无家可归的医学根源。
The medical origins of homelessness.
作者信息
Winkleby M A, Rockhill B, Jatulis D, Fortmann S P
机构信息
Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, Palo Alto 94304-1885.
出版信息
Am J Public Health. 1992 Oct;82(10):1394-8. doi: 10.2105/ajph.82.10.1394.
Abstract
In 1989 through 1990, we conducted a cross-sectional survey of 1437 homeless adults in northern California (98% response rate). Prevalences of alcohol abuse, illegal drug use, and psychiatric hospitalization when adults first became homeless were 15% to 33% lower than prevalences following homelessness. The largest differences between the homeless and a comparison group of 3122 nonhomeless adults were for psychiatric hospitalization (odds ratios [ORs] of 4.6 for men and 5.9 for women) and alcohol abuse (ORs of 2.3 for men and 4.0 for women). However, when prehomeless prevalences of addictive and psychiatric disorders were compared with prevalences among the nonhomeless, absolute differences were no greater than 12%.
摘要
1989年至1990年期间，我们对北加利福尼亚州的1437名无家可归成年人进行了横断面调查（应答率为98%）。成年人首次无家可归时，酒精滥用、非法药物使用和精神科住院治疗的患病率比无家可归后低15%至33%。无家可归者与3122名无家可归成年人对照组之间最大的差异在于精神科住院治疗（男性优势比[OR]为4.6，女性为5.9）和酒精滥用（男性OR为2.3，女性为4.0）。然而，将无家可归前成瘾性和精神障碍的患病率与无家可归者中的患病率进行比较时，绝对差异不超过12%。
相似文献
1
The medical origins of homelessness.无家可归的医学根源。
Am J Public Health. 1992 Oct;82(10):1394-8. doi: 10.2105/ajph.82.10.1394.
2
Homeless adults without apparent medical and psychiatric impairment: onset of morbidity over time.无明显医学和精神障碍的无家可归成年人：随时间推移发病情况
Hosp Community Psychiatry. 1992 Oct;43(10):1017-23. doi: 10.1176/ps.43.10.1017.
3
Health-related risk factors of homeless families and single adults.无家可归家庭和单身成年人的健康相关风险因素。
J Community Health. 1994 Feb;19(1):7-23. doi: 10.1007/BF02260518.
4
Combined substance abuse and psychiatric disorders in homeless and domiciled patients.无家可归者和有家可归者中的药物滥用与精神疾病共病情况。
Am J Drug Alcohol Abuse. 1991;17(4):415-22. doi: 10.3109/00952999109001600.
5
The epidemiology of alcohol, drug, and mental disorders among homeless persons.无家可归者中的酒精、药物和精神障碍流行病学。
Am Psychol. 1991 Nov;46(11):1115-28. doi: 10.1037//0003-066x.46.11.1115.
6
History of foster care among homeless adults with mental illness in Vancouver, British Columbia: a precursor to trajectories of risk.不列颠哥伦比亚省温哥华市患有精神疾病的无家可归成年人中的寄养史：风险轨迹的先兆。
BMC Psychiatry. 2015 Feb 26;15:32. doi: 10.1186/s12888-015-0411-3.
7
Individual characteristics of the literally homeless, marginally housed, and impoverished in a US substance abuse treatment-seeking sample.在美国一个寻求药物滥用治疗的样本中，无家可归者、居住条件差者和贫困人口的个体特征。
Soc Psychiatry Psychiatr Epidemiol. 2008 Oct;43(10):831-42. doi: 10.1007/s00127-008-0371-8. Epub 2008 May 26.
8
Alcoholism in homeless men in the mid-nineties: results from the Bavarian Public Health Study on homelessness.九十年代中期无家可归男性中的酗酒问题：巴伐利亚州无家可归问题公共卫生研究结果
Eur Arch Psychiatry Clin Neurosci. 1999;249(1):34-44. doi: 10.1007/s004060050063.
9
Alcohol, drugs, and psychiatric comorbidity among homeless women: an epidemiologic study.无家可归女性中的酒精、药物与精神疾病共病：一项流行病学研究。
J Clin Psychiatry. 1993 Mar;54(3):82-7.
10
Homeless women with children. The role of alcohol and other drug abuse.带着孩子的无家可归妇女。酒精和其他药物滥用的影响。
Am Psychol. 1991 Nov;46(11):1198-204. doi: 10.1037//0003-066x.46.11.1198.
引用本文的文献
1
Association of substance use characteristics and future homelessness among emergency department patients with drug use or unhealthy alcohol use: Results from a linked data longitudinal cohort analysis.物质使用特征与急诊科药物或酒精滥用患者未来无家可归的关联：一项基于关联数据的纵向队列分析结果。
Subst Abus. 2022;43(1):1100-1109. doi: 10.1080/08897077.2022.2060445.
2
Maternal depression as a risk factor for family homelessness.母亲抑郁是导致家庭无家可归的一个风险因素。
Am J Public Health. 2014 Sep;104(9):1664-70. doi: 10.2105/AJPH.2014.301941. Epub 2014 Jul 17.
