless women in New York state experience fewer hospital revisits after childbirth than housed women?
Why do homeless women in New York state experience fewer hospital revisits after childbirth than housed women?
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为什么纽约州的无家可归妇女在分娩后比被安置的妇女更少去医院复诊？
DOI：
10.1136/bmjqs-2021-013746
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Tsugawa Yusuke
中科院分区：
文献类型：
--
作者：
Miyawaki Atsushi;Tsugawa Yusuke
无家可归是许多国家面临的一项重大公共卫生挑战，在许多地方，与新冠肺炎疫情相关的经济低迷加剧了这一问题。即使在富裕国家，无家可归仍然是一个重大的社会和公共卫生问题。例如，在世界上最富有的国家之一的美国，估计每晚都有60万人无家可归。1无家可归者被美国住房和城市发展部定义为缺乏“固定的、有规律的、充足的夜间住所”。2研究发现，无家可归的人更有可能在获得医疗保健方面遇到障碍，包括贫困、家庭问题、健康素养差和缺乏社会支持。3无家可归在年轻妇女中是一个特别重要的问题，因为无家可归妇女中怀孕是很常见的，而且由于无家可归妇女缺乏可用的资源，如果不能提供适当的护理，母亲和婴儿的健康和生命都可能受到影响。4由于无家可归、贫穷、吸毒和获得有效避孕措施有限等因素交织在一起，无家可归的女青少年比寄宿的同龄人更有可能在一生中报告怀孕。5无家可归可能影响孕妇及其婴儿的健康结果，6怀孕还可能增加妇女因辍学或因怀孕而遭受家庭暴力而无家可归的风险。7 8尽管了解无家可归妇女在怀孕和分娩期间的护理质量和结局至关重要，但关于产后无家可归妇女获得保健和保健机会的研究一直很有限。
Homelessness is a major public health challenge faced by many countries, and in many places, it has been aggravated by the economic downturn associated with the COVID-19 pandemic. Even in wealthy countries, homelessness remains a major social and public health issue. For example, in the USA, which is one of the wealthiest countries in the world, an estimated 600 000 individuals are homeless on any given night. 1 Homelessness is defined as the lack of ‘a fixed, regular, and adequate night time residence’by the US Department of Housing and Urban Development. 2 Studies have found that homeless individuals are more likely to encounter barriers to accessing medical care, including poverty, family problems, poor health literacy and a lack of social support. 3 Homelessness is an especially important issue among young women, as pregnancy among homeless women is common and, due to the lack of resources available for homeless women, the health and lives of both mother and baby could be affected if appropriate care cannot be delivered. 4 Due to the intersection of homelessness, poverty, drug use and limited access to effective contraception, homeless female adolescents are more likely to report a pregnancy in a lifetime than their housed counterparts. 5 Homelessness may impact the health outcomes of pregnant women and their babies, 6 and pregnancy may also increase women’s risk of experiencing homelessness due to dropping out of school or surviving domestic violence related to pregnancy. 7 8 Despite the critical importance of understanding the quality of care and outcomes of homeless women during pregnancy and delivery, research examining the health and healthcare access among postpartum homeless women has been limited.
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影响因子：
2.9
作者：
Clapp, Mark A.;Little, Sarah E.;Kaimal, Anjali J.
通讯作者：
Kaimal, Anjali J.
减少再入院计划 (HRRP)
DOI：
--
发表时间：
2018
期刊：
影响因子：
--
作者：
Nejm Catalyst
通讯作者：
Nejm Catalyst
DOI：
10.1016/s0140-6736(14)61132-6
发表时间：
2014-10-25
期刊：
Lancet (London, England)
影响因子：
--
作者：
Fazel S;Geddes JR;Kushel M
通讯作者：
Kushel M
全国质量论坛
DOI：
--
发表时间：
2010
期刊：
影响因子：
--
作者：
C. Blaum
通讯作者：
C. Blaum
宾夕法尼亚州费城成年育龄妇女偶发性无家可归的发生率。
影响因子：
12.7
作者：
D. Webb;J. Culhane;Stephan Metraux;J. Robbins;D. Culhane
通讯作者：
D. Culhane