Prevalence and Risk of Homelessness Among US Veterans
Prevalence and Risk of Homelessness Among US Veterans
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DOI：
10.5888/pcd9.110112
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发表时间：
2012-01-01
影响因子：
5.5
通讯作者：
Culhane, Dennis
中科院分区：
文献类型：
--
作者：
Fargo, Jamison;Metraux, Stephen;Culhane, Dennis
了解退伍军人无家可归的患病率和风险是预防和结束这一人群无家可归的先决条件。无家可归的退伍军人患慢性病的风险更高;了解退伍军人中无家可归的动态有助于我们了解他们的健康需求。方法我们获得了来自7个提供无家可归服务的管辖区的130，554名无家可归者的人口统计学特征和退伍军人状况的数据，以及生活在贫困中的人口和来自美国社区调查的普通人口。我们计算了退伍军人在无家可归者、贫困人群和普通人群中的患病率，以及这些人群中退伍军人状况的风险比（RR）。无家可归的风险，作为一个功能的人口特征和退伍军人的地位，估计通过使用多元回归models.ResultsVeterans在无家可归的人口中，与一般和贫困人口相比，男性（RR，1.3和2.1，分别）和女性（RR，2.1和3.0，分别）。退伍军人身份和黑人种族显着增加了男性和女性无家可归的风险。男性在45- 54岁的年龄组和女性在18- 29岁的年龄组的风险较高，与其他ages.ConclusionOur的研究结果证实了以前的研究关联退伍军人的地位与无家可归的风险较高，并意味着将有特定的健康需求之间的老龄化无家可归的人口。这项研究是了解一般人群中无家可归率和风险变化的基础，并将美国退伍军人事务部记录的健康数据纳入其中，可以将这些结果扩展到确定无家可归与健康风险之间的联系。
IntroductionUnderstanding the prevalence of and risk for homelessness among veterans is prerequisite to preventing and ending homelessness among this population. Homeless veterans are at higher risk for chronic disease; understanding the dynamics of homelessness among veterans can contribute to our understanding of their health needs.MethodsWe obtained data on demographic characteristics and veteran status for 130,554 homeless people from 7 jurisdictions that provide homelessness services, and for the population living in poverty and the general population from the American Community Survey for those same jurisdictions. We calculated prevalence of veterans in the homeless, poverty, and general populations, and risk ratios (RR) for veteran status in these populations. Risk for homelessness, as a function of demographic characteristics and veteran status, was estimated by using multivariate regression models.ResultsVeterans were overrepresented in the homeless population, compared with both the general and poverty populations, among both men (RR, 1.3 and 2.1, respectively) and women (RR, 2.1 and 3.0, respectively). Veteran status and black race significantly increased the risk for homelessness for both men and women. Men in the 45- to 54-year-old age group and women in the 18- to 29-year-old age group were at higher risk compared with other ages.ConclusionOur findings confirm previous research associating veteran status with higher risk for homelessness and imply that there will be specific health needs among the aging homeless population. This study is a basis for understanding variation in rates of, and risks for, homelessness in general population groups, and inclusion of health data from US Department of Veterans Affairs records can extend these results to identifying links between homelessness and health risks.