Nyamathi Adeline, Sands Heather, Pattatucci-Aragón Angela, Berg Jill, Leake Barbara, Hahn Joan Earle, Morisky Donald
School of Nursing, University of California-Los Angeles 90095-1702, USA.
Fam Community Health. 2004 Jan-Mar;27(1):65-74. doi: 10.1097/00003727-200401000-00007.
Perceptions of health status among 331 homeless veterans and homeless nonveterans were examined. Homeless veterans were significantly less apt to perceive their health as fair/poor (8%) compared to non-veteran homeless men (19%). Homeless veterans were also more likely to report having a regular source of care (57% versus 36%). Logistic regression analysis indicated the adjusted odds of fair/poor health were more than two times greater for persons reporting depressive symptomatology than for those without this history; veterans continue to remain less likely to report fair/poor health than nonveterans. High rates of substance abuse were observed for the entire sample. Such differences in perceived health result in important health access issues.
研究了331名无家可归退伍军人和无家可归非退伍军人对健康状况的认知。与无家可归的非退伍军人(19%)相比,无家可归的退伍军人认为自己健康状况为“一般/较差”的可能性显著更低(8%)。无家可归的退伍军人也更有可能报告有固定的医疗保健来源(57%对36%)。逻辑回归分析表明,报告有抑郁症状的人健康状况“一般/较差”的调整后几率比没有这种病史的人高出两倍多;退伍军人报告健康状况“一般/较差”的可能性仍然低于非退伍军人。整个样本中观察到药物滥用率很高。这些在健康认知上的差异导致了重要的医疗保健获取问题。