Homeless chronicity and health-related quality of life trajectories among adults with addictions
Homeless chronicity and health-related quality of life trajectories among adults with addictions
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DOI：
10.1097/01.mlr.0000163652.91463.b4
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发表时间：
2005-06-01
期刊：
影响因子：
3
通讯作者：
Samet, JH
中科院分区：
文献类型：
--
作者：
Kertesz, SG;Larson, MJ;Samet, JH
背景：新的联邦举措的目标是向长期无家可归者提供资金，以区别于其他无家可归者。然而，很少有数据可以证实长期无家可归对主要健康结果的影响。 目标：利用为期 2 年的成瘾者队列数据，我们测试了心理和身体健康相关生活质量 (HRQOL) 的变化是否因长期无家可归而有所不同。方法：根据自我报告的无家可归情况，我们将受试者分类为长期无家可归 (CH; n = 60)、过渡性无家可归 (TRANS; n = 108) 或安置比较对象（HSD；n = 106）。 Short Form-36 健康调查在基线和 2 年内进行了 2 次随访，提供了 HRQOL 的心理成分摘要 (MCS) 和身体成分摘要 (PCS)。使用混合模型线性回归来检验住房状况、MCS 和 PCS 之间的关联。其他模型评估了医学、精神病学、成瘾性。结果：所有受试者在研究开始时的 MCS 分数均较低（平均值为 31.2；标准差为 12.6）。然而，住房状况与时间之间存在显着的交互作用（P = 0.01）。在最终随访时，CII 和 TRANS 受试者的调整后 MCS 评分低于 HSD 受试者（3 组分别为 33.4、38.8 和 43.7；所有 P
Background: New federal initiatives target funds toward chronically homeless as distinct from other homeless persons. Few data exist, however, to substantiate the implications of chronic homelessness for major health outcomes.Objectives: Using data from a 2-year cohort of addicted persons, we tested whether changes in mental and physical health-related quality of life (HRQOL) differed according to homeless chronicity.Methods: Using self-reported homelessness, we classified subjects as chronically homeless (CH; n = 60), transitionally homeless (TRANS; n = 108), or as housed comparison subjects (HSD; n = 106). The Short Form-36 Health Survey, administered at baseline and 2 follow-ups over a period of 2 years, provided a Mental Component Summary (MCS) and a Physical Component Summary (PCS) for HRQOL. Mixed model linear regression was used to test the association between housing status, MCS, and PCS. Additional models assessed whether medical, psychiatric, addiction. and social support measures could account fir HRQOL differences.Results: All subjects had low MCS scores at study entry (mean, 31.2; SD, 12.6). However, there was a significant housing status-by-time interaction (P = 0.01). At final follow-up, CII and TRANS subjects had lower adjusted MCS scores than HSD subjects (33.4, 38.8, and 43.7 for the 3 groups, rcspectivcly; all P