3
Predictors of substance abuse treatment participation among homeless adults.无家可归成年人中药物滥用治疗参与情况的预测因素
J Subst Abuse Treat. 2014 Mar;46(3):374-81. doi: 10.1016/j.jsat.2013.10.008. Epub 2013 Oct 14.
4
Relationship between adverse childhood experiences and homelessness and the impact of axis I and II disorders.不良儿童经历与无家可归之间的关系，以及轴 I 和轴 II 障碍的影响。
Am J Public Health. 2013 Dec;103 Suppl 2(Suppl 2):S275-81. doi: 10.2105/AJPH.2013.301323. Epub 2013 Oct 22.
5
Homelessness, cigarette smoking and desire to quit: results from a US national study.无家可归、吸烟和戒烟意愿：来自美国全国性研究的结果。
Addiction. 2013 Nov;108(11):2009-18. doi: 10.1111/add.12292. Epub 2013 Aug 14.
6
Hazardous drinking and its association with homelessness among veterans in care.照料中的退伍军人中的危险饮酒及其与无家可归的关系。
Drug Alcohol Depend. 2013 Sep 1;132(1-2):202-6. doi: 10.1016/j.drugalcdep.2013.02.004. Epub 2013 Mar 7.
7
Access to housing subsidies, housing status, drug use and HIV risk among low-income U.S. urban residents.美国城市低收入居民获得住房补贴、住房状况、吸毒和 HIV 风险。
Subst Abuse Treat Prev Policy. 2011 Nov 23;6:31. doi: 10.1186/1747-597X-6-31.
8
Puentes clinic: an integrated model for the primary care of vulnerable populations.
Perm J. 2008 Winter;12(1):10-5. doi: 10.7812/TPP/07-113.
9
A prospective study of substance use and housing stability in a homeless population.一项针对无家可归人群中物质使用与住房稳定性的前瞻性研究。
Soc Psychiatry Psychiatr Epidemiol. 2010 Nov;45(11):1055-62. doi: 10.1007/s00127-009-0144-z. Epub 2009 Oct 9.
10
Pathways to and from homelessness and associated psychosocial outcomes among adolescents leaving the foster care system.离开寄养系统的青少年中无家可归的途径、相关心理社会结果。
Am J Public Health. 2009 Aug;99(8):1453-8. doi: 10.2105/AJPH.2008.142547. Epub 2009 Jun 18.
本文引用的文献
1
The homelessness problem.
Sci Am. 1984 Jul;251(1):40-5. doi: 10.1038/scientificamerican0784-40.
2
National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity.美国国立精神卫生研究所诊断访谈表。其历史、特点及效度。
Arch Gen Psychiatry. 1981 Apr;38(4):381-9. doi: 10.1001/archpsyc.1981.01780290015001.
3
The NIMH Epidemiologic Catchment Area program. Historical context, major objectives, and study population characteristics.美国国立精神卫生研究所流行病学集水区项目。历史背景、主要目标及研究人群特征。
Arch Gen Psychiatry. 1984 Oct;41(10):934-41. doi: 10.1001/archpsyc.1984.01790210016003.
4
New perspectives on homelessness: findings from a statewide epidemiological study.无家可归问题的新视角：一项全州范围流行病学研究的结果
Hosp Community Psychiatry. 1986 Jul;37(7):712-9. doi: 10.1176/ps.37.7.712.
5
Six-month prevalence of specific psychiatric disorders among Mexican Americans and non-Hispanic whites in Los Angeles.洛杉矶墨西哥裔美国人与非西班牙裔白人中特定精神疾病的六个月患病率。
Arch Gen Psychiatry. 1987 Aug;44(8):687-94. doi: 10.1001/archpsyc.1987.01800200013003.
6
Psychiatric problems in homeless men. Lifetime psychosis, substance use, and current distress in new arrivals at New York City shelters.无家可归男性的精神问题。纽约市收容所新入住者的终生精神病、物质使用情况及当前困扰。
Arch Gen Psychiatry. 1989 Sep;46(9):845-50. doi: 10.1001/archpsyc.1989.01810090087012.
7
Health and mental health problems of homeless men and women in Baltimore.巴尔的摩无家可归男女的健康与心理健康问题。
JAMA. 1989 Sep 8;262(10):1352-7.
8
Problems of epidemiologic method in assessing the type and extent of mental illness among homeless adults.评估无家可归成年人精神疾病类型及程度时流行病学方法的问题。
Hosp Community Psychiatry. 1989 Mar;40(3):261-5. doi: 10.1176/ps.40.3.261.
9
Alcoholism among homeless adults in the inner city of Los Angeles.
Arch Gen Psychiatry. 1988 Nov;45(11):1011-8. doi: 10.1001/archpsyc.1988.01800350045007.
10
A comparison of homeless, community-wide, and selected distressed samples on the CES-Depression Scale.在CES-抑郁量表上对无家可归者、社区范围内以及选定的困境样本进行比较。
Am J Public Health. 1990 Nov;80(11):1384-6. doi: 10.2105/ajph.80.11.1384.
Zotero 插件