The Mental Health, Substance Use, Physical Health, and Mental Health Treatment Need of Community Individuals Experiencing Homelessness in Hawai'i.

The Mental Health, Substance Use, Physical Health, and Mental Health Treatment Need of Community Individuals Experiencing Homelessness in Hawai'i.
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在夏威夷经历无家可归的社区个人的心理健康,药物使用,身体健康和心理健康治疗需求。

DOI:
10.1007/s10597-022-01076-9
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发表时间:
2023-07
影响因子:
2.7
通讯作者:
Okamoto, Scott K.
Okamoto, Scott K.
中科院分区:
医学4区
文献类型:
--
作者:
Subica, Andrew M.;Sampaga, Daryl S.;Ortiz-Misiaszek, Jana;Martin, Tammy K. K.;Okamoto, Scott K.

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有限的研究调查了夏威夷无家可归者的心理健康状况,夏威夷的无家可归率位居全国第二。通过访问夏威夷县162名无家可归者聚集的社区地点(如海滩、空置建筑物),收集了心理健康、药物使用、治疗需求和健康数据。77%的参与者是夏威夷原住民/太平洋岛民(NH/PI),参与者表现出严重的精神和物质使用障碍率,其中57%患有重度抑郁症(MDD), 56%患有广泛性焦虑症(GAD), 64%, 74%和12%患有酒精,甲基苯丙胺和阿片类药物使用障碍,分别增加了过量风险。治疗需求高(62%),但健康状况较差(85%报告健康状况一般/较差),MDD和GAD预测总体健康状况下降(p < 0.05)。研究结果表明,夏威夷无家可归的人不成比例地是土著NH/PI,他们承受着显著的心理和身体健康差异,这种差异可以通过增加社区心理健康计划/服务的获取/利用来减少。
Limited research has examined the mental health of individuals experiencing homelessness in Hawai‘i, which bears the nation’s second highest homelessness rate. Mental health, substance use, treatment need, and health data were collected from 162 unhoused individuals in Hawai‘i County by visiting community locations where they congregate (e.g., beaches, vacant buildings). 77% of participants were Native Hawaiian/Pacific Islander (NH/PI) with participants demonstrating severe rates of mental and substance use disorders including 57% experiencing major depressive disorder (MDD), 56% experiencing generalized anxiety disorder (GAD), and 64%, 74%, and 12% experiencing alcohol, methamphetamine, and opioid use disorders, respectively—heightening overdose risk. Treatment need was high (62%) but health was poor (85% reporting fair/poor health), with MDD and GAD predicting reduced general health (p < 0.05). Study findings indicate Hawai‘i unhoused individuals are disproportionately Indigenous NH/PI, enduring striking mental and physical health disparities that may be reduced by increasing access/utilization of community mental health programs/services.
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