在经历无家可归的退伍军人中永久支持性住房和心血管结果:差异分析中的差异分析
Sameed Ahmed M Khatana1,2,3,4, Jingyi Wu5,6, Peter W Groeneveld5,7,8,9
1Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. sameed.khatana@pennmedicine.upenn.edu.
Journal of general internal medicine
|March 6, 2026
概括
经历无家可归的心血管疾病 (CVD) 的退伍军人通过HUD-VASH计划获得永久支持性住房 (PSH),急诊室访问和住院的数量显著减少. 这突显了PSH在治疗这种脆弱人群中的慢性心血管疾病方面的有效性.
科学领域:
- 公共卫生 公共卫生
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 无家可归的退伍军人面临心血管疾病 (CVD) 的高患病率.
- 需要有效的干预措施来改善这一群体的健康结果.
- 住房和城市发展部-退伍军人事务支持性住房 (HUD-VASH) 计划提供永久支持性住房 (PSH).
研究的目的:
- 通过HUD-VASH获得PSH与健康结果的变化之间的关联.
- 具体地研究了无家可归的退伍军人中心血管疾病的结果.
主要方法:
- 采用了差异差异 (DID) 方法.
- 对获得HUD-VASH优惠券并在一个月内进入PSH的退伍军人 (早期组) 与至少六个月没有住房的退伍军人 (延迟组) 的结果进行比较.
- 参与者是年龄在18岁以上的退伍军人,被诊断患有心血管疾病,经历了6个月以上的无家可归,在2016-2019年期间获得了HUD-VASH优惠券.
主要成果:
- 该研究包括970名患有心血管疾病且无家可归的退伍军人 (845名早期PSH组,125名延迟PSH组).
- 在早期PSH组 (16.3%至11.9%) 观察到心血管急诊室访问或住院的6个月概率显著下降.
- 在延迟PSH组 (13.4%至18.1%) 没有发现统计学意义上的变化,DID估计为-9.1个百分点 (p=0.04).
结论:
- 通过HUD-VASH计划获得永久性支持性住房与CVD相关的紧急护理的显著减少有关.
- 这表明PSH是管理无家可归退伍军人的慢性心血管疾病的有价值策略.
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