Health and access to care: Perspectives of homeless youth in Baltimore City, USA
Health and access to care: Perspectives of homeless youth in Baltimore City, USA
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DOI：
10.1016/s0277-9536(98)00273-1
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发表时间：
1998-12-01
影响因子：
5.4
通讯作者：
Gittelsohn, J
中科院分区：
文献类型：
--
作者：
Ensign, J;Gittelsohn, J
无家可归的青年健康问题的发生率很高，但人们对他们自己的健康问题的看法或背景知之甚少。在这项研究中，定性技术的结合，从参与性的农村评估和快速评估程序被用来调查的看法，以住房为基础的青年在巴尔的摩，ML在美国最常见的青年确定的健康问题，包括性病，艾滋病毒/艾滋病，怀孕，抑郁症，吸毒和受伤的健康需求。这些数据与同一青年的更客观的健康状况数据有很好的相关性。这些年轻人谈到了成人暴力和受害的环境安全威胁，以及他们生活中的种族主义和性别歧视。青年报告说，祖母等值得信赖的成年人是健康咨询的重要来源。许多来自不太理想家庭的无家可归青年仍然与父母和其他家庭成员保持联系，并继续寻求他们的建议。针对城市街头青年的保健干预措施需要承认社会环境对这些青年的重要性，以及暴力作为日常健康威胁的现实。(C)1998爱思唯尔科技有限公司版权所有。
Homeless youth suffer from high rates of health problems, yet little is known about their perceptions of or context for their own health issues. In this study, a combination of qualitative techniques from participatory rural appraisal and rapid assessment procedures was used to investigate the perceptions of health needs of shelter-based youth in Baltimore, ML in the U.S.A. The most common youth-identified health problems included STDs, HIV/AIDS, pregnancy, depression, drug use and injuries. These correlate well with more objective health status data for the same youth. The youth spoke of environmental safety threats of violence and victimization by adults, as well as racism and sexism in their lives. Youth reported that trusted adult figures such as grandmothers are important sources of health advice. Many homeless youth from less than ideal family situations remain in contact with and continue to seek advice from parents and other family members. Health interventions with urban street youth need to acknowledge the primacy of the social context for these youth, as well as the reality of violence as a daily health threat. (C) 1998 Elsevier Science Ltd. All rights reserved.