Homeless veterans in the Caribbean: Profile and housing failure.

Revista Puertorriquena de psicologia Pub Date : 2021-01-01

Naiomi Rivera-Rivera, Angel A Villarreal

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Abstract

This research assesses sociodemographic, psychosocial, and military characteristics and their role in homelessness programs readmission to provide a profile of the Caribbean Homeless Veteran of the U.S. military. We evaluated 620 healthcare records of veterans who requested services at the Homeless Program of the VA Caribbean Healthcare System from 2005 to 2014. Statistical analyses consisted of Chi square, Fisher's exact test, Wilcoxon-Rank Sum tests, and generalized linear models of regression with Poisson distribution. Homeless veterans were characterized by being male, serving in the Army, having low social support, poor house affordability, extreme poverty, unemployment, and psychiatric disorders. Veterans from Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn conflicts exhibited more readmission prevalence risk ratio overall and when adjusted for all factors than veterans of previous conflicts. Psychosocial factors such as substance use, social isolation, legal problems, and psychiatric disorders were identified in the readmission process. Results suggest assistance beyond housing is needed to end veteran homelessness.

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加勒比地区无家可归的退伍军人:简介和住房失败。

本研究评估了社会人口学、社会心理和军事特征及其在无家可归计划中的作用，以提供加勒比地区无家可归的美国军队退伍军人的概况。我们评估了2005年至2014年在退伍军人事务部加勒比医疗保健系统无家可归者项目中请求服务的620名退伍军人的医疗记录。统计分析包括卡方检验、Fisher精确检验、wilcoxon秩和检验和广义线性回归泊松分布模型。无家可归的退伍军人的特征是男性、在军队服役、社会支持度低、住房负担能力差、极度贫困、失业和精神疾病。经过伊拉克自由行动、持久自由行动和新黎明行动冲突的退伍军人，在对所有因素进行调整后，总体上显示出比以前冲突的退伍军人更高的再入院患病率风险比。在再入院过程中发现了诸如药物使用、社会孤立、法律问题和精神障碍等社会心理因素。结果表明，需要住房以外的援助来结束退伍军人无家可归的状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista Puertorriquena de psicologia

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