Substance abuse and homelessness: Direct or indirect effects?

Substance abuse and homelessness: Direct or indirect effects?
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DOI:
10.1016/s1047-2797(01)00284-8
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发表时间:
2002-10-01
影响因子:
5.6
通讯作者:
Johnson, TP
Johnson, TP
中科院分区:
医学3区
文献类型:
--
作者:
VanGeest, JB;Johnson, TP

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目得:要调查是否药物滥用是一个直接的因素,无家可归的解释或一个间接运作,通过脱离关系和人力资本的过程,把个人在更大的风险的condition.METHODS:分析进行了使用数据的药物滥用和无家可归的经验,从随机概率样本的481无家可归的人和无家可归的风险在库克县,伊利诺伊州。协方差结构模型被用来评估物质滥用,人力资本,和脱离无家可归的潜在的前体,特别注意的直接和间接的作用,物质滥用的损失domestic.RESULTS:无家可归的几个嵌套模型的分析链接物质滥用仅间接损失的住所,主要是通过其对社会和机构的联系。与预期相反,药物滥用并没有影响无家可归者间接减少积累的人力capitals.CONCLUSIONS:作为无家可归的近因分离的作用得到证实。这将这一现象置于社会本身的背景之下,作为人类社会所必需的社会纽带崩溃的直接结果。药物滥用在这种崩溃中起着关键作用,对社会和机构关系产生了负面影响。(C)2002年爱思唯尔科技有限公司All rights reserved.
PURPOSE: To investigate whether substance abuse is a direct factor in the explanation of homelessness or one that operates indirectly through disaffiliation and human capital processes to place individuals at greater risk of the condition.METHODS: Analyses were conducted using data on substance abuse and homeless experiences from a random probability sample of 481 homeless persons and those at risk of homelessness in Cook County, Illinois. Covariance structure models were used to assess substance abuse, human capital, and disaffiliation as potential precursors of homelessness, with particular attention paid to the direct and indirect role of substance abuse in the loss of domicile.RESULTS: Analysis of several nested models of homelessness links substance abuse only indirectly to loss of domicile, primarily through its impact on social and institutional affiliations. Contrary to expectations, substance abuse did not impact homelessness indirectly by diminishing the accumulation of human capital.CONCLUSIONS: The role of disaffiliation as a proximate cause of homelessness was confirmed. This locates the phenomenon within the context of society itself, as a direct result of a breakdown in the social bonds necessary for human community. Substance abuse plays a critical role in this breakdown, negatively influencing social as well as institutional relationships. (C) 2002 Elsevier Science Inc. All rights reserved.