在加利福尼亚州洛杉矶县的分散或基于地点的永久支持性住房安置,在COVID-19大流行期间
Benjamin F Henwood1, Randall Kuhn2, Amanda Landrian Gonzalez3
1Suzanne Dworak-Peck School of Social Work, University of Southern California (USC), 669 W. 34th Street, Montgomery Ross Fisher Building, Los Angeles, CA, 90089, USA. bhenwood@usc.edu.
永久支持性住房 (PSH) 的分配因种族和健康需求而异. 基于地点的PSH可能适合更需要的个人,但PSH访问和类型的种族差异需要进一步调查.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 社会学 社会学 社会学
背景情况:
- 永久性支持性住房 (PSH) 对具有复杂健康需求的弱势群体至关重要.
- 现有两个主要的PSH模型:基于地点 (PB) 和分散地点 (SS),没有正式的指导来区分它们的实施.
- 了解影响这些模型分配的因素对于公平的服务提供至关重要.
研究的目的:
- 为了比较无家可归者 (PEH) 之间的倾向性,支持性和需求因素,分配给PB-PSH与SS-PSH.
- 确定接受PSH和不接受PSH的PEH之间的差异.
- 在COVID-19大流行期间探索PSH分配的系统和自我选择因素.
主要方法:
- 在弱势群体中应用了格尔伯格-安德森行为模型.
- 在洛杉矶县进行了一项探索性观察性研究.
- 对比了PB-PSH (n=272),SS-PSH (n=185) 和那些经过批准但没有住宿 (n=94) 的个人的人口,健康和服务利用数据.
主要成果:
- 与未住宿者相比,接受PSH的PEH更有可能是白人,出生在美国,身体健康状况较差,健康激活得分较低.
- 在PB-PSH中,PEH的年龄较大,黑人,有酒精使用障碍,健康激活得分高于SS-PSH.
- 在PSH受体和非受体之间,以及PB-PSH和SS-PSH参与者之间,存在显著的特征差异.
结论:
- 无家可归服务系统可能会认为PB-PSH更适合有更高需求的个人.
- 该研究强调了PSH分配和获取的潜在种族差异.
- 需要进一步的研究来解决PSH分配和结果中的不平等问题.
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