Pregnancy and Mental Health of Young Homeless Women
Pregnancy and Mental Health of Young Homeless Women
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DOI：
10.1111/j.1939-0025.2011.01086.x
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发表时间：
2011-04-01
影响因子：
3.3
通讯作者：
Whitbeck, Les B.
中科院分区：
文献类型：
--
作者：
Crawford, Devan M.;Trotter, Emily C.;Whitbeck, Les B.
在美国，无家可归的年轻女性的怀孕率明显高于有住所的年轻女性的怀孕率（JM。格林公司L. Ringwalt，1998）。然而，很少有研究涉及无家可归的年轻母亲的心理健康或风险和复原力。基于中西部无家可归青少年纵向研究的样本，本研究探讨了怀孕和母亲在无人陪伴的无家可归的年轻女性超过3年的时间。对一部分年轻妇女的深入访谈补充了这些数据。结果表明，几乎一半（46.4%）的性活跃的年轻女性谁是无家可归的（n = 222，M-年龄= 17.2）已怀孕的基线。在那些声称他们在第2波到第13波之间有孩子的人（n = 90）中，只有一半的人报告说他们一直在照顾他们的孩子，五分之一的人报告说他们从来没有见过他们的孩子。在最后一次访谈（第13波）中有孩子的参与者中，几乎三分之一符合终身重度抑郁发作、终身创伤后应激障碍和终身药物滥用的标准，一半符合终身反社会人格障碍的标准。还报告了两个月的诊断。无家可归对孕产妇和儿童的影响进行了讨论。
Pregnancy rates among young women who are homeless are significantly higher than rates among housed young women in the United States (J. M. Greene & C. L. Ringwalt, 1998). Yet, little research has addressed mental health or risk and resilience among young mothers who are homeless. Based on a sample from the Midwest Longitudinal Study of Homeless Adolescents, this study explores pregnancy and motherhood in unaccompanied homeless young women over a period of 3 years. The data are supplemented by in-depth interviews with a subset of young women. Results show that almost half (46.4%) of sexually active young women who are homeless (n = 222, M-age = 17.2) had been pregnant at baseline. Among those who stated they had children between Waves 2 and 13 (n = 90), only half reported caring for their children consistently over time, and one fifth reported never seeing their children. Of the participants with children in their care at the last interview (Wave 13), almost one third met criteria for lifetime major depressive episode, lifetime posttraumatic stress disorder, and lifetime drug abuse, and half met criteria for lifetime antisocial personality disorder. Twelve-month diagnoses are also reported. The impacts of homelessness on maternal and child outcomes are discussed.