根据退伍军人身份对美国成年人六个月住房不稳定的相关性:使用来自"我们所有人计划"数据的探索性研究
Hind A Beydoun1,2, Christian Mayno Vieytes3, May A Beydoun3
1National Center on Homelessness among Veterans (NCHAV), Veterans Health Administration, Washington, DC, United States of America.
PloS one
|November 22, 2024
概括
住房不稳定 (HI) 影响了许多美国成年人. 这项研究发现,当考虑其他因素时,退伍军人身份没有显著影响HI率,突出了不同人群的共同风险因素.
科学领域:
- 公共卫生 公共卫生
- 健康的社会决定因素
- 健康差异 在健康上的差异
背景情况:
- 住房不稳定 (HI) 是美国健康的关键社会决定因素.
- 在退伍军人中解决HI是一个国家优先事项.
- 了解退伍军人和非退伍军人之间的HI差异可以为有针对性的干预提供信息.
研究的目的:
- 为了检查自我报告的HI的六个月患病率.
- 确定与HI相关的风险和保护因素.
- 为了比较美国退伍军人和非退伍军人的HI患病率和相关性.
主要方法:
- 分析了来自我们所有人研究计划的254,079名受访者的横截面数据 (24,545名退伍军人,229,534名非退伍军人).
- 使用后勤回归模型来评估HI率和相关因素.
- 研究的因素包括退伍军人身份,人口统计,社会经济地位,物质使用和健康特征.
主要成果:
- 总体HI患病率为14.9% (退伍军人11.5%,非退伍军人15.4%).
- 经过对混因素进行调整后,退伍军人身份与HI没有显著关联.
- 诸如男性性别,中年,失业,吸烟和健康状况不佳等因素增加了HI的几率;更高的收入和保险降低了几率,无论退伍军人身份如何.
- 在HI中,种族差异仅在非退伍军人中被发现.
结论:
- 虽然社会人口统计学和临床因素与HI有关,但在完全调整的模型中,退伍军人身份本身并不是一个重要的预测因素.
- 对HI的确定的风险因素在退伍军人和非退伍军人群体中基本一致.
- 研究结果强调,需要制定全面的战略,以解决HI作为广泛的公共卫生问题.
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