MENTAL-HEALTH AND SOCIAL CHARACTERISTICS OF THE HOMELESS - A SURVEY OF MISSION USERS
MENTAL-HEALTH AND SOCIAL CHARACTERISTICS OF THE HOMELESS - A SURVEY OF MISSION USERS
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DOI：
10.2105/ajph.76.5.519
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发表时间：
1986-05-01
影响因子：
12.7
通讯作者：
KRAMER, M
中科院分区：
文献类型：
--
作者：
FISCHER, PJ;SHAPIRO, S;KRAMER, M
选定的心理健康和社会特征的51个无家可归的时期绘制作为一个概率样本的特派团进行了比较，1,338名男子年龄在18-64岁的家庭从NIMH流行病学集水区调查在东巴尔的摩。两组之间的差异很小，年龄，种族，教育，兵役，但在心理健康状况，利用模式和社会功能障碍的差异很大。大约三分之一的无家可归者在衡量痛苦的一般健康问卷中得分很高。一个类似的比例有一个当前的精神障碍，确定了诊断访谈计划（DIS），与无家可归者表现出更高的患病率在每个DIS/DSM III诊断类别相比，无家可归的男子。据报告，无家可归者因精神问题（33%对5%）和身体问题（20%对10%）住院的比例高于家庭男子，但接受流动护理的比例较低（41%对50%）。无家可归者的社会功能障碍表现为社会接触较少，成年后的逮捕率高于无家可归者（58%对24%），包括多次逮捕（38%对9%）和重罪定罪（16%对5%）。这些研究结果的影响进行了讨论的研究和健康的政策。
Selected mental health and social characteristics of 51 homeless periods drawn as a probability sample from missions are compared to those of 1,338 men aged 18-64 years living in households from the NIMH Epidemiologic Catchment Area survey conducted in Eastern Baltimore. Differences between the two groups were small with respect to age, race, education, military service but the differences in mental health status, utilization patterns, and social dysfunction were large. About one-third of the homeless scored high on the General Health Questionnaire which measures distress. A similar proportion had a current psychiatric disorder as ascertained by the Diagnostic Interview Schedule (DIS), with the homeless exhibiting higher prevalence rates in every DIS/DSM III diagnostic category compared to domiciled men. Homeless persons reported higher rates of hospitalization than household men for both mental (33 per cent vs 5 per cent) and physical (20 per cent vs 10 per cent) problems but a lower proportion received ambulatory care (41 per cent vs 50 per cent). Social dysfunction among the homeless was indicated by fewer social contacts and higher rates of arrests as adults than domiciled men (58 per cent vs 24 per cent), including multiple arrests (38 per cent vs 9 per cent) and felony convictions (16 per cent vs 5 per cent). Implications of these findings are discussed in terms of research and healthy policy.