Winkleby M A, Rockhill B, Jatulis D, Fortmann S P
Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, Palo Alto 94304-1885.
Am J Public Health. 1992 Oct;82(10):1394-8. doi: 10.2105/ajph.82.10.1394.
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%.
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%。
