Geographic and psychosocial correlates of homelessness or unstable housing among US veterans in the Midwest

IF 3.4 2区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY American journal of community psychology Pub Date : 2024-05-15 DOI:10.1002/ajcp.12751

Emre Umucu, Beatrice Lee, Chi Chang, Dorota Szymkowiak, Jack Tsai

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Abstract

The purpose of this study was to explore (1) the prevalence of physical and mental health conditions among veterans stratified by homelessness and unstable housing (HUH) in several Midwestern states, and (2) the correlation between HUH and sociodemographic, military, financial, risky behavior, health, and geographical characteristics. The study cohort consisted of 7260 HUH veterans and stably housed veterans in 2018–2022 in Veterans Integrated Service Network (VISN) 23. A multivariate logistic regression analysis was performed which revealed the strongest associations with HUH were any incarceration experience (adjusted odds ratio [AOR] = 0.21) and rural location (AOR = 0.33). Frontier and remote location scores (AOR = 1.23) were associated with increased risk of HUH among veterans. Our results suggest potential differences in risk for HUH among veterans living in rural versus frontier and remote locations, which may be important to consider to provide care to the many veterans in these areas.

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美国中西部退伍军人无家可归或住房不稳定的地理和社会心理相关因素。

本研究旨在探讨：（1）中西部几个州按无家可归和住房不稳定（HUH）分层的退伍军人中身体和精神健康状况的患病率；（2）HUH 与社会人口、军事、财务、危险行为、健康和地理特征之间的相关性。研究队列由退伍军人综合服务网络（VISN）23 的 7260 名 HUH 退伍军人和 2018-2022 年稳定居住的退伍军人组成。研究人员进行了多变量逻辑回归分析，结果显示，与HUH关系最密切的是任何监禁经历（调整后的几率比[AOR] = 0.21）和农村地区（AOR = 0.33）。边远地区和偏远地区得分（AOR = 1.23）与退伍军人罹患 HUH 的风险增加有关。我们的研究结果表明，居住在农村地区的退伍军人与居住在边疆和偏远地区的退伍军人患 HUH 的风险可能存在差异，这可能是为这些地区的众多退伍军人提供护理时需要考虑的重要因素。

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来源期刊

American journal of community psychology Multiple-

CiteScore

6.30

自引率

9.70%

发文量

期刊介绍： The American Journal of Community Psychology publishes original quantitative, qualitative, and mixed methods research; theoretical papers; empirical reviews; reports of innovative community programs or policies; and first person accounts of stakeholders involved in research, programs, or policy. The journal encourages submissions of innovative multi-level research and interventions, and encourages international submissions. The journal also encourages the submission of manuscripts concerned with underrepresented populations and issues of human diversity. The American Journal of Community Psychology publishes research, theory, and descriptions of innovative interventions on a wide range of topics, including, but not limited to: individual, family, peer, and community mental health, physical health, and substance use; risk and protective factors for health and well being; educational, legal, and work environment processes, policies, and opportunities; social ecological approaches, including the interplay of individual family, peer, institutional, neighborhood, and community processes; social welfare, social justice, and human rights; social problems and social change; program, system, and policy evaluations; and, understanding people within their social, cultural, economic, geographic, and historical contexts.