Health care of homeless veterans.
Health care of homeless veterans.
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无家可归退伍军人的医疗保健。
DOI：
10.1046/j.1525-1497.2003.21209.x
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发表时间：
2003
影响因子：
5.7
通讯作者：
Fine,MichaelJ
中科院分区：
文献类型：
--
作者：
O'Toole,ThomasP;Conde-Martel,Alicia;Gibbon,JeanetteL;Hanusa,BarbaraH;Fine,MichaelJ
了解那些无家可归的退伍军人的需求是很重要的。我们描述了无家可归的男性退伍军人的特点和相关因素需要VA的好处，从两个城市，社区调查531无家可归的成年人。总的来说，425人是男性，其中127人是退伍军人（29.9%）。更多的退伍军人患有慢性疾病和两种或两种以上的心理健康状况。只有35.1%的人确定了社区诊所进行护理，而非退伍军人的比例为66.8%（P <0.05）。01）; 47.7%的人确定了一个基于庇护所的诊所，59.1%的人报告需要VA福利。那些报告这种需要的人不太可能报告医疗合并症（58.7% vs 76.9%; P=. 04），尽管66.7%有精神健康合并症，82.7%符合诊断筛选手册（DSM）-IIIR标准的物质滥用/依赖。与没有这种需要的退伍军人相比，他们也更有可能进入庇护所诊所。无家可归的退伍军人仍然有严重的健康问题。需要为那些无法获得VA服务的人积极开展外联活动。J GEN INTERN MED 2003; 18：929-933.
It is important to understand the needs of those veterans who are homeless. We describe characteristics of homeless male veterans and factors associated with needing VA benefits from a two-city, community survey of 531 homeless adults. Overall, 425 were male, of whom 127 were veterans (29.9%). Significantly more veterans had a chronic medical condition and two or more mental health conditions. Only 35.1% identified a community clinic for care compared with 66.8% of non-veterans (P <. 01); 47.7% identified a shelter-based clinic and 59.1% reported needing VA benefits. Those reporting this need were less likely to report a medical comorbidity (58.7% vs 76.9%; P=. 04), although 66.7% had a mental health comorbidity and 82.7% met Diagnosic Screening Manual (DSM)-IIIR criteria for substance abuse/dependence. They were also significantly more likely to access shelter clinics compared with veterans without this need. Homeless veterans continue to have substantial health issues. Active outreach is needed for those lacking access to VA services. J GEN INTERN MED 2003; 18: 929–933.