Stein J A, Lu M C, Gelberg L
Department of Psychology, University of California, Los Angeles 90095-1563, USA.
Health Psychol. 2000 Nov;19(6):524-34.
Predictors and the prevalence of adverse birth outcomes among 237 homeless women interviewed at 78 shelters and meal programs in Los Angeles in 1997 were assessed. It was hypothesized that they would report worse outcomes than national norms, that African Americans would report the worst outcomes because of their greater risk in the general population, and that homelessness severity would independently predict poorer outcomes beyond its association with other adverse conditions. Other predictors included reproductive history, behavioral and health-related variables, psychological trauma and distress, ethnicity, and income. African Americans and Hispanics reported worse outcomes than are found nationally, and African Americans reported the worst outcomes. In a predictive structural equation model, severity of homelessness significantly predicted low birth weight and preterm births beyond its relationship with prenatal care and other risk factors.
1997年，对洛杉矶78个收容所和施粥项目中接受访谈的237名无家可归女性的不良分娩结局预测因素及发生率进行了评估。研究假设她们报告的结局会比全国标准更糟，非裔美国人会报告最糟的结局，因为他们在普通人群中的风险更高，且无家可归的严重程度会独立预测出比其与其他不良状况的关联更差的结局。其他预测因素包括生育史、行为和健康相关变量、心理创伤和痛苦、种族和收入。非裔美国人和西班牙裔报告的结局比全国水平更糟，且非裔美国人报告的结局最差。在一个预测性结构方程模型中，无家可归的严重程度除了与产前护理和其他风险因素的关系外，还显著预测了低出生体重和早产。
