Homelessness During the Transition From Foster Care to Adulthood

Homelessness During the Transition From Foster Care to Adulthood
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DOI:
10.2105/ajph.2013.301455
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发表时间:
2013-12-01
影响因子:
12.7
通讯作者:
Courtney, Mark
Courtney, Mark
中科院分区:
医学2区
文献类型:
--
作者:
Dworsky, Amy;Napolitano, Laura;Courtney, Mark

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目标.我们估计了在向成年过渡期间无家可归的发生率,并确定了在这一过渡期间预测无家可归的风险和保护因素。使用数据从中西部评估的成年功能的前寄养青年,一个纵向研究的青年老化的寄养在中西部3个州,和边界的方法,我们估计的累积百分比的青年谁成为无家可归的过渡到成年。我们还估计了一个离散时间风险模型,预测首次报告的情节无家可归。脱离寄养的青少年在向成年过渡期间很有可能无家可归。在我们的研究参与者中,31%至46%的人在26岁之前至少有一次无家可归。在寄养家庭中离家出走、更大的安置不稳定性、男性、有身体虐待史、从事更多的犯罪行为以及有心理健康障碍症状与无家可归的相对风险增加相关。需要改变政策和做法,以减少寄养青年在老龄化后无家可归的风险。
Objectives. We estimated the incidence of homelessness during the transition to adulthood and identified the risk and protective factors that predict homelessness during this transition.Methods. Using data from the Midwest Evaluation of the Adult Functioning of Former Foster Youth, a longitudinal study of youths aging out of foster care in 3 Midwestern states, and a bounds approach, we estimated the cumulative percentage of youths who become homeless during the transition to adulthood. We also estimated a discrete time hazard model that predicted first reported episode of homelessness.Results. Youths aging out of foster care are at high risk for becoming homeless during the transition to adulthood. Between 31% and 46% of our study participants had been homeless at least once by age 26 years. Running away while in foster care, greater placement instability, being male, having a history of physical abuse, engaging in more delinquent behaviors, and having symptoms of a mental health disorder were associated with an increase in the relative risk of becoming homeless.Conclusions. Policy and practice changes are needed to reduce the risk that youths in foster care will become homeless after aging out.