Health and adverse childhood experiences among homeless youth.
Health and adverse childhood experiences among homeless youth.
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DOI：
10.1186/s12887-021-02620-4
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发表时间：
2021-04-07
期刊：
影响因子：
2.4
通讯作者：
Lingras KA
中科院分区：
文献类型：
--
作者：
Barnes AJ;Gower AL;Sajady M;Lingras KA
无家可归与健康问题和不良童年经历有关。与住在家里的年轻人相比，无家可归者患慢性健康状况的风险，以及这种风险与ace的相互作用尚不清楚。本研究旨在探讨ace、住房和儿童健康之间的关系，以及：1)ace和健康是否因住房环境而异；2) ace和无家可归会带来独立的健康风险；3) ace与住房在青少年健康方面的相互作用。使用来自119,254名8 - 11年级学生的数据，我们测试了ACEs和过去一年的住房状况（有住房、家庭无家可归、无人陪伴的无家可归）对整体健康和慢性健康状况的独立和联合影响，控制了社会人口统计学协变量。ACE的患病率因住房状况而异，34.1%有住房的青少年经历≥1次ACE，而家庭无家可归的青少年为56.3%，无人陪伴的无家可归青少年为85.5%。健康状况也有类似的变化。在调整协变量后，无家可归和不良经历与整体健康状况低和慢性健康状况独立相关。与住在家里的青少年相比，家庭无家可归的青少年和无人陪伴的无家可归的青少年整体健康状况不佳和慢性身体和/或精神健康状况的几率都增加了。所有ACE与住房状况的相互作用均显著（均p < 0.001），表明住房状况可调节ACE相关的健康风险。ace和住房状况独立预测青少年健康状况，而不是其他社会人口风险。无家可归的经历，无论是无人陪伴还是有家人陪伴，都与健康风险增加有关，每增加一次ACE都会增加这种风险。临床医生和卫生系统应提倡将稳定住房作为保护因素的政策。
Homelessness is associated with health problems and with adverse childhood experiences (ACEs). The risk of chronic health conditions for homeless compared to housed youth, and how this risk interacts with ACEs remains unclear. This study investigated the relationship between ACEs, housing, and child health, and whether: 1) ACEs and health vary by housing context; 2) ACEs and homelessness confer independent health risks; and 3) ACEs interact with housing with regard to adolescent health. Using data from 119,254 8th–11th graders, we tested independent and joint effects of ACEs and past-year housing status (housed, family homelessness, unaccompanied homelessness) on overall health and chronic health conditions, controlling for sociodemographic covariates. The prevalence of ACEs varied by housing status, with 34.1% of housed youth experiencing ≥1 ACE vs. 56.3% of family-homeless and 85.5% of unaccompanied-homeless youth. Health status varied similarly. Homelessness and ACEs were independently associated with low overall health and chronic health conditions, after adjusting for covariates. Compared to housed youth, both family-homeless youth and unaccompanied-homeless youth had increased odds of low overall health and chronic physical and/or mental health conditions. All ACE x housing-status interactions were significant (all p < 0.001), such that ACE-related health risks were moderated by housing status. ACEs and housing status independently predict health status during adolescence beyond other sociodemographic risks. Experiencing homelessness, whether unaccomapnied or with family, is associated with increased health risk, and every additional ACE increases this risk. Clinicians and health systems should advocate for policies that include stable housing as a protective factor.
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影响因子：
4.5
作者：
Bellis, Mark A.;Hughes, Karen;Davies, Alisha
通讯作者：
Davies, Alisha
影响因子：
7.6
作者：
Jetelina, Katelyn K.;Gonzalez, Jennifer M. Reingle;Schuster, Mark A.
通讯作者：
Schuster, Mark A.
影响因子：
1.7
作者：
Cutuli, J. J.
通讯作者：
Cutuli, J. J.
DOI：
10.3390/ijerph14030331
发表时间：
2017-03-22
影响因子：
--
作者：
DeLisi M;Alcala J;Kusow A;Hochstetler A;Heirigs MH;Caudill JW;Trulson CR;Baglivio MT
通讯作者：
Baglivio MT
影响因子：
4.8
作者：
Duke, Naomi N.;Borowsky, Iris W.
通讯作者：
Borowsky, Iris W.