Prevalence of mental health and substance use disorders among homeless and low-income housed mothers
Prevalence of mental health and substance use disorders among homeless and low-income housed mothers
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DOI：
10.1176/ajp.155.11.1561
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发表时间：
1998-11-01
影响因子：
17.7
通讯作者：
Bassuk, SS
中科院分区：
文献类型：
--
作者：
Bassuk, EL;Buckner, JC;Bassuk, SS
目的：这项研究比较了无家可归和低收入寄宿母亲中DSM-III-R障碍的患病率与全国共病调查中所有女性中这些障碍的患病率。方法：采用非配对病例对照设计，对220名无家可归者和216名接受公共援助的寄宿母亲进行评估。结果：无家可归的母亲和住在家里的母亲精神障碍和物质使用障碍的发生率相似。与全国共病调查中的所有女性相比，这两组人的一生和目前严重抑郁症和药物滥用的比率都更高。这两组人也都有很高的创伤后应激障碍和两次或两次以上的终生疾病。结论：贫困妇女创伤相关疾病的患病率高于一般人群。为低收入母亲设计的方案和政策必须应对DSM-III-R障碍的高流行率。
Objective: This study compared the prevalence of DSM-III-R disorders among homeless and low-income housed mothers with the prevalence of these disorders among all women in the National Comorbidity Survey. Method: The authors used an unmatched case-control design for assessing 220 homeless and 216 housed mothers receiving public assistance. Results: Homeless and housed mothers had similar rates of psychiatric and substance use disorders. Both groups had higher lifetime and current rates of major depression and substance abuse than did all women in the National Comorbidity Survey. Both groups also had high rates of posttraumatic stress disorder and two or more lifetime conditions. Conclusions: The prevalence of trauma-related disorders among poor women was higher than that among women in the general population. Programs and policies designed for low-income mothers must respond to the high prevalence of DSM-III-R disorders